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‘A deep part of being human’

Personalized music reaches dementia patients

What was the song you danced to at your wedding? Or the song that was playing as you drove off to college? Maybe the music that lingers in your memory is what your mother played on the piano at home or the soundtrack to a favorite movie?

No matter what kind of music resonates in a person’s mind, it turns out to be one of the last things they’ll forget should dementia strike, according to well-known neurologist and author Oliver Sacks.

“Music connects to a deep part of being human,” Sacks said in “Alive Inside,” a documentary about the Music & Memory program, which was founded by Dan Cohen in 2008. “Music activates more parts of the brain than any other stimulus, including parts of the brain that were intended for other purposes like walking, eating and breathing.”

Marilyn McCord has been on a one-woman mission, distributing 21 copies of the documentary to care facilities, the Durango Public Library, The Durango Herald and people she knows who are dealing with loved ones suffering dementia.

“I don’t know why it took so long to discover this, but now that we have, we should all be doing it,” she said.

Since January, Four Corners Health Care Center has been rolling out the Music & Memory program in its Alzheimer’s Unit, a program of personalized playlists on iPods that are reaching patients in ways they’ve never seen before, they said.

“When we started, we just got 15 iPods for the Alzheimer’s wing,” said Christy Ludwig, community relations director at Four Corners. “It wasn’t until we saw ‘Alive Inside’ that we said, ‘Why stop at Alzheimer’s and dementia?’ We have young people with multiple sclerosis, for example, who can’t play music for themselves.”

The result was a decision to make an iPod with a personalized playlist available to all 130 residents at Four Corners, with a target completion date of June.

Four Corners also invited management from Sunshine Gardens and Cottonwood Inn Rehabilitation and Extended Care Center in Three Springs to watch the documentary to get the information out there, Ludwig said.

It takes her about two hours to make a personalized playlist, Ludwig said, and that’s when she knows what music they like. She’s also learned that a 130-song playlist seems to be about right.

Carter Scruggs loves classic country and western music, but Ludwig has found he’s also a fan of Chris LeDoux.

“He always loved music, and he cut a pretty mean rug,” his son-in-law Bill Loughride said. “He and his wife, Velma, went to barn dances at the grange almost every Saturday.”

Scruggs wouldn’t put on the headphones when he first got them.

“He wasn’t into the new technology,” Ludwig said. “On the second day, he said, ‘I’m going to go see if the music will play in my room’ because he didn’t understand he had the iPod with him. As he walked down the hall and still heard the music, he turned around, gave me the thumbs up and did a little dance.”

Kevin Dang presented a challenge. He enthusiastically joins in on John Denver songs when they’re singing in a group, but it turns out he doesn’t really like John Denver. An immigrant from Vietnam, he wants Vietnamese music, and the CDs Ludwig found aren’t the songs he wants. She’s planning to work with his daughter to find the right songs.

Cohen, who has a background in social work and technlogy, began visiting nursing homes in 2006. He started the program after thinking that if he ended up in a nursing home, he’d like to take his favorite music from the 1960s with him. Then he discovered that none of the 16,000 long-term care facilities in the U.S. used iPods in their facilities. It’s been a long haul, he said in the documentary, but Music & Memory crossed the 1,000 mark of facilities using its program earlier this year.

The personalized playlist, Cohen said in the documentary, is the key to its success.

In the documentary, a 94-year-old Alzheimer’s patient named Henry had been virtually silent for a decade until he got his iPod. Not only did he sing along and become energized, he could actually answer questions after listening to his music for a while.

He even remembered the lyrics to his favorite song, “I’ll Be Home for Christmas.”

Four Corners has been running ads requesting donations of CDs and iPod Shuffles.

An anonymous donor dropped off several CDs compiled by KSUT-FM public radio, giving Ludwig some Native American music for her library, which now includes about 10,000 songs. Ludwig is looking for some Dean Martin, Johnny Mathis and Nelson Eddy CDs.

Myra Britton, who handles the activities for the Alzheimer’s unit, usually brings out the headphones at 2 p.m. every day unless there’s live music or something else going on.

But for Warren Holland, afternoon is when he “sundowns,” and he wants to keep moving. So he gets the headphones in the evening, when the music calms him down and helps him go to sleep.

“Warren didn’t have any problem with the headphones because he had used them for search and rescue and the Civil Air Patrol,” his wife, Marilyn, said. “But it was hard to tell them what he specifically likes because he just loves music, classical, patriotic songs, Barbra Streisand, jazz, the New Orleans sound, you name it. So it’s wonderful that they’re doing that something extra because they don’t get too many of those wonderful things with dementia.”

abutler@durango herald.com

This story has been changed to correct Music & Memory founder Dan Cohen’s background, which is in social work and technology.

Playlist suggestions

The music chosen for those dealing with dementia needs to be their personal favorites, not just the music from their era. Christy Ludwig has also learned that they want the original hit, not a cover. It’s never too early to begin compiling a playlist, she said, adding that her mother, who’s perfectly healthy, has begun putting hers together after seeing the success of the program.

These artists have been particularly popular at Four Corners Health Care Center:

1950s crooners such as Frank Sinatra, Dean Martin, Nat King Cole and Perry Como.

1950s rockers including Buddy Holly, Roy Orbison, (young) Elvis Presley and Fats Domino.

Bluesman B.B. King.

The surfing sounds of the Beach Boys.

Folk music by Peter, Paul and Mary.

Movie soundtracks, with the top two selections being “Wizard of Oz” and “Sound of Music.”

Country classics, particularly Johnny Cash, Conway Twitty, Patsy Cline and John Denver.

Contemporary country, especially Dwight Yoakam and Chris Ledoux.

Big Band/Swing music, especially Benny Goodman, Glenn Miller, Duke Ellington, the Andrews Sisters and Tommy Dorsey.

Easy listening, with Rosemary Clooney a favorite.

Vocal jazz music, including Ella Fitzgerald, Louis Armstrong and Harry Connick Jr.

Gospel music.

Patriotic songs, including “God Bless America,” “My Country ‘Tis of Thee,” “Home on the Range,” “America the Beautiful” and “The Star-Spangled Banner.”

Music and memory at home

Many people suffering from forms of dementia are cared for by family members, which can be quite stressful at times. Research has been done testing the Music and Memory program, finding it significantly calms agitation, a common symptom of dementia.

A resource guide and other information about the program is available at www.musicandmemory.org.

Here are some tips for utilizing Music and Memory at home:

Many elders are uncomfortable around the headphones. Giving them a chance to look at them and touch them before putting them on can help with the discomfort.

A playlist needs to be designed for each person. It may take some trial and error to create the ideal playlist, so watching which songs are repeated most and which songs they respond to can help weed out the songs they don’t like.

Music and Memory has discovered that an iPod Shuffle, which is simple to use, is the ideal technology for patients with dementia.

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