The benefits of interdisciplinary practice in a palliative care setting: a music therapy and physiotherapy pilot project

Abstract

The aim of the project was to examine the benefit of an interdisciplinary music and exercise group for palliative care inpatients, specifically through reporting of symptomatic issues and mobility assessment. It is often perceived that dying patients are not appropriate for rehabilitation. We put forward the view that such patients do benefit from the opportunity to participate in a restorative group. An 8-week combined music therapy and physiotherapy group was conducted on a palliative care inpatient ward. Pre- and post-measures were taken using the Edmonton Symptom Assessment Scale (ESAS) and De Morton Mobility Index (DEMMI). Results from the ESAS indicated all symptoms on the scale improved as a result of group participation, with the exception of shortness of breath. Mobility was either maintained or improved, as indicated by the DEMMI. Participation in an interdisciplinary music and exercise group was beneficial to patients with terminal disease. Further research is required with a larger sample size to determine efficacy as well as long-term effects. It is also important to note that the group was one of many interventions available to patients on the ward, and therefore would also contribute to this improvement.

Keywords:

• Palliative care
• Restorative care
• Music therapy
• Physiotherapy
• Interdisciplinary