Music and Memory

Program
South Davis Community Hospital
Sharlene Evans

This is a comprehensive document that covers a description of the Music and memory
program at South Davis Community hospital. It includes a description of the facility,
population served, and the goals and objectives of the program. Additionally this
document provides a list of protocols and tools necessary to carry out the program
effectively.

Music and Memory Program

Music and Memory Program Development

Facility Description
I.
II.

III.

IV.
V.

Facility: South Davis Community Hospital

A.
Healthcare based, providing inpatient services including skilled nursing, long term acute
care, orthopedic rehabilitation, and assisted living.
Mission Vision and Values
A.
Mission: We provide comfort, overcome challenges, create opportunities, and inspire
success.
B.
Values: Trust, Dignity, Teamwork, Compassion
Populations served
A.
Diagnoses: due to the broad nature of the hospital, the number of diagnoses are extensive
and include SCI, TBI, and cerebral palsy.
B.
Age range: Ages range from pediatric to geriatric.
C.
Gender: male and female
D.
Other social and environmental considerations
Facility description
A.
Licensed non-profit sub-acute specialty care hospital and nursing facility. Length of stay
varies from short term transition to long term chronic care as patients needs warrant.
Services offered.
A.
Professional
1.
M.D.- Doctor of Medicine
2.
PT- Physical Therapist
3.
Speech Therapist
4.
Nursing- profession used to protect, promote, and optimize health.
5.
TRS/CTRS- Therapeutic Recreation Specialist/Certified Therapeutic Recreation
Specialist
6.
LCSW- Licensed Clinical Social Worker
7.
DDS/DMD- Doctor of Dental Surgery/ Doctor of Dental Medicine
8.
OT- Occupational Therapist
9.
Psychologist- Specializes in the study of the mind and behaviors for the use of
mental health.
10.
Dietitian- Professional that is trained in maintaining healthy diet and nutrition
B.
Treatment
1.
Dental, emergency care, audiology/speech pathology, recreation therapy, Long
term care, physical therapy and rehabilitation, occupational therapy.

S. Evans TR student, intern

11-13-2015

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Music and Memory Program

Diagnostic Protocol
I.

Diagnostic grouping
A.
Traumatic Brain Injury: Traumatic brain injury occurs when an external
mechanical force causes brain dysfunction

II.

Specific diagnoses
Types and classifications
A.
Mild
1.
Loss of consciousness and/or confusion and disorientation is shorter
than 30 minutes)
B.
Severe
1.
Loss of consciousness for more than 30 minutes and memory loss after the
injury or penetrating skull injury longer than 24 hours.

III.

Identified problems
A.
Social
1. Agitation, combativeness or other unusual behavior
2. Less involvement with others
3. Isolation
B.

Emotional
1. Depression
2. Anxiety
3. Behavioral or mood changes
4. Restlessness

C.

Cognitive
1. Difficulty concentrating
2. Memory problems
3. Increased confusion

D.

Physical

E.

1.

Difficulty sleeping

2.

Dizziness or loss of balance

3.
4.

Weakness or numbness in the extremities

Slurred speech

Environmental

IV.

Related factors or etiologies

V.

Process criteria
A.

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Community Integration program

Music and Memory Program

B.
C.
D.
E.

VI.

Socialization program
Reality Orientation program
Exercise Program
Music and Memory program

Outcome criteria (Client will)

A.

Social
1. Demonstrate an increase in social functioning

2. Increase in socialization with peers

3. Decrease in combative behaviors
4. Decrease in isolative behaviors
B.

Emotional
1. Demonstrate an increase in emotional functioning
2. Develop and increase coping skills
3. Show a decrease in abrupt mood changes and combative behaviors
4. Demonstrate an ability to deescalate when patient is stressed, anxious, etc.

C.

Cognitive
1. Increased alertness and concentration
2. Increase or maintain short term memory recall
3. Increase or maintain long term memory recall

D.

Physical
1.
Demonstrate an increase in verbal communication.
2.
Increase or maintain coordination and balance
3.
Maintain regular sleeping patterns
Environmental

E.

Sources
http://www.mayoclinic.org/diseases-conditions/traumatic-braininjury/basics/symptoms/con-20029302
http://www.traumaticbraininjury.com/symptoms-of-tbi/severe-tbisymptoms/
http://www.google.com/url?
sa=t&rct=j&q=&esrc=s&source=web&cd=3&ved=0CEEQFjACahUKEwi4p
Or0_4jJAhXMpIgKHb4SAXQ&url=http%3A%2F
%2Fwww.traumaticbraininjury.com%2Fsymptoms-of-tbi%2Fmild-tbisymptoms
%2F&usg=AFQjCNFRRJp25llBr_mG1yvlWkdqe5tdnw&sig2=SuqQE4qVlqoR
4ScW-vj2BQ
http://www.brainandspinalcord.org/recovery-traumatic-braininjury/traumatic-brain-injury-effects/index.html

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Music and Memory Program

S. Evans TR student, intern

11-13-2015

Intervention Protocol
I.
II.

III.

IV.

Program Title
A.
Music And Memory
Purpose
A.
The Music and Memory program will increase overall well-being by providing
interventions that increase social and emotional functioning, develop coping skills, and
increase or maintain concentration, memory, and verbal communication.
Description
A.
Music and Memory Sessions will take place in 1:1 settings with the recreational
therapist or staff/volunteers that have been trained by a recreational therapist. Sessions
will usually be held in the residents room preferably in the mornings. Additional settings
may continue throughout the day according to the recreational therapists and residents
preferences.
Problems to address
A.
Social
1.
Agitation, combativeness or other unusual behavior
2.
Less involvement with others
3.
Isolation
B.
Emotional
1.
Depression
2.
Anxiety
3.
Behavioral or mood changes
4.
Restlessness
C.

Cognitive
1.
Difficulty concentrating
2.
Memory problems
3.
Increased confusion

D.

Physical

1.
Slurred speech
Referral criteria
A.
Recreational therapy assessment
VI.
Counter-indicated criteria
A.
An applicant does not meet the diagnostic criteria
VII. Intervention
A.
See Appendix A. Interventions
VIII. Risk Management
A.
Staff to patient ratio 1:1
B.
Maintenance of any program equipment
C.
Self harm level: Use Agitated Behavior Scale to determine safety.
V.

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Music and Memory Program

IX.

X.

Staff Certifications and Training

A.
One recreational therapist licensed in the state of Utah and holds a current CTRS
B.
First aid/ CPR/ lifesaving
C.
Behavioral management
D.
Training on proper use of wheelchairs and other adaptive devices.
E.
HIPPA training
Outcomes (Client Will)
A.

Social
1.
Increase in socialization with peers
2.
Decrease in combative behaviors
3.
Decrease in isolative behaviors

B.

Emotional
1.
Develop and increase coping skills
2.
Show a decrease in abrupt mood changes
3.
Demonstrate an ability to deescalate in stressful situations

C.

Cognitive
1.
Increased alertness and concentration
2.
Increase or maintain short term memory recall
3.
Increase or maintain long term memory recall

D.
XI.

Physical
1.
Demonstrate an increase in verbal communication.
Evaluation
A.
Pre and post experience assessment tool
1.
ABS Agitated Behavior Scale
B.
Patient satisfaction
C.
Evaluate patient physical, emotional, and social goals using:
1.
Standardized testing
a.
ABS
2.
Observation
3.
Review of patients record
4.
Personal interviews
S. Evans TR student, intern
11-13-2015

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