Music -- Physiological effect; Music, Influence of
A program of musical entertainment is not needed at all hospitals,
nor for all patients. Entertainment is relatively new in hospitals.
A need for it arose when hospitals for the chronically ill became
greater in numbers and size. The average person soon becomes bored
when restricted to bed or even the confining walls of an institution.
Reading becomes tiresome for most because of position, eye-strain, or
satiation. Similar limitations exist to a lesser degree for craftwork.
There is a diminution in contact with the outside world except for the
too infrequent and short visits of friends or relatives. In hospitals
for the tuberculous adult or the crippled child, the average duration
of hospitalization may be a year. Few leave before a period of three
months and some remain for years. Life for the chronically hospitalized
patient may become more monotonous than is wise. Monotony leads to
discontent, irritability, apathy, and possibly disciplinary problems.
Monotony may make meals even less attractive than they are in some
hospitals. Lack of mental occupation may lead to a loss of desire to
get well or give the patient too much time to think about himself, his
helplessness and hopelessness. Most patients arrive at the point where
they crave amusement, and most of them would rather be amused than work
for their own entertainment.
In the field of entertainment, music is indispensable. In hospitals,
music is frequently the only form of entertainment. Music can be
used at the bedside, in the ward, the assembly hall, or when
weather permits, outdoors. In hospitals equipped with public address
systems the problem is decreased by the simultaneous performance
of mechanically reproduced music throughout the wards and rooms of
the hospital. Where public address systems have not been installed,
entertainment will depend largely on radios, record reproducers, and
personal appearances of musicians.
“Live” musicians are the most welcome source of entertainment. If the
hospital has a music aide, this aim is partially fulfilled by his
activities. If there is no full time musician, hospitals may be able to
secure the part-time services of a musician or recreational aide. Some
one person should have control of arranging programs, and an interested
person will usually be found on the hospital staff. It may be an
occupational therapist, a nurse, or even one of the physicians. The
person selected to direct music will have little difficulty in finding
in the community some musicians or groups of amateur entertainers who
will be willing to assist in this work. Groups from schools of music,
high schools, fraternal or benevolent organizations, women’s clubs,
music clubs and veteran’s societies constitute an incomplete list of
sources. Most communities have soloists or small groups which will be
willing to perform. Direct solicitation by the hospital director, the
ladies auxiliary, or members of the staff should be made personally or
through the press.
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