{"id":166050,"date":"2015-01-24T18:28:38","date_gmt":"2015-01-24T20:28:38","guid":{"rendered":"http:\/\/revistapesquisa.fapesp.br\/?p=166050"},"modified":"2015-02-24T18:34:36","modified_gmt":"2015-02-24T21:34:36","slug":"sounds-of-well-being","status":"publish","type":"post","link":"https:\/\/revistapesquisa.fapesp.br\/en\/sounds-of-well-being\/","title":{"rendered":"Sounds of Well-being"},"content":{"rendered":"
\"Antonio

EDUARDO CESAR<\/span>Antonio Donilha Neto, a resident at the Aldeia Ema\u00fas nursing facility, interacts with musicians Deisi Baptistella and Diego Angelini one late afternoon in SorocabaEDUARDO CESAR<\/span><\/p><\/div>\n

Once a week in Sorocaba, in the interior of S\u00e3o Paulo State, the silence and serenity of the Aldeia de Ema\u00fas nursing facility gives way to music. Almost one year ago, members of the M\u00fasicos do Elo<\/i><\/em> project, launched 15 years ago in France by Brazilian conductor and composer Victor Flusser to humanize the hospital environment, visited 38 senior residents. This initiative, intended to improve the quality of life for hospital patients, has been implemented in Italy, Portugal and Germany. A little over a year ago, it arrived in Brazil.<\/p>\n

Flusser believes that the M\u00fasicos do Elo<\/i><\/em> project is unique and original in its aim to humanize hospital environments and welcome older adults by involving everyone who participates in the process (patients, family members and professionals). In addition to singing and performing a varied repertoire, the musicians impact the ambient sound quality by suggesting ways to decrease noises that bother everyone.<\/p>\n

Dr. Fernando Antonio de Almeida, a professor at the School of Medical and Health Sciences at the Pontifical Catholic University of S\u00e3o Paulo (PUC-SP), Sorocaba campus, is leading this initiative. He manages the project whose objective is to offer the medical school and hospital services a humanizing model of care, in addition to establishing standards to train the musicians who are the agents of change in the model. \u201cOur intention is to create a humanizing model of care by bringing in culture. Medical training is focused on disease, not the sick person,\u201d says Almeida, who was introduced to the model while on a trip to France.<\/p>\n

One of the early results of this initiative was the publication in June 2013 of the book M\u00fasicos do Elo \u2013 M\u00fasicos atuantes humanizando hospitais <\/i><\/em>[Dynamic Musicians Humanizing Hospitals], in which Flusser explains how the project was conceived and implemented in Europe. The book includes a documentary on DVD produced by Luiz Fernando Santoro, a professor at the School of Communications and Arts at the University of S\u00e3o Paulo (ECA-USP). \u201cHumanizing the hospital environment in Brazil is achieved, to a great extent, through play, storytelling and clown visits. Music, theater and dance end up not really being accessed,\u201d says Flusser, who has lived in France for 30 years.<\/p>\n

The idea for the project surfaced when Flusser was overseeing a course at the University of Strasbourg to train musicians to work in elementary schools. One of his students pointed out that hospitals also house children as patients and suggested that the project be extended to pediatric wings. \u201cThe purpose of therapy is to restore patients to as healthy a state as possible,\u201d says Flusser.<\/p>\n

The project at the Sorocaba nursing facility is bearing fruit first in the area of memory. The most uninhibited seniors raise their voices, handle sound-producing objects and even hazard a few dance steps when they hear a song from their past. \u201cI could tap dance, but I am afraid of falling,\u201d jokes retiree Wilma Oliveira Camargo, 72. Thanks to the performers\u2019 weekly evening concert, residents recall snippets of music, and along come recollections and emotions that help the seniors detach from their illnesses and negative sensations. \u201cEven after the musicians leave, I continue to remember old songs,\u201d she says.<\/p>\n

Dr. Paola Canineu, a geriatrician and Aldeia Ema\u00fas\u2019 director, says that ever since her senior patients became involved with M\u00fasicos do Elo<\/i><\/em>, the mood at the nursing facility has brightened considerably. \u201cOngoing contact with music can help us in some cases reduce the dosage of certain medications, like neuroleptics and anti-depressants,\u201d according to Dr. Canineu. One of the project\u2019s participants, USP student Diego Angelini, emphasizes that the project\u2019s goals go beyond the therapeutic impact. \u201cOur objective is to awaken the human being in our patients, who are often treated only as bodies that need healing,\u201d she says.<\/p>\n

Exhausting treatment
\n<\/b><\/strong>The first encounter occurred in the hemodialysis department at the University Hospital Santa Lucinda de Sorocaba, where the musicians work with patients who suffer from chronic kidney disease. In addition to their physical symptoms, patients are often impacted emotionally by the exhausting and painful treatment regimen. \u201cBeing in touch with music makes this process less challenging,\u201d says Fernando Almeida.<\/p>\n

Although everyone has warmly welcomed the work of M\u00fasicos do Elo<\/i><\/em>, Almeida believes it is important to develop criteria for assessing the results. One of his master\u2019s degree students, psychologist Thiago Reis Hoffmann, analyzed two groups of patients at the hemodialysis center: one group was visited by the musicians and the other was not. \u201cWe found evidence that the group receiving the intervention had lower levels of depression in an eight-month time period,\u201d says Hoffman. The study was conducted between 2012 and 2013 at the Kidney Dialysis and Transplant Center of Sorocaba. Twenty-four patients on dialysis for more than six months were evaluated.<\/p>\n

Two assessment tools were used to conduct the quantitative analysis: the Kidney Disease and Quality of Life \u2013 Short Form, which measures the quality of life of patients with chronic kidney disease; and the Hamilton Depression Rating Scale, a tool to assess depression. The former is a questionnaire that takes into account variables like the patient\u2019s mental health status, companionability, and limitations due to physical problems. The latter assesses the impact of depression, analyzing factors like mood, anxiety and irritability. In the group visited by the musicians, indicators of depression were fewer. Initially, there were ten individuals with signs of moderate or serious depression, and two with no indicators of depression. After the intervention, six patients were identified with moderate depression \u2013 the others had no signs of the illness. In the control group, which had no contact with the musicians, 11 of 12 patients continued to report moderate depression.<\/p>\n

Hoffmann explains that the M\u00fasicos do Elo<\/i><\/em> project should be seen as one more humanizing tool to be added to the toolkit. He cites the Planetree model as another example, which has been adopted by some hospitals like Albert Einstein in S\u00e3o Paulo. Meditation rooms, acupuncture sessions and an architectural project that will include more open spaces and a lot of green areas are examples of this kind of approach.<\/p>\n

Project<\/strong>
\nM\u00fasicos do Elo in hemodialysis: Launching pad for training musicians and enhancing interdisciplinary practices aimed at humanizing hospital environments (No. 2012\/20784-3<\/a>); Grant mechanism<\/b><\/strong> Regular Line of Research Project Award; Principal Investigator<\/b><\/strong> Fernando Antonio de Almeida (PUC-SP); Investment<\/b><\/strong> R$158,286.72 (FAPESP).<\/p>\n","protected":false},"excerpt":{"rendered":"Project brings music to hospitals to bring comfort to patients ","protected":false},"author":421,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[154],"tags":[247,248],"coauthors":[740],"class_list":["post-166050","post","type-post","status-publish","format-standard","hentry","category-arts","tag-medicine","tag-music"],"acf":[],"_links":{"self":[{"href":"https:\/\/revistapesquisa.fapesp.br\/en\/wp-json\/wp\/v2\/posts\/166050","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/revistapesquisa.fapesp.br\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/revistapesquisa.fapesp.br\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/revistapesquisa.fapesp.br\/en\/wp-json\/wp\/v2\/users\/421"}],"replies":[{"embeddable":true,"href":"https:\/\/revistapesquisa.fapesp.br\/en\/wp-json\/wp\/v2\/comments?post=166050"}],"version-history":[{"count":0,"href":"https:\/\/revistapesquisa.fapesp.br\/en\/wp-json\/wp\/v2\/posts\/166050\/revisions"}],"wp:attachment":[{"href":"https:\/\/revistapesquisa.fapesp.br\/en\/wp-json\/wp\/v2\/media?parent=166050"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/revistapesquisa.fapesp.br\/en\/wp-json\/wp\/v2\/categories?post=166050"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/revistapesquisa.fapesp.br\/en\/wp-json\/wp\/v2\/tags?post=166050"},{"taxonomy":"author","embeddable":true,"href":"https:\/\/revistapesquisa.fapesp.br\/en\/wp-json\/wp\/v2\/coauthors?post=166050"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}