W had explained how upset she was when she wasn’t able to sing once her vocal cords were paralyzed. She also explained that she isn’t able to play piano because it aggravates her arthritis in her left hand. Not being able to do two activities she loves could cause her spiritual distress. Along with this, Mrs. W is dealing with facing the end of her life, caused by a terminal illness, which could give her a feeling of spiritual distress. In order to help her with this, a nurse could recommend music therapy for Mrs. W, or suggest Mrs. W journals about her feelings, allowing her to express her frustrations. Therapy would help Mrs. W’s psychological domain because it could allow her to discuss her feelings with an unbiased listener, allowing her to properly grieve the loss of her physical capabilities that she once appreciated greatly. Music therapy is shown to enhance pain relief, comfort, relaxation, and mood (Concordia University 2011). Along with this, Mrs. W already has a deep appreciation for music, allowing her to still feel involved in music without feeling pain while performing. Music therapy was also shown to enhance well-being and life quality (Concordia University), which Mrs. W explained to be her most important goal in life, to be comfortable. The nurse would refer Mrs. W to local Music Therapy clinics such as: Rochester Music Therapy Services, and Upstate Music Therapy, since the patient lives near the Rochester area, and is frequently in Rochester …show more content…
W. This could benefit the patient’s psychological domain because journaling is known to allow individuals to write about stressful events in which the individual can then process and handle them (Purcell 2015). The benefits of journaling also include: clarifying thoughts and feelings, allowing an individual to know who they are on a deeper level, and reducing stress (Purcell 2015). In regards to Mrs. W, she could reduce the stress of not being able to practice her music by writing about it, which would also help her come to terms with the fact that she is no longer able to, thus allowing her to cope productively. Furthermore, if Mrs. W took time to get to know herself on a deeper level, she could find her purpose in other areas of her life that she had spoken about such as her family, and other hobbies (cross words, reading…etc). The nurse could show Mrs. W how to start by suggesting to write 20 minutes each day at first, and then possibly add more time if she feels that it helps (Purcell 2015). Also, the nurse could suggest that Mrs. W writes, since she is right-handed and it wouldn’t aggravate her arthritis (compared to