This talk was presented at the 2010 American Academy of Hospice & Palliative Medicine Annual Assembly in Boston, MA. I apologize for no music being present since it could not be uploaded into slideshare.

1. AAHPM/HPNA Annual Assembly Boston, MA March 6, 2010 Music for Hospice and Palliative Care Staff

2. Presenters Amy Clarkson, MD Kansas City Hospice & Palliative Care Christian Sinclair, MD, FAAHPM Kansas City Hospice & Palliative Care Amber Wollesen, MD Saint Luke’s Health System, Kansas City, MO

5. Objectives Analyze palliative care themes in songs from various eras and genres to help palliative care staff avoid burnout Utilize music as a teaching tool with staff and learners in palliative care environments

6. Elements of Music Melody Harmony Rhythm Tempo Instrumentation Volume Lyrics Context (Artist/Song) Context (Listener) Audience Genre

7. Genres Classical Jazz Electronica Traditional Folk Popular Heavy Metal Country Rock Reggae Gospel Blues

8. Shared Experience Candle in the Wind by Elton John Dust in the Wind by Kansas Knockin’ on Heaven’s Door by Bob Dylan Tears in Heaven by Eric Clapton Live Like You Were Dying by Tim McGraw I’ll Be Missing You by Puff Daddy

11. The God That Failed “The God That Failed” Metallica (1991)

12. The God That Failed I see faith in your eyes Never you hear the discouraging lies I hear faith in your cries Broken is the promise, betrayal The healing hand Held back by the deepened nail Follow the God that failed

13. “I’ll Fly Away” Allison Krauss (1929)

14. When the shadows of this life have gone, I'll fly away; Like a bird from these prison walls I’ve flown, I'll fly away I'll fly away, Oh Glory I'll fly away; (in the morning) When I die, Hallelujah, by and by, I'll fly away

15. Mahler’s 9th Symphony

16. “Casimir Pulaski Day” Sufjan Stevens (2004)

17. Part 2: Small Group Section

18. Challenge #1 – Palliative Themes Using the Worksheet in front of you what are some of the themes and ideas you see in your daily palliative care and hospice work that could be reflected in a song. Feel free to be broad or specific Make a long list or start to categorize

19. New Challenge, New Scribe

20. Challenge #2 - Goals Thinking of your different work environments brainstorm the following two things: potential different groups /individuals/contexts Goals of working with these groups

21. New Challenge, New Scribe

22. Using the following song and lyrics, answer the following questions: What characteristics of the song echo palliative care themes? What audience would you potentially focus this song on? What goals would be best suited to achieve with this song? Challenge #3Go On – Jack Johnson

23. In my rear view I watch youWatching the twilight behind the telephone linesWith nothing to prove or to assumeJust thinking that your thoughts are different than mineIn my rear view I watch youI gave you your life, but you gave me mineI see you slowly swim awayAs the light is leaving townTo a place that I can't beBut there's no apologiesJust go on, Just go onThere are still so many things, I wanna to say to youBut go on, Just go onWe're bound by blood that's moving, the moment that we startedThe moment that we startedI see perfect little eyes, watch the shadows of the cloudsAnd the surface of the ocean out the window of a planeI get nervous when I fly I'm used to walking with my feetTurbulence is like a sigh that I can't help but over thinkWhat is the purpose of my life if it doesn't ever doWith learning to let it go live vicariously throughYou can do the same it's the least you can doCause it's a lonely little chain if you don't add to it

24. New Challenge, New Scribe

25. Challenge #4 – Ketterling/Bedside Manners by The Antlers Using the following song and lyrics, answer the following questions: What characteristics of the song echo palliative care themes? What audience would you potentially focus this song on? What goals would be best suited to achieve with this song?

26. I wish that I had known in that first minute we met, the unpayabledebt that I owed you. Because you'd been abused by the bone thatrefused you, and you hired me to make up for that. Walking in thatroom when you had tubes in your arms, those singing morphine alarmsout of tune kept you sleeping and even, and I didn't believe them whenthey called you a hurricane thunderclap. When I was checking vitals I suggested a smile. You didn't talk forawhile, you were freezing. You said you hated my tone, it made youfeel so alone, and so you told me I ought to be leaving. But somethingkept me standing by that hospital bed. I should have quit, but insteadI took care of you. You made me sleep and uneven, and I didn't believethem when they told me that there was no saving you

27. New Challenge, New Scribe

28. Challenge #5Another One Bites The Dustby Queen Using the following song and lyrics, answer the following questions: What characteristics of the song echo palliative care themes? What audience would you potentially focus this song on? What goals would be best suited to achieve with this song?

29. New Challenge, New Scribe

30. Challenge #6I Don’t Want to Die (in a Hospital)ConorOberst Using the following song and lyrics, answer the following questions: What characteristics of the song echo palliative care themes? What audience would you potentially focus this song on? What goals would be best suited to achieve with this song?

31. I don’t wanna die in the hospital No I don’t wanna die in the hospital X2You gotta take me back outsideI don’t wanna hear all those factory soundsLooking like the girl in the sleeping gownI don’t wanna die in the hospital You gotta take me back outside Can you make a sound to distract the nurseBefore I take a ride in that long black hearseI don’t wanna die in the hospital You gotta take me back outsideHelp me get my boots on X6I gotta go, go, goCause I don’t have longYeah I don’t give a damn what those doctors sayI don’t wanna spend another lonesome dayI don’t wanna die in the hospital You gotta take me back outside They don’t let you smoke and you can’t get drunkAll there is to watch are these soap operasI don’t wanna die in the hospital You gotta take me back outside Can you get this tube out of my armMorphine in my blood like a slow sad songI don’t wanna die in the hospital You gotta take me back outside Help me get my boots on X6I gotta go gogoCos I don’t have long Is there still a world at my windowsillAll there ever was I remember stillI don’t wanna die in the hospital You gotta take me back outside Don’t know when it’s day or when its nightAll I ever see are florescent lightsI’m not gonna die in this hospital You gotta take me back outsideThey give me all these flowers & big balloonsBut I’m not gonna stay in this little roomI’m not gonna die in the hospital You gotta take me back outsideAre the stars still in the skyIs that fat moon on the riseFeel the earth against my feetAs the cold wind calls for meI ain’tgonna die in the hospital (to outro)

32. arts.pallimed.org