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Bach to the Basics: Implementation and Impact of a Postoperative, Inpatient Personalized Music Program for Older Adults

Published:September 08, 2018DOI:https://doi.org/10.1016/j.jopan.2018.05.006

      Purpose

      Music as an intervention to mitigate pain and anxiety has been well studied in the perioperative period. We present a quality improvement (QI) report describing implementation and evaluation of a postoperative, inpatient personalized music program for older adults undergoing elective surgeries.

      Design

      We embedded this program in an existing interdisciplinary perioperative care program, with an outpatient and an inpatient component, at an academic institution.

      Methods

      We describe our initial QI steps, highlight critical lessons learned from this behavioral intervention, and discuss high yield areas to focus on future implementation efforts.

      Findings

      Rapid cycle improvement was an effective method to monitor QI measures. Participants in our program perceived improved mood and pain control, were satisfied with their experience, and had lower rates of incident delirium.

      Conclusions

      This program offers perioperative teams, especially frontline nursing staff, an inexpensive, patient-centered tool to optimize postoperative pain and anxiety. We believe that it can be easily replicated at a variety of hospital systems.

      Keywords

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      Biography

      Neema Sharda, MD, Geriatrics Division, Department of Medicine, Duke University School of Medicine, Durham, NC

      Biography

      Emily Mattoon, BS, Geriatrics Division, Department of Medicine, Duke University School of Medicine, Durham, NC

      Biography

      Loretta Matters, MSN, RN, Duke University School of Nursing, and Duke University Hospital, Durham, NC

      Biography

      Judy Prewitt, DNP, RN, Duke University Hospital, Durham, NC

      Biography

      Shelley McDonald, DO, PhD, Geriatrics Division, Department of Medicine, Duke University School of Medicine, Durham, NC

      Biography

      Richard Sloane, MPH, Geriatrics Division, Department of Medicine, Duke University School of Medicine, Durham, NC

      Biography

      Christy Cassas, MSN, FNPC, Geriatrics Division, Department of Medicine, Duke University School of Medicine, and Duke University Hospital, Durham, NC

      Biography

      Heidi White, MD, MHS, MEd, Geriatrics Division, Department of Medicine, Duke University School of Medicine, Durham, NC.