11/11/14

Under the Big Top:

Building A Successful
Integrative Care
Program
Winchester Medical Center
Valley Health Systems
Winchester, VA

Integrative Care

Integrative medicine "combines

mainstream medical therapies
and complementary alternative
therapies for which there is some
high-quality scientific evidence
of safety and effectiveness.
~ The National Center for Complementary and Alternative Medicine at
the National Institutes of Health,

Integrative medicine takes

account of the whole person
(body, mind, emotions and
spirit). It emphasizes the
therapeutic relationship and
makes use of all appropriate
therapies, both conventional
and alternative.

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Genesis:
Behind the curtain

Integrative Care Programs in

Hospitals
2012 "America's Best Hospitals" Honor Roll
Over 800 American Hospitals
Up to 70% of Americans use Integrative Care
Helps satisfy JACHO requirements

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The Wheel of Health

reflects the
Integrative
approach to
wellness.
At Valley Health, we are
committed to
Compassionate, Collaborative,
Innovative Healthcare
We Are Healthier Together

11/11/14

Initiating the Program

Identify
Gain Support
Plan
Compromise
Build
Recruit

WMC Integrative Care

Program
Integrative Care Program for inpatients,
staff, volunteers and families at WMC since
May 2013.
Free Reiki Therapy, Therapeutic Music
options, Aromatherapy, Art Therapy &
Animal Assisted Therapy, in addition to paid
MBSR workshops.

All services available by request.

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Program Logistics
Referrals

Volunteer
Requirements

Tracking &
Documentation

Growing Successfully
Tracking
Support

Education

Flexibility

Collaboration

Passion

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Music Options

Music
Therapy

MusiCaregiving

Music Therapy Components

Faculty part of
Integrative Care
Committee

Expands
placement
opportunities for
practicum

Practicum
logistics

Documentation

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Music Therapy Components

Provides
access to staff
in-service,
education
and health
fairs

Participation
in IHC helps
promote
music therapy
availability

Live at Lunch
Series

Volunteer Music Therapy

Patient Visit Record
!

Unit/Location:!___________________________________Room#:!_________!

Patient!Name:!___________________________________________________!
Requester/Nurse:!________________________________________________!
Volunteer Name: _________________________________________________
!

Date: _____________________

Time In: _____________

Time Out: _____________

Reason for Request: _________________________________________________________________________

!!!!!!0!!!!!!!!!!!!!!!!!!!!!!!2!!

!!!!!!!!!!4!

6!

8!

10!

Before the Session

Pain Level 1-10: __________
Emotional: Rested Relaxed

Pain Location: _________________________________ Chronic Acute

Calm

Happy

Stable Exhausted

Sad

Anxious

Stressed

Agitated

Comments: ______________________________________________________________________________
_________________________________________________________________________________________
Completed by:

Patient

Practitioner via Patient Feedback

Practitioner Observations

During the Session

Music Therapy Goals
Support grieving process
Promote relaxation/sleep
Decrease pain perception
Support spiritual connections
Provide emotional support
Promote Independence/Control

Support rehabilitation goals

Improve mood
Provide sensory presence
Reduce anxiety
Engage in life review/reminiscence
Enhance coping skills
Normalization of the environment
Support medical procedure
Encourage emotional expression
Encourage family interaction
Other ________________________________________________________

Music Therapy Interventions

Music listening (active/passive)
Playing instruments
Music legacy Song Choice/
Music-assisted relaxation
Movement to music
Lyric analysis
dedication
Music-assisted life review
Improvisation
Song writing
Lyric analysis
Other ___________________________________
Notes:____________________________________

_________________________________________________________________________________________
Patient Label

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WMC Music Therapy

May 2013 October 2014
Total Sessions: 185

Pain Levels
6.0

60%

5.0

50%

4.0

40%

Emo$onal
State
Before

30%

3.0

5.1

20%

2.0

3.1
1.0

10%
0%

0.0

Before Music Therapy

A>er Music Therapy

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Next Steps
Using Revised surveys and
continuing data collection
Integrative Health Care as
its own department
Proposal for full time MT at
hospital
Expanding, creating a buzz

More information:
Valley healthlink: http://
www.valleyhealthlink.com/?id=1186&sid=1

www.musicmakessense.blogspot.com

www.su.edu

11/11/14

Presenters
Daniel Tague, PhD, MT-BC
Assistant Professor of Music
Therapy, Shenandoah
Conservatory and
University

Leigh Jenks, MMT, MT-BC

Clinical Training
Coordinator, Shenandoah
Conservatory and
University

Athena Hall, RD, CSO

Co-Chair Integrative Care
Program, Winchester
Medical Center

April Adams
Integrative Care Program
Coordinator/Co-Chair,
Women and Childrens
Services Coordinator,
Winchester Medical
Center

Thank you!

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