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Symposium

Arts & Neuroscience

Clinical Practice

COVID-19

Neuroplasticity

Theoretical Framework and Protocol Development of a Music Therapy Intervention to Mitigate Delirium in Critically Ill Patients: Positive Stimulation for Medically Sedated Patients (PSMSP) 6486

Saturday, November 2, 2024
10:30 AM – 11:30 AM  
Location:  ROOM: Peacock Terrace REGION: Tower Lobby Level >>> DIRECTIONS: From ACRM Registration desk, face the elephants and turn right. Peacock Terrace is on the far end of the lobby.

    Corresponding Presenter(s)

  • Jennifer Townsend, MMT, MT-BC (she/her/hers)

    Manager Creative Arts Therapies, Susie and Tommy Smith Endowed Chair of Music and Creative Arts Therapies, Assistant Professor of Anesthesiology and Critical Care
    Houston Methodist
    Houston, TX, United States

    Slides

    • Non-Presenting Contributor(s)

  • AD

    Atiya Dhala

    Associate Professor of Clinical Medicine in Clinical Surgery
    Houston Methodist
    Houston, Texas, United States

Our presentation will elucidate the development and theoretical underpinnings of the innovative Positive Stimulation for Medically Sedated Patients (PSMSP) protocol. Grounded in evidence-based interventions, including music therapy and sensory-rich storytelling, PSMSP aims to provide tailored emotional support to ICU patients. Preliminary findings, including insights gleaned from COVID-19 pneumonia cases, underscore the promising potential of PSMSP in mitigating delirium and enhancing arousal levels.
Furthermore, our discussion will delve into the intricate interplay between inflammatory activation, neurohormonal responses, and neuronal plasticity, offering insights into the etiology of delirium. We will explore how stress-induced epigenetic modifications impact gene regulation and synaptic plasticity, shedding light on potential mechanisms underlying delirium onset. By elucidating the scientific rationale and methodological nuances of the PSMSP protocol, our presentation seeks to contribute to the scholarly discourse surrounding ICU care.

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Learning Objectives:

  • Discuss the theoretical framework underpinning sedation-related delirium in critically ill patients, including the role of inflammatory activation, neurohormonal responses, and stress-induced epigenetic changes.
  • Describe the development and methodology of the Positive Stimulation for Medically Sedated Patients (PSMSP) protocol, integrating evidence-based interventions such as music therapy and sensory-rich storytelling to mitigate delirium in ICU settings.
  • Identify preliminary findings and case studies illustrating the effectiveness of PSMSP in reducing agitation and enhancing arousal levels among critically ill patients, with a particular focus on cases from COVID-19 pneumonia treatment.
  • Analyze the potential mechanisms underlying positive emotional stimulation's role in reducing delirium incidence and improving patient outcomes in critical care settings, fostering a deeper understanding of the therapeutic impact of PSMSP.
Disclosure(s):
Jennifer Townsend, MMT, MT-BC: No financial relationships to disclose