Affiliations: Institute of Neuropalliative Rehabilitation, Royal Hospital for Neuro-disability, London, UK
Correspondence:
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Address for correspondence: Dr. Wendy Magee, Institute of Neuropalliative Rehabilitation, Royal Hospital for Neuro-disability, West Hill, London SW15 3SW, London, UK. Tel.: +44 20 8780 4500 ext 5146; Fax: +44 20 8780 4569; E-mail: [email protected]
Abstract: Acquired and complex disabilities stemming from severe brain damage and neurological illness usually affect communication, cognitive, physical or sensory abilities in any combination. Improved understanding of the care needs of people with complex disabilities has addressed many functional aspects of care. However, relatives and carers can be left at a loss knowing how to provide or share in meaningful activities with someone who can no longer communicate or respond to their environment. As a result, the individual with complex needs can become increasingly isolated from their previous support network. Based on theoretical foundations for music as instinctive in human beings, this paper offers practical recommendations for the creative use of music for people with complex physical and sensory needs which prevent active participation in previous leisure pursuits. Recommendations are made for relatives and carers to manage the environment of an individual who has limited capacity to control their environment or make choices about leisure activities. Particular emphasis is given to activities which can be shared between a facilitator and the patient, thereby enhancing social relationships.
