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Speaker 1: Welcome to Get Connected with Nina del Rio, a weekly

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Speaker 1: conversation about fitness, health and happenings in our community on

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Speaker 1: one oh six point seven light FM.

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Speaker 2: Good morning and thanks for listening to Get Connected. So

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Speaker 2: you're scrolling through something like social media and you see

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Speaker 2: a post of an elderly person, maybe singing beautifully, and

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Speaker 2: the caption reads something like woman with dementia can't remember

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Speaker 2: her family's names, but remembers this song from her wedding.

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Speaker 2: How does music connect to people even with dementia and

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Speaker 2: allow them to connect with memories that they might not

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Speaker 2: otherwise recall. Our guest is doctor Kendra Ray. She's a

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Speaker 2: renowned expert and the dementia program director of the not

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Speaker 2: for profit MJHS Menora Center for Rehabilitation and Nursing Care

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Speaker 2: in Manhattan Beach in Brooklyn. Doctor Kender Ray, thank you

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Speaker 2: for being on the show.

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Speaker 3: Absolutely, thanks for having me today. You can win a

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Speaker 3: great intro.

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Speaker 2: Oh, thank you. It's always when you see those videos, right,

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Speaker 2: it's always such a mystery how these things work. So

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Speaker 2: we'll talk a little bit more about that. There's much

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Speaker 2: more at MJHS dot org. I wouldner if you would

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Speaker 2: start actually talking about the music therapy program at MJHS

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Speaker 2: to begin with, and a little bit about the work

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Speaker 2: you do.

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Speaker 3: Yes, absolutely, I can tell you that at our program

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Speaker 3: we do have music therapy about five times every day,

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Speaker 3: and most of the people who we are working with

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Speaker 3: do have moderate to severe dementia, and we use music.

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Speaker 3: It's a powerful, powerful thing to experience how music can

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Speaker 3: help serve people who have dementia.

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Speaker 2: We hear all the time about how music helps people

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Speaker 2: in an associate helps people associate with all kinds of

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Speaker 2: different memories. It does it for people on an everyday basis,

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Speaker 2: whether you have memory loss or not. What does science

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Speaker 2: say about the impact of music on the brain.

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Speaker 3: Well, there have been lots of studies that look at

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Speaker 3: music for the brain of people who have dementia. I

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Speaker 3: can tell you specifically from my own research, we have

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Speaker 3: found that music therapy can help to reduce symptoms of dementia,

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Speaker 3: and those common symptoms might be agitation, restlessness, depressive symptoms.

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Speaker 3: For other studies that I've seen, it helps to improve

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Speaker 3: communication for many people by bringing back memories and music

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Speaker 3: often triggers memories, and you'll see after they listen to music,

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Speaker 3: a person will light up and they'll start to have

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Speaker 3: normal communications with their family. Music therapy has been joun

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Speaker 3: for some people to actually improve their cognition. I'm a

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Speaker 3: part of the group called the Unforgettables that's at NYU,

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Speaker 3: and we notice that for many of those participants, they

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Speaker 3: can learn songs, they can learn songs that are in

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Speaker 3: a different language from what they speak even though they

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Speaker 3: have dementia. So there are lots of benefits of music

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Speaker 3: and music therapy for people who have and it's just

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Speaker 3: wonderful to see and what this is that on a

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Speaker 3: daily basis.

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Speaker 2: So part of the reason we wanted to have this

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Speaker 2: conversation is to talk about your study and also maybe

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Speaker 2: help people who are a caregiver in their own homes.

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Speaker 2: I wonder if we could start, maybe if you could

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Speaker 2: walk us through how you and your team use music.

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Speaker 2: What do those sessions that you have five times today,

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Speaker 2: what do they look like.

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Speaker 3: Usually it's either provided on a one to one basis

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Speaker 3: or in a group setting. There are some people who

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Speaker 3: need music on a one to one basis because they

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Speaker 3: might be dealing with something that like depression, for example,

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Speaker 3: and they really need music to start the conversation, to

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Speaker 3: start the conversation to help them express what's going on

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Speaker 3: in their mind. A lot of times for the group sessions,

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Speaker 3: I can tell you that we use singing, we use drumming,

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Speaker 3: We use the music really as a bridge to help

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Speaker 3: to communicate with many of the people who are As

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Speaker 3: I said earlier, it does help people who have to mature,

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Speaker 3: be present and be in the here and now. And

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Speaker 3: just for more detail about the music therapy sessions, usually

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Speaker 3: it can last from about fifteen minutes to an hour,

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Speaker 3: depending on the needs of the participants and also you

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Speaker 3: know how long a person can tolerate being in a

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Speaker 3: music therapy session. But every day is different, every person

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Speaker 3: is different, So that means we have to make sure

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Speaker 3: that the music is personalized, that it is provided in

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Speaker 3: the language that the person understands. So many of our

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Speaker 3: residents are Russian speaking speak, Gettish speak, Spanish speak Creole,

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Speaker 3: or are from Brooklyn, so really taking the time to

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Speaker 3: recognize what they historically listen to, what radio stations did

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Speaker 3: they listen to, for example, or you know, what concerts

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Speaker 3: do they used to go to, or what songs do

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Speaker 3: they or play when they were at home. So we

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Speaker 3: really try to take advantage of their history of the

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Speaker 3: music was and then use that to our advantage in

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Speaker 3: helping to connecting with them.

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Speaker 2: Our guest is doctor Kendra Ray. She's dementia program director

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Speaker 2: of the not for profit MJHS Manora Center for Rehabilitation

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Speaker 2: and Nursing Care in Manhattan Beach, Brooklyn. MJHS is the

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Speaker 2: last not for profit Jewish nursing home providing short term,

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Speaker 2: subacute rehabilitation and long term nursing care. You can find

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Speaker 2: out more at MJHS dot org. You're listening to get

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Speaker 2: connected on one oh six point seven light FM. I'm

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Speaker 2: Na del Rio. So since every patient is different, and

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Speaker 2: we talked about for a moment about helping with people

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Speaker 2: who might be easily agitated, Let's say you're a caregiver

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Speaker 2: at home and the person you're caring for is one

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Speaker 2: of those someone who gets stressed really easily. What would

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Speaker 2: a music therapy session look like with that person?

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Speaker 3: Just to talk about caregiving and using music at home,

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Speaker 3: I can give you a great example. I am performing

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Speaker 3: a study that is sponsored by the Alzheimer's Association where

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Speaker 3: I am teaching caregivers how to use music in a

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Speaker 3: therapeutic way at home so that means not just turning

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Speaker 3: on the radio, but creating playlist using things like Spotify

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Speaker 3: or YouTube or you know, even TDS if that's something

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Speaker 3: that is used for them now. But every single week

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Speaker 3: we talk about a topic, for example, agitation, we talk

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Speaker 3: about how timing is very very important. You want to

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Speaker 3: make sure that you know when the person that you're

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Speaker 3: caring for becomes agitated and know that music can help,

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Speaker 3: especially if you put it on thirty minutes prior to

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Speaker 3: when the agitation might occur. We sing together. Many people

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Speaker 3: think that you know, just because they're not Lady Gaga

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Speaker 3: or when they used in that they cannot sing, but

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Speaker 3: actually you can sing for the person that you're caring for,

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Speaker 3: and most of the time people are recepting and singing

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Speaker 3: is probably the number one intervention that music therapist to use,

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Speaker 3: and so I really try to encourage the caregivers to

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Speaker 3: use that, especially you know they're caring for someone with them,

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Speaker 3: because we know that it can be powerful and really

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Speaker 3: helpful during caregiving activities.

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Speaker 2: I know you're looking for more participants for that study.

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Speaker 2: You can find out more about doctor Ray's home based

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Speaker 2: music study program at MJHS dot com. Slash Study does

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Speaker 2: this also work as well for someone maybe someone loved

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Speaker 2: music they were a musician. Does it work the same

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Speaker 2: for somebody who just listened to it casually over the

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Speaker 2: radio through their lifetime.

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Speaker 3: Yes, And I'm glad you brought that example of We

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Speaker 3: do have only a few people who we work with

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Speaker 3: who were musicians. And it's wonderful because many times, just

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Speaker 3: because they have dementia doesn't mean that they still can't

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Speaker 3: play the piano or play their saxophone or sing. But

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Speaker 3: most of the people who benefit from therapy were non musicians.

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Speaker 3: I think. You know, music is a part of our

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Speaker 3: everyday life, especially in New York. We hear music all

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Speaker 3: the time. You go to the train, you're listening to

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Speaker 3: someone playing song. You know, lots of people have just

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Speaker 3: on in their headphones. But for sure, you don't have

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Speaker 3: to be a musician in order to benefit from music therapy.

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Speaker 2: And how does this it's part of your study, But

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Speaker 2: how will this help the caregiver?

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Speaker 3: Yes, as a part of my study, I am looking

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Speaker 3: to see how caregiver distress in caregiver burden can be

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Speaker 3: affected positively, you know, and hopefully that's the outcome. I

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Speaker 3: can just give you an example. We started research in

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Speaker 3: the nursing homes teaching the paid caregivers how to use

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Speaker 3: music during bathing and showering and also during wound care,

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Speaker 3: and we found that people who had music in the

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Speaker 3: background or the caregiver you singing, that the residents were

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Speaker 3: less resistant during care. It was actually a very enjoyable experience,

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Speaker 3: that only for the person who's receiving here, but also

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Speaker 3: for the caregiver. But for the study at home, I

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Speaker 3: do have some preliminary data and outcomes that have shown

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Speaker 3: that quality in life is improved for the person with dementia,

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Speaker 3: and caregiver burden and caregiver distress has significantly reduced for

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Speaker 3: those who are implementing the music assistant care activities that

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Speaker 3: they've learned.

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Speaker 2: Can any of this be done remotely, especially if you

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Speaker 2: have a grandparent or a parent you're not near. Can

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Speaker 2: it be done on a zoom call, FaceTime anything like that?

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Speaker 3: Absolutely. Our study right now is virtual, so I am

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Speaker 3: meeting with caregivers virtually. But in the nursing home city

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Speaker 3: setting we do have usually the grandkids are falling in

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Speaker 3: using either what's that or FaceTime along with the kids

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Speaker 3: of the residents, so a lot of times we'll have

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Speaker 3: like five or six people on a screen who are

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Speaker 3: having a music I'll just call it a music session

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Speaker 3: with a resident. So absolutely it's not bound by just

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Speaker 3: being in person. We can use music virtually as well.

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Speaker 2: It's also not a magical cure. You talked about it,

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Speaker 2: you know, using it maybe thirty minutes before something that

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Speaker 2: might be stressful bathing for instance. Could you kind of

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Speaker 2: clarify how quickly does it work and what it can't do.

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Speaker 3: Right? For some people, it's instantaneous. I have video recordings

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Speaker 3: that we analyze where the music started and the people

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Speaker 3: just stopped what they were doing and just started snapping

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Speaker 3: their fingers and singing and trying to move to the music.

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Speaker 3: And so you see the joy. You see the joy

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Speaker 3: that occurs when that happens. But for others it might

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Speaker 3: take a couple of minutes, it might take you half

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Speaker 3: an hour. We do notice the difference between between before

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Speaker 3: music therapy and actor. For some people it's really a

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Speaker 3: gradual change that occurs that their restlessness or their agitation

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Speaker 3: or their bad mood improves, and then for others it

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Speaker 3: might take multiple weeks. Like any type of therapy, you know,

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Speaker 3: sometimes you need to just give it a chance to work.

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Speaker 3: So just depends on the person and you know how

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Speaker 3: they are receptive to music.

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Speaker 2: There are a lot of families in New York and

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Speaker 2: around the world really who live, you know, with their grandparents,

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Speaker 2: intergenerational families. Do you have any thoughts about how to

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Speaker 2: help someone who wants to bond with their friend or

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Speaker 2: relative or neighbor with dementia using this.

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Speaker 3: Yes, just to go back to the virtual aspect that

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Speaker 3: I do want to highlight that, especially during the pandemic.

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Speaker 3: You know, we had a lot of people who weren't

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Speaker 3: able to visit, and everyone wanted to do a video call.

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Speaker 3: But if you have dementia, you have trouble communicating. So

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Speaker 3: what we noticed was if we encouraged family members to

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Speaker 3: sing or to put their favorite music on the background

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Speaker 3: during the calls, then that gave them an opportunity to

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Speaker 3: have a conversation long many times that was non verbal.

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Speaker 3: That actually made sense. But I hear your question. You

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Speaker 3: were asking me about intergenerational activities that people can do

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Speaker 3: in New York war around the world. Music can be

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Speaker 3: shared by anyone. It doesn't matter your age. A lot

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Speaker 3: of people who are an older adult remember songs from

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Speaker 3: their childhood. So if you had kids, encouraged them to

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Speaker 3: sing songs that the kids might know, like you are

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Speaker 3: my sonshye or Oh my Donald had a farm. You know,

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Speaker 3: songs that everybody knows. That way they can sing together.

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Speaker 3: But the best thing to do, you know, if you

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Speaker 3: want to really spice things up, out what your parents

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Speaker 3: liked when they were twenty or when they were thirty

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Speaker 3: years old. Put on that music, sit and listen to

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Speaker 3: it together. If you know the song, sing the song

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Speaker 3: and you'll find that it really will open up a

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Speaker 3: world of conversation and memories and laughter and joy for

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Speaker 3: both of you.

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Speaker 2: If you'd like to participate in doctor Ray's home based

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Speaker 2: music study program, you can find out more at MJHS

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Speaker 2: dot org slash study. Doctor Kendra Ray is the director

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Speaker 2: of the Dementia Program at MJHS Menora Center for Rehabilitation

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Speaker 2: and Nursing Care in Manhattan Beach. Thank you for being

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Speaker 2: on Getting Up.

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Speaker 1: This has been get connected with Nina del Rio on

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Speaker 1: one oh six point seven Light FM. The views and

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Speaker 1: opinions of our guests do not necessarily reflect the views

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Speaker 1: show or want to share it. Visit our website for

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Speaker 1: downloads and podcasts at one oh six to seven lightfm

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