It’s estimated that there are currently nearly one million people in the UK who are living with dementia. As well as experiencing memory problems, disorientation, behaviour changes and confusion, people with dementia are also more prone to psychological symptoms such as depression and anxiety. Whilst there is currently no cure for dementia, people can be supported to live well with the condition through the use of music in their day-to-day lives.
As a Music Therapist working with people who live with dementia, I have the privilege of witnessing first-hand the powerful role which music can play. Music is accessible, providing a form of communication which doesn’t require language. It can enliven people, allowing them to express themselves spontaneously. For some, it evokes precious memories. As Dr Oliver Sacks puts it:
“Music imprints itself in the brain deeper than any other human experience. Music evokes emotion and emotion can bring memory. Music brings back the feeling of life when nothing else can.”
The qualities which make music so important don’t just apply to people living with dementia. Most of us can relate to the feeling of hearing a certain song and suddenly being transported back to a particular time and place. Sometimes music is irresistible; we instinctively feel we just have to join in by tapping our feet or moving to the beat. And shared appreciation of music can often be part of the important relationships in all our lives.
However, some properties of music make it especially helpful for people with dementia:
Music therapy and dementia
Music Therapists harness these qualities of music in their work with people with dementia across every stage of the disease. Sessions might take place with individuals or groups, at care homes, day centres or in people’s own homes. No two people are the same, and consequently, Music Therapists tailor their sessions to each individual or group. Many sessions with people living with dementia use familiar music as a starting point, inviting the client to sing, hum or move to the music in whatever way feels comfortable. Some clients may prefer to listen to recorded music, or to the therapist’s playing and singing. The therapist might invite the client to use accessible percussion instruments, which could be used to play along to a well-known piece or become part of a freer improvisation.
Music therapy can also be very helpful for someone living with more advanced dementia. At this stage, it can often be difficult to take part in other activities. Although the client may not be able to respond by singing or playing an instrument, the therapist can attune to very small signs, such as the person’s breathing or the movement of a finger, and play music in a similar rhythm or mood. The therapist will look for signs of response, such as eye contact, facial expression or vocal sounds. There’s evidence that hearing is the last sense to remain during the dying process, and so music can support people with dementia right up until the end of life.
~ Article written by our Music Therapist, Becky Dowson
Interested in using music in care? Becky has written a slightly longer version of this article including looking at music in care for Bellevie Care, which you can read here.
Plus to find out more about how carers/families can use music to help support those with dementia, join our training on 25th October to pick up some practical music-based ideas and activities. No musical skill or expertise required! Book on!