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Derbyshire Children’s Hospital

New music in health residencies

As you’ve probably noticed from our lack of blogs recently, OPUS is currently on a summer break. While we’ve not been in the hospitals so much over the past month, much has been going on behind the scenes to finalise arrangements for our new residencies beginning very soon. Thanks to funding and support from Youth Music, Nottinghamshire County Council and Leicester City Council, we are delighted to announce new long-term residencies in children’s wards at three new hospitals beginning in September. These will take place at Leicester Royal Infirmary, Queens Medical Centre, Nottingham and Kings Mill Hospital in Mansfield, with OPUS musicians visiting the hospitals on a weekly or fortnightly basis. This is planned to continue until at least March 2014, though we hope to sustain these residencies beyond this date. We are extremely grateful for the support of our partner hospitals and our funding partners in making these new residencies possible. OPUS has busy and exciting times ahead, with existing residencies continuing at Derbyshire Children’s Hospital and Sheffield Teaching Hospitals alongside training programmes for musicians and healthcare staff. We’re all really looking forward to it!

Friday 20th July

We began our morning’s work in the Sunflower Ward, as has been our habit for the last few weeks. We trialled a new tune “Astley’s Ride” which worked well in 4 time with the potential for patients to join in and turned into a waltz quite easily too – much to explore with that one in the future?

We entered the post / pre op ward behind the reception area with some caution. A young boy was being asked to take some medicine by his father, and he appeared worried about this prospect. A mother lay curled up in a chair, waiting for the return of her child. A three-year-old girl sat with her mother, obviously distressed and possibly feeling sick. Another little girl sat with her parents at the end of the room, and a teenaged girl lay apparently sleeping. This was quite an array of different situations presenting themselves at the same time in the one room, so some careful consideration was needed as to what music to play and with what character and volume.

We chose “Mari’s Wedding”, normally a jolly polka, but we started it as a relaxed and calm waltz, knowing that if the mood required it we could pick up the pace and change the dynamics according to the space. We played around the tune and improvised the melody and structure about 5 times as we slowly moved down the room. However, it did not seem appropriate to change the tempo and mood, so we remained in three time.

The little girl at the end of the room with her parents engaged with us and locked an intrigued stare with me as i played the piece and moved towards her, the teenager awoke slightly and lay in bed listening. The little boy relaxed and took his medicine and found something else to play with. The distressed little girl cried more, cuddled with her mother, relaxed and almost drifted off to sleep by the time we left the room.

It was only a matter of minutes that we were in that space, but it felt as though our music had provided an opportunity for the mood of the whole room to transition from distressed to relaxed; from unrest to calm. Hard to quantify something like this, but I was moved to tears on exiting the room.

Friday 29th June work at Derby Children’s Hospital

First thing in the morning, and Rich and I found ourselves starting our musical day as a duo this week – five string fiddle, voices, bodhran and ukelele. We began by playing in the open waiting room area of Sunflower Ward, where there were some staff and parents and grand parents conversing in sign. We played for a while, assessing the potential for moving into one of the pre/post op wards next door. After that piece we moved into one of these wards to play for two families waiting with young people in bed – there was much tapping of toes and nodding in approval of our music. Just when we thought we would end our Sunshine song and move on, a younger child returned from a procedure upset and crying, changing the mood on the ward completely. Rich and I matched the volume of the child and continued playing – the child connected with our music within 30 seconds and began to calm – there was good eye contact and visible relaxation of the patient and we then brought the volume and pace of our music down to take the mood to an even more relaxed state. Eyes began to close and parent and grandparents thanked us for being there – quite a special few moments!

Music in Healthcare Settings Training, Derby: 25th-31st October 2012

DEADLINE EXTENDED TO 28TH SEPTEMBER 2012

OPUS Music CIC is currently engaged in a residency at Derbyshire Children’s Hospital. This residency has been in place since December 2010, with OPUS musicians visiting the hospital on a regular basis to make music for and with patients, visitors and staff.

From September 2012, OPUS will also deliver new residencies within children’s wards at Leicester Royal Infirmary, Queens Medical Centre in Nottingham and Kings Mill Hospital in Sutton in Ashfield.

These residencies are supported by funding from Youth Music, Derbyshire Children’s Hospital, Nottinghamshire County Council and Leicester City Council with additional support from all partner hospitals, Derbyshire Music Education Hub, soundLINCS and Natal percussion.

As part of this programme of activity, OPUS is offering training for musicians who already work in, or have an interest in working in healthcare settings. Whilst this training will focus primarily on working with hospitalised children and young people, the theoretical background and practice will also be of benefit to those who wish to work with other age groups.

Following the training, there may be opportunities to join OPUS musicians in delivering musical interventions in healthcare settings as part of these residencies or in other programmes of work. We cannot however currently offer any paid work beyond this training.

Training takes place on 25th, 26th, 29th, 30th and 31st October 2012 in Derby, UK. This training programme is subsidised through project funding and as such we require payment of only £75 total for the 5 days of training (payable on acceptance onto the course).

‘I came away from the course with a desire to start doing this work in my own area – it was some of the most fulfilling music work I have done.’
‘I have found understanding in an area that seemed so out of reach before. I have broadened my horizons and developed my passion for this area further.’

‘Really valuable training. The best I’ve done with youth music.’
‘Thank you very much for a brilliant course!!’

Music in Healthcare Training opportunity Artists Brief (pdf)
Music in Healthcare Training application form (pdf)
Music in Healthcare Training application form
(word)

Contact: training@opusmusic.org

Derbyshire Children’s Hospital residency – feedback

Some recent feedback and comments from our residency at Derbyshire Children’s Hospital.

First a card sent to the hospital by parents…

‘Thank you so much for the fantastic care and support you gave us whilst —— was on the ward. She had some lovely moments with the doctors, nurses and musicians! We cannot thank you enough.’

Lovely to be seen as part of the ‘team’ alongside the doctors and nurses.

More feedback from a parent this week…

‘Absolutely fantastic! Cheered our daughter up no end – better than medicine! Thankyou very much – keep up the good work! :-)’

We certainly will.

The eyes have it…

Derbyshire Children’s Hospital – 15 June 2012. When we’re working as musicians in the hospital, eye contact is critical to us, not only between ourselves as musicians, but also with patients, visitors and staff. A glance from a patient can invite us into their space, give us an indication of their comfort with our presence and give us a clue as to ‘how we are doing’. We often find ourselves using sympathetic eyes – matching a patient’s contact with our own, and negotiating a closer collaboration through eye ‘communication’. Sometimes we can encourage participation or simply smile with our eyes. So much is communicated in this way, and we often reflect upon how our training and experience allows us to use eye contact as a valuable tool in our practice.

Yesterday at the Derbyshire Children’s Hospital we were confronted by the best eye ‘communicator’ we have perhaps ever encountered in the form of a very young baby – only a few weeks old. He had just woken up, and nursing staff had come to find us to ask us to play for him. He was brought out of his room by his parents, carried by his father to meet the three of us (Sarah, Richard and myself). He was at first somewhat agitated, however as we began to play, the three of us lined up playing over each other’s shoulders so as not to crowd the scene, the baby fixed his gaze, as so often happens, upon Sarah’s viola. He became suddenly very calm and purposeful with his wide-eyed gaze, and the whole environment became very calm as doctors and nursing staff looked on. After a minute or so, the baby purposefully moved his gaze to Richard’s bodhran, insisting that Richard come closer to play. Again, after a short time I was also ‘invited in’ by the baby as his stare moved first to my right hand on the guitar, and then to my left hand. Throughout this time baby, mother, father and the medical team were all very calm and peaceful as we all enjoyed the musical moment together. Finally, the baby moved his gaze upwards towards his father’s eyes, as clear a sign as ever that it was time for us to go, and that it was time for the baby to be with his father. We moved slowly away, leaving a peaceful scene behind with an incredibly connected father and baby.

Music had brought people together in a unique way within this scene, and had allowed the baby an opportunity to orchestrate his own environment which was respected and followed by everyone. All through the eyes………

First Session in Children’s A&E

On the 1st of June we were very pleased to be invited down to do some playing in the waiting areas of Children’s Accident and Emergency department. We spent about 45 minutes there in the afternoon and had some good musical interactions with the children who were waiting there. When we were reflecting on how the day had gone we all agreed that the space had a very different feel to the other wards. Unsurprisingly so, as the children who were there had almost certainly not got up that morning expecting to spend any time in hospital that day! Anxiety levels were higher among the children and they were more reticent about engaging with musicians. There was a lot more ‘playing for’ than ‘playing with’ in that space but the music did seem appreciated. We had some nice comments from parents and a number of people thanked us as we left the spaces. We now know that children’s A&E has a different pace to other wards and the patients who are there are in a very different state of mind to many of the other patients that we work with. This area has opened up another exciting and interesting challenge for us as musicians working in hospital.

 

Should I stay or should I go?

Through playing music in hospital wards we are constantly learning to read patients reactions and developing our sensitivity as to whether a patient is happy for us to be there, wants us to be there or would rather we left. Sometimes this is easy as the patient gives a clear response to our arrival and we can feel confident as to whether we should stay and play or leave.

On Friday 1st of June I was part of an interaction in a day surgery ward that went something like this… We entered the 8 bed ward and played for the children and their families there. We were met with a variety of reactions from the patients on the ward, from interest, through indifference to excitement. We felt confident to stay and play. We played for about ten minutes and had engaged a couple of children who had interacted with us to varying degrees, but all positively.

While this was going on a child (who we later found out was just one year old) was brought back onto the ward from surgery. He was coming round from anaesthetic and was in some discomfort and distress and there was very little that mum could do to comfort him. He would not stop crying. At the end of the piece we had been playing Sarah moved over and started playing for the boy. Nick was playing behind her and I was some feet away able to view the scene from a distance but still able to provide musical accompaniment. As I watched and played and the piece progressed I couldn’t see that what we were doing was having any discernible effect on the boy or even that he had registered our presence, even though Sarah was only a couple of feet away and crouching down playing at the boys eye level.

I was starting to feel uncomfortable and that perhaps we were distressing the boy more and my reaction was to move away but Sarah continued to play so I stayed and played. After a few more seconds (that to me felt like a long while) the boy all of a sudden stopped crying and became transfixed by Sarah. He stared straight at her and became completely absorbed in the music that she was playing on her fiddle. Nick and I stayed in a supporting role continuing to play but leaving Sarah free to steer the interaction. She carried the piece on for a couple of minutes during which time the boys gaze did not leave her once. The boy seemed calmed, still and relieved of physical discomfort.

Mum made the comment “I wish we had you at home!” and both adults continued to remark at how soothed he was by the music. After a couple of minutes more the boy seemed to become aware of his physical discomfort once more and started to cry again. As he did so we started to leave but continued playing as we left the ward.

For me it was a lesson in gentle persistence. I would have left the interaction before anything had had a chance to happen. Trying to judge a patients reaction to the music you are playing in hospital can be very difficult and requires a mixture of self confidence, humility and to keep the mantra of ‘expect nothing’ at the forefront of your mind. Just remember not to ‘expect nothing’ too soon!

Youth Music Grant supporting Music in Health Programme

OPUS is delighted to announce that it has been awarded a grant of £113,080 from Youth Music to support the development of its music in health programme. This grant ensures that OPUS will be able to continue its residency at Derbyshire Children’s Hospital for a further two years from May 2012, along with new 18 month residencies in children’s wards at Leicester Royal Infirmary, Queens Medical Centre Nottingham and Kings Mill Hospital in Sutton in Ashfield from September 2012. OPUS musicians will be visiting the hospitals on a weekly basis, making music with young patients, their visitors and hospital staff on wards, in waiting areas and at the bedside. Alongside this, OPUS will be delivering training for healthcare staff, enabling them to work alongside OPUS musicians, and to continue practice outside of OPUS’ visits. OPUS will also be delivering 5-day training courses for musicians wishing to work in healthcare settings. Courses will take place in October 2012, and again in April and October 2013. Finally, OPUS is already working hard through this grant funding to build a strong evidence base of the impacts upon health and wellbeing, sharing research and practice and working with numerous partners to explore the long-term sustainability of this practice. OPUS plans to launch a music and health website later in the year, and to host a national music and health seminar in 2013. Watch this space …………..! We are incredibly grateful to Youth Music, along with our partner hospitals and other funders and supporters for making this programme of work possible.