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Nick

Expectations

I am thoroughly enjoying doing my placement with OPUS and I have had some fantastic musical interactions with the children, their families and the staff at both Nottingham and Leicester hospital. I have also learnt a lot from taking moments to stand back and watch the OPUS musicians Nick, Richard and Sarah in their musical interactions. On one particular afternoon I also experienced the lesson of ‘‘Have No Expectations’. This is something Nick had mentioned in the musician training course that I attended in October of last year. During my afternoon at the hospital I found that we mainly played and then vacated the space as most people seemed to enjoy listening but not wanting to take up the offer of playing a percussion instrument or singing along.
After a morning of rewarding Social interactions it did seem to move more slowly for me. However, as the OPUS musicians reminded me, in the hospital space we are there first and foremost as musicians and if that is what required at that time that is what we do. This was a good lesson to revisit because being a musician and playing repertoire is just as important as the more social interactions. Ronald Borcazon (2004) Writes how “listening to music can be considered interactive if it is purposeful in nature” (9).I would consider all the music used in the hospital purposeful in nature as its aim is to first and foremost to create a positive atmosphere. My lesson from this afternoon was that I do not need to have a full on social musical interaction to have a positive effect on the space and that allowing people to just listen to the music is a very important part of OPUS has to offer.

Taking the lead on music for wellbeing

A great evening of training and music-making last night with a group of young people and volunteers from the Drop Inn in Belper, Derbyshire. We are working with these young people, developing their musical and leadership skills and working towards taking music sessions into their local care home. A fascinating and challenging project but should be really rewarding for everyone involved.

Calming and interactive music – 29/1/2013

Walking through the wards this morning, we came on to one ward and Nick had gone ahead to observe the atmosphere on the ward. Whilst he was making his assessment Sarah and I began playing the song “I can see clearly now the rain has gone”. We began the song instrumentally and in a calming manner, and then we wandered into a bay area. Once in the bay I introduced the vocal line to the song.
As we played the song a young toddler from a different area of the ward expressed an interest in the music. Nick handed the toddler an egg shaker, as we played through a variety of songs and pieces of music, she continued to play along. After a while she became interested in my guitar and so I sat next to her in the ward space. I then invited her to strum the guitar, which she accepted and then proceed to say the words ‘music’. To acknowledge this verbal expression I sang the word ‘music’ back to her. As she strummed the guitar I alternated between the chords C major and G major. She strummed the chords in various ways and I used my voice to mimic the strumming pattern she performed. Sarah and Nick proceed onto the next bay, I felt compelled to follow and the toddler also came with us to the next bay. Here we continued our musical interaction, briefly moving from the guitar to the xylophone and then back to the guitar. We finished this interaction with a funky version of ‘Twinkle Twinkle Little Star’ in C Major.
What I realised from this musical interaction was that it was not important for me to follow Sarah and Nick into the next bay, and It could have affected my musical interaction with the toddler. However, I was fortunate enough that this did not happen and it actually gave the toddler the opportunity to investigate the other instruments available to her. This time it actually worked well but it is something that I will be aware of in future musical interactions.
After waving the toddler goodbye I looked around the environment and observed the space to be calm and relaxed. Later when we left this space Nick informed Sarah and me that when he had inspected the ward at the beginning of the session the ward was actually very busy and stressful. I could not help wonder if the music may have been responsible for this change in atmosphere. In ‘Music and the young mind’ Harris (2009) writes that “Music can have a calming effect on us although we may not be very conscious of it” (19). Reflecting on my experience and this statement I cannot help but feel that this was the case on this occasion.

Favourite song – 22/1/2013

I had a great experience at the very start of the day; we had entered the ward space already playing. As the ward was very quite I was playing at a very low volume, we had gathered round the bed of a young boy who was very much interested in the music and he knew Sarah and Richard well. I had also met this young boy two weeks before and he remembered my face. When we started playing the song I was the furthest away from the young boy. I think this made it difficult for him to hear what I was playing and so he requested for me to come and stand by his bedside. I experienced this invite as enthusiasm for the music and this enthusiasm became even more evident when we played the song Zamina. He was eager to have this song replayed; as there were other patients on the ward it was important to play other songs in between Zamina. Initially, Sarah, Richard and I sang Zamina at a well projected volume, eventually the young boy began to join in. However, by the fourth time of playing the song the young boy’s singing was a lot louder, I had lowered the volume of my singing voice and eventually the young boy was singing on his own. I found it moving to see him passionate about singing this song. He also wanted to invite the nursing staff and other people who were on the ward at the time to join in and sing along. However, some were too self conscious to join in and the nursing staffs were very busy. However this did not stop him enjoying the moment, building a musical relationship with myself and the other musicians, as well as increasing his confidence in his own vocal expression.

musical interaction- by Sarah S

Leicester- 15/1/2013
Today was my first day working with Richard Kensington and Sarah Matthews at Leicester children’s Hospital. It was interesting to work in this new environment; the staff at Leicester’s Children’s Hospital were very welcoming and enthusiastic towards the musicians and it was inspirational to see photographs of some of the work Opus had already done in this children’s hospital.
We entered the space with Sarah and Richard playing ‘The Maid and The Palmer’. It is an upbeat and lively piece of music. I was able to observe how the music added a positive energy to the space. This was then physically reflected by the carer of a young boy who performed a little dance to the music. During this time I began to engage with the musicians and played a gentle musical drone. I was standing close to the young boy whose carer had been dancing; he was lying in bed and reaching out his hand. I felt that he was communicating with me and so I wandered in his direction, still playing the guitar. Once close to his bed side it became clear that this young boy was unable to verbally communicate. However, his eye contact indicated that he was excited by the guitar. His carer then informed me that at home this young boy had three guitars of his own and that he was passionate about music. He was then focusing his gaze up on the guitar and reaching out to play it. As the musicians continued playing I held down the G Major chord and the young boy strummed the guitar. It was a very intimate situation and I was moved to witness the expression of joy the young boy was experiencing during this musical interaction.
We then began to play ‘Zamina’; this was also performed in an upbeat expression. The young boy was more intermittent with his strumming on this song and I read this to be because he was listening to the three of us singing the song and then he would reach out for the guitar and I would step up to his bed side for him to strum the guitar. Sarah then indicated to us all to bring the song to a close, the timing was perfect as I also felt that it was time to leave this young boy’s space and move to another area of the children’s ward.
As a result of this experience I have been able to reflect on literature I have read about children and musical interaction. Especially were the non –verbal child is concerned, the main thing I experienced was the importance of eye contact. Bunt (2007) suggests that this kind of non –verbal communication is vital when tuning into the child. Especially, when engaging in musical play in order to witness the emotion, to understand how intensely the child is interacting and in order to know when to deliver more musical interaction or to end it (90). It was a rewarding experience and I had the opportunity to see theory in action.

Music in Healthcare Training Opportunity – 11th-17th April 2013

We are pleased to announce that our next Music in Healthcare Settings training programme for musicians will take place on 11th, 12th, 15th, 16th and 17th April. This will take place in Derby, UK, with part of the time spent at the Royal Derby Hospital/Derbyshire Children’s Hospital.
A full brief and application form are attached below. You are advised to send your application asap as places may fill up quickly.
Please get in touch with any questions you may have.

Music in Healthcare Training opportunity Artists Brief April 2013
Application Form (pdf)
Application Form (.doc)

Some of the feedback from our last course:

‘Thank you so much for this opportunity. It was such a pleasure to explore such an exciting aspect of music making with such lovely like minded musicians, with such a high level of professional standard from the trainers delivering this course. I can’t believe we made such fantastic progress in only five days, and I am thoroughly invigorated by what I have seen can be achieved with music in a hospital setting.’

Taking time to be with people

A big part of our work as musicians in hospitals is to be there as a musician and a human being spending time with other human beings, to make music for and with them and to create a cultural venue within a clinical environment.

We often get asked if it is emotionally difficult to spend so much time in hospitals, especially with children. There are, of course, always emotional moments in our practice, and we allow ourselves to be emotional as part of our professional practice, indeed it is important that this emotion becomes part of our music-making to allow us to be ‘in-tune’ with the patients, visitors and staff with whom we work. We must always be careful, however, that we do not project our own emotions onto others – this is also part of our professional undertaking.

It is, however, more normal for us to work with the well-part of the person, to enhance and support the cultural, vibrant, and well part of the person. Medical staff work hard to take a holistic approach to their work, however, they are principally there to treat the illness. We are hugely privileged to be able to take the time for this approach, one which seems to complement and support the work of the hospital staff so well.

Over recent weeks, we have seen this human-to-human approach work so well. In Sheffield Teaching Hospitals, working with elderly patients and those with spinal and neurological injuries, we have recently been able to take more time to explore musical interests with individual patients, to support them in singing and playing musical instruments with us, and to rediscover their creative and cultural selves. Medical staff have observed and taken part in some of these sessions, making new, human-to-human contact with patients and seeing new potential despite their illness or injury. It is fantastic to be able to support these new patient-staff partnerships.

In children’s hospitals, the time spent with individual patients and their families becomes special time, time for a parent and new baby to bond in a neonatal intensive care unit, time for ‘normal life’ to resume if only for a moment, time for music 🙂 When doctors, nurses and other hospital staff become part of these interactions, the space and relationships within the hospital change completely, and we are all human beings together.

Leo Tolstoy wrote (What is Art, 1897):
‘… In order correctly to define art, it is necessary, first of all, to cease to consider it as a means to pleasure and to consider it as one of the conditions of human life… Art is a human activity consisting in this, that one man consciously, by means of certain external signs, hands on to others feelings he has lived through, and that other people are infected by these feelings and also experience them.’

It’s wonderful to be able to share music-making, a ‘condition of human life’, with all those we encounter in hospitals.

More feedback

This time from some of our artistic young participants taking part at children’s hospitals around the region…

Some feedback from the past 2 weeks…

Here’s a small selection of feedback from children’s hospital patients and parents from the past two weeks….

Thank you so much for the musical experience this morning. What a lovely surprise…… it was fantastic that you came in with your instruments so that both children and adults could have some much needed stress relief, entertainment and engagement.

It’s made my stay memorable and I really liked it cause of the guitar as I love them. Thank you.

‘J’ really enjoyed the music. He joined in and enjoyed looking and learning about the different instruments. Thanks for taking his mind off being in hospital.

Your music and songs have really helped cheer my daughter ‘A’ up. Any myself too. It was great to see her smile. You have brought her happy memories back from her holiday. We were all really interested in learning about your instruments. I think you may have encouraged her to get back into her dance now. Also you have helped relax her prior to her MRI today. Thank you. She keeps humming WACKA WACKA and smiling. Thank you very much.

I enjoyed it, thanks very much. It was my first time playing the violin. I liked the sound. OPUS played very well.

‘B’ was in bed when you came in still feeling quite drowsy. Now she’s up and about feeling happy.

The music was a lovely surprise and very calming for the children. ‘J’ especially enjoyed using the instruments and making up his own music.

I have seen the musicians in our daycare ward and in outpatients. It was clear to me that the music was enjoyed by all and so very well received. I was particularly impressed to see the children participating.

It was fab, really cheered everyone up and brought everyone together.

Thank you so much. Wow, what a wonderful lift to all of our days. “We are not poorly any more” Well maybe only a little. Please continue with your wonderful music. x

It’s clear from the great feedback we are receiving that our aim of creating cultural venues within the hospital is really working, allowing children, parents and staff to share music-making together, and within communities of wards, bays and families. Thanks everybody for your feedback, including some fabulous pictures which I will try to post soon 🙂