Music as a healing art for older adults

There is increasing evidence of the importance of regular mental and physical exercise to maximize overall health and functioning in older adults. However, many individuals find that reduced strength or disabilities prevent them from participating in the kinds of exercise they enjoyed when they were younger. Music can provide the important benefits of both mental and physical stimulation to even frail older adults. Whether using Conductorcise for aerobic exercise, enjoying the communal experience of singing in a choir, or quietly reflecting on a music recording, music can serve as a healing art for older adults.     

An integrated dementia intervention for Korean older adults

Called dotage in Korea, dementia is primarily characterized by cognitive impairments. Secondary manifestations include mental-emotional problems, including depression. This study was designed to examine the effects of an integrated dementia intervention for Korean older adults. The intervention is composed of cognitive stimulation training, exercise, music, art, and horticultural therapy. Participants included 38 older adults with mild dementia. Twenty were assigned to the experimental group and 18 to the control group. Participants in the experimental group attended 18 program sessions. Significant differences were found postintervention between the two groups in measures of cognitive function, depression levels, and mental-emotional health. The findings indicate that this integrated dementia intervention can be applied to help older adults with mild dementia.     

Connecting the young and the young at heart: an intergenerational music program

Due to its universal appeal, music can bridge intergenerational gaps and improve overall quality of life. Many intergenerational programs have thus increasingly incorporated music into their design; however, the Hamilton Intergenerational Music Program (HIMP) is unique in that it focuses on general music participation as opposed to singing-only programming. Three elementary schools and long-term care homes were contacted and matched based on proximity to one another. Program facilitators ran four successive weeks of intergenerational music sessions. Activities included training the children how to interact with elderly participants, facilitating conversation with icebreakers, and performing music together. Qualitative feedback was gathered after each visit and comprised of observations from program facilitators and participants. Several benefits were observed following program visits such as the reduction of age-related stereotypes, improved participant morale, enhanced cognitive function, and development of meaningful relationships. While leaving the sessions, children recall positive interactions with the seniors, lament that their time together ended too quickly, and express excitement for the next session. The older adults articulate similar sentiments and ask children to return soon. With the countless lessons learned from the current program, much can be drawn to inform future expansion and implementation to other communities.     

The Use of Humor With Older Adults Aging in Place

As more older adults seek ways to remain in their homes during their “golden years,” humor has proven to be a worthwhile intervention that reduces stress and provides a hopeful, playful, and optimistic environment. Development of creative and supportive housing situations for older adults combined with the use of modern technology (e.g., the Internet and computer devices used in the home), aid in bringing humor to the older adult. This article addresses some of the challenges that older adults face and the way that the use of humor can assist them to meet these challenges.     

Schizophrenia in older adults

Although the number of people older than 55 with schizophrenia is expected to double during the next 20 years, the research data on older adults with schizophrenia are limited. This appears to be because until the middle of the 20th century, it was assumed that mental illness in older adults was a part of the aging process and because older adults are often excluded from research investigations. Nursing research is needed to explore how people with schizophrenia learn to manage their problems as they age, as well as how those who are first diagnosed with schizophrenia in later life adapt to their illness. Mental health nurses need to be cautious in assigning premature labels to older adults with mental illness that may lead to unsubstantiated assumptions about levels of disability. Instead, nurses should realize individual potential regarding undiscovered strengths and should attempt to create interventions that recognize and foster personal development for older adults with schizophrenia.     

The effect of guided relaxation and exercise imagery on self-reported leisure-time exercise behaviors in older adults

The purpose of this study was to examine the effects of a 6-wk intervention that used guided relaxation and exercise imagery (GREI) to increase self-reported leisure-time exercise behavior among older adults. A total of 93 community-dwelling healthy older adults (age 70.38 ± 8.15 yr, 66 female) were randomly placed in either a placebo control group or an intervention group. The intervention group received instructions to listen to an audio compact disk (CD) containing a GREI program, and the placebo control group received an audio CD that contained 2 relaxation tracks and instructions to listen to music of their choice for 6 wk. Results revealed that listening to a GREI CD for 6 wk significantly increased self-reported leisure-time exercise behaviors (p = .03). Further exploration of GREI and its effects on other psychological variables related to perceived exercise behaviors may substantiate its effectiveness.     

Music and Social Movements

Music is a key component of social movements. This article addresses the relationship between music and social movements through four foci: collective identity, free space, emotions, and social movement culture. Collective identity is developed and nurtured within free spaces through the use of music. These spaces are often rife with emotions that are instrumental in development of collective identity. A social movement culture may develop as these processes unfold. Music is part of this culture and serves as an important mechanism for solidarity when participants move beyond free spaces to more contested ones. Examples of song lyrics demonstrate these processes. Research on music and social movements, it is argued here, can be enhanced by addressing technology and popular culture.     

Delirium: a very common problem you may not recognize

Older adults with multiple pre-existing conditions are admitted to hospitals with acute illnesses and injuries every day. Delirium is not recognized by clinicians across health care settings. With awareness of risk factors and knowledge of delirium, nurses can play a pivotal role in the early identification, treatment, and, most important, prevention of delirium in older adults. Nurses often display a lack of knowledge related to delirium and the complex symptoms that appear differently in the presence of other complicating co-morbid conditions in aging adults. Nurses play a crucial role in keeping patients safe and ensuring optimal outcomes, regardless of the setting. With the growing population of older adults and the expected increases in chronic illness and dementia, delirium is a problem nurses are likely to experience in all practice settings. Knowing what to look for facilitates recognizing the risk and acting early to minimize (or even prevent) delirium.     

Chronic pain in older adults

Despite the sophisticated pharmaceutical agents and technologies available today, many people, including older adults, continue to experience chronic pain. Inadequately treated chronic pain can seriously affect one's quality of life. Health care providers are only beginning to understand the structural and functional changes that occur in older adults with chronic pain, but recent research suggests that nurses and other health professionals need to become aware of the unique needs of older adults who live with chronic pain. When health professionals lack specific knowledge of pain management in older adults, patients may suffer needlessly.     

Can Heterosexist Music Cause Hiring Discrimination Against Sexual Minority Men? Testing the Effects of Prejudicial Media Messages

Workplace heterosexism is a pervasive issue affecting lesbian, gay, bisexual, and transgender (LGBT) employees. This study investigated the influence of heterosexist media on hiring decisions by exposing 171 heterosexual undergraduate men to heterosexist rap music, nonheterosexist rap music, or no music and measuring their evaluations of a heterosexual and gay male professorial job applicant immediately afterward. As expected, participants exposed to the heterosexist music provided lower evaluations of the gay applicant than those exposed to no music, for two of the eight dimensions measured. Also, participants exposed to heterosexist messages were less willing to recommend and meet one-on-one with a gay candidate than a heterosexual one. Music condition effects remained, even with demographic factors controlled. These findings suggest that media heterosexism may affect hiring decisions for GBT men and may also influence the treatment of these men in a workplace environment.     

'When you're trying something on you picture yourself in a place where they are playing this kind of music'– musically sponsored agency in the British clothing retail sector

Despite the philosophical tradition from Plato onward, sociologists have not yet explored in full music's role as an active ingredient in social formation. This project has been left to environmental psychologists and market researchers who are more interested in 'what' music can cause than in exploring its mechanisms of operation and the implications of these mechanisms for the constitution of social agency. This paper draws upon ethnographic research in and around High Street retail outlets to examine music's role in shaping consumer agency – in-store conduct, purchase behaviour subjectivity, identity. Exploring music in this way illuminates the interface of material culture, social action and subjectivity. Music is used by retailers to signal target clientele and brand image and to structure the temporal dimensions of the retail to environment over the day, week and year. It is also used to structure in-store conduct. It is more important in relation to younger shoppers and to 'browsers'. Some stores rely upon unacknowledged skill of sales assistants, who often act as ambassador users of store products, to make and implement local music policies. Music provides contextualization cues that may structure in-store subjectivity and clients' orientations to themselves as consumers and to goods on display. The heightened degree of aesthetic reflexivity exhibited by younger shoppers may be part of a transformation of the processes in and through which agency is produced and reproduced, one that is linked to an ascendancy of commercial control over agency's constitution.     

A systematic review of education for the prevention of HIV/AIDS among older adults

Through a comprehensive literature search, the authors of this systematic review identified 21 articles focused on primary prevention of HIV/AIDS for adults aged 50 and over. Three major challenges to providing HIV/AIDS education for older adults include health professionals' ageism, older adults' reluctance to discuss sexuality, and their misconception of their HIV risk. Clinical guidelines for social workers, nurses, and physicians identified the importance of sharing information and assessing risk, considering cultural diversity, and devising creative delivery strategies. Three models of HIV/AIDS education include group education programs delivered by social workers or other health professionals, peer education models, and one-on-one early intervention models including HIV/AIDS testing. Additional outreach and research on HIV/AIDS prevention among older adults is needed.     

Promoting self-management of urinary incontinence in a geropsychiatric day treatment program

As the number of older adults in the United States increases, the number of older adults with mental illnesses also will increase. There will be a corresponding increase in prevalence of UI and its associated problems--medical problems, loss of independence or need for institutionalized care, diminished quality of life, and increased costs. Psychiatric nurses are in a position to help older adults with mental illnesses improve their overall health and quality of life by preventing the problems associated with untreated UI. Within their practice, psychiatric nurses have the opportunity to ensure clients receive the comprehensive assessments needed to establish their functional, physical, behavioral, emotional, and social support status--information that forms the foundation for developing individualized treatment interventions. Psychiatric nurses have the expertise to integrate physical and mental health care for older adults with mental illnesses and co-occurring conditions, such as UI. Promoting self-management of UI among older adults with mental illnesses potentially will enable them to participate in psychiatric rehabilitation programs; improve their overall health and quality of life; prevent falls and fractures that often cause them to lose their independent community living status and to be admitted to long-term care facilities; and reduce the cost to mental health care providers of managing UI in the treatment setting.     

Adolescents and Music Media: Toward an Involvement‐Mediational Model of Consumption and Self‐Concept

Using social cognitive theory and structural regression modeling, we examined pathways between early adolescents' music media consumption, involvement with music media, and 3 domains of self‐concept (physical appearance, romantic appeal, and global self‐worth; N=124). A mediational model was supported for 2 domains of self‐concept. Music media consumption was positively associated with adolescents' involvement with media focusing on music personae. Higher involvement was associated with perceiving the self as less physically attractive and having lower overall self‐worth. Music media consumption was directly related to adolescents' evaluations of their own romantic appeal. Results suggest that through involvement processes with music media characters, adolescents may use music media as a venue for social comparison against which they evaluate their own physical attractiveness and self‐worth. Music media consumption may also provide social modeling for normative expectations about romantic relationships regardless of the level of involvement. Gender differences were nonsignificant in the mediational model.     

Caring for older adults with bipolar disorder

Bipolar disorder is a recurrent, chronic mental illness that has a profound impact on the lives of patients and their families and may require extensive use of mental health services. Although bipolar disorder is often considered an illness of young people, the disorder is being recognized as more common in older adults than previously thought. Much more research needs to be done to understand the impact of aging on the course and treatment of bipolar disorder. Evidence-based interventions for treatment of this disorder in older adults must be developed. Mental health nurses can play a key role in enhancing medication adherence, implementing structured psychosocial interventions, and carrying out research to enhance diagnosis and treatment of older adults with bipolar disorder.     

Resistive training and long-term function in older adults

The purpose of this study was to evaluate the effects of a 24-month moderate-intensity resistive-training intervention on strength and function in older adults. A repeated-measures experimental research design was employed as a sample of 55 apparently healthy, older, community-dwelling volunteers (30 exercisers- 25 women and 5 men; 25 comparisons- 16 women and 9 men) were evaluated for strength of 5 muscle groups that influence lower extremity movement and physical function. Strength and function were evaluated at 6-month intervals. The findings from this study indicate that a moderate-intensity resistive-training program increases strength in older adults and that the strength benefits are retained for the duration of the intervention. Furthermore, a long-term strength-training program can increase independent-function skills in older adults and might therefore aid in prolonging functional independence.     

Homophily of music listening in online social networks of China

Homophily, ranging from demographics to sentiments, breeds connections in social networks, either offline or online. However, with the prosperous growth of music streaming services, whether homophily exists in online music listening remains unclear. In this study, two online social networks of the same group of active users who listened to complete songs over 1000 times and posted over 100 tweets are established, separately, in Netease Music and Weibo. Through presented multiple similarity measures, it is evidently demonstrated that homophily does exist in music listening for both online social networks. The unexpected listening similarity in Weibo also implies that knowledge from generic social networks can be confidently transferred to domain-oriented networks for context enrichment and algorithm enhancement. Comprehensive factors that might function in the formation of homophily are further probed, and many interesting patterns are profoundly revealed. It is found that female friends are more homogeneous in music listening and that positive and energetic songs significantly pull users close. Our methodology and findings shed light on realistic applications in online music services.     

Elder abuse and neglect

Elder abuse and neglect is a critical health care issue that must be brought to the attention of health care providers and older adults' family members. Adults older than 65 who live at home or in long-term care facilities may be at risk for abuse. Nurses should be aware of the causes, screening questions, symptoms of abuse, and resources in the community. Armed with information and a better understanding about the issue, nurses can minimize the devastating effects of abuse on older adults and their families.     

The becoming of an archive: perspectives on a music archive and the limits of institutionality

ABSTRACT

The call on South African music departments to critically engage with their curricula in order to reflect the broader music landscape wherein they function has been ongoing for the past 40 years. While some departments did engage in strategies to transform their curricula, various scholars have pointed out that most of these institutions have to some extent remained fixed within conservative syllabi and ideological practices conceived to serve the previous dispensation. It is within this field of discursive engagement and political actions directed towards change that archives can play an important role in decolonising higher education institutions. While recognising that archives work to a slower historical beat than what is currently (often militantly) demanded in debates on decolonisation in South African universities, this article wishes to argue that this temporal differential is important in terms of long-term institutional and curricular reform. This article will consider these questions with particular reference to the Documentation Centre for Music (DOMUS), an archive-centred music research project in the Music Department at the University of Stellenbosch. This article will posit that DOMUS’s collection practices and projects may serve as examples of active and radical strategies with the potential to affect change within conservative institutional spaces.