Music -- Physiological effect; Music, Influence of
After “lights out” radios frequently remain on unless supervision is
severe. It is true that many of the better programs are heard after
nine o’clock. Since some of the late programs are part of American
life, it is unfair to the chronically ill to deprive them of this well
planned entertainment. Yet there will be some on the ward who will want
to sleep, and they should be given maximum consideration. Others should
be permitted to keep their radios on at the lowest possible volume,
and the possibility of headphone installations should be reviewed. The
solution to this problem is possible but expensive. If a record-cutting
device is available, the program may be recorded at night and replayed
on the following day.
PUBLIC ADDRESS SYSTEM
Many hospitals have already been equipped with either loud-speaker
or headphone installations. For those hospitals which are still in
the deciding stage, some of the advantages of each will be briefly
considered.
Ideally, both speakers and head-phones should be available. This
is a luxury in which few will be willing or able to indulge. When
head-phones are used, they have a way of getting misplaced, broken or
broken-down. Head-phones or listening devices are usually distributed
to those patients who are medically eligible. Frequently the attendants
are busy and forget to supply them, to the chagrin of the patient. When
there are not enough to go around a further source of dissatisfaction
arises. Head-phones must be adjusted for proper reception and comfort,
and this may become a source of bother to patients or staff. Among
the advantages of ’phones are the quietness of wards at all times for
those who desire rest. Their use permits maximum focusing of attention
on the music because of the exclusion of most other sounds. They
become a mechanism of escape from the unwanted conversation of noisome
neighbors. When double-jacks or two-channel wiring is used the patient
is permitted some choice in music selection. The use of ’phones,
however, limits the physical excursion of the ambulatory patient.
The use of a loud-speaker system permits those patients not strictly
confined to their beds to visit other parts of the ward without
interruption in their listening. Some patients enjoy music as a
background to conversation or ward activities. The same switchboard may
be used for musical programs and hospital announcements, and this may
be desirable economically in some institutions. Strategically placed
speakers may be channeled exclusively as a call system.
Laughter is a communal reaction. We rarely react completely to a
radio joke if we are listening alone, but if several people listen
simultaneously laughter becomes more pronounced and prolonged.
Loud-speaker systems permit patients on the ward to enjoy music as a
group. They also permit the greater use of background music. Eating
with the encumbrance of head-phones is not desirable.
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