Music in the Last Hours: Finding Humanity in the ICU

Objective To describe the use of personalized music as a comfort measure during the final hours of life in the ICU and reflect on its impact on the patient, family, and care environment. Observation A woman with advanced cancer and terminal complications was transferred to the ICU for comfort-focused care. In the setting of visible distress, her favorite music was played at the bedside. The intervention was associated with observable relaxation and a calmer effect, while family members reported emotional relief and a strengthened sense of presence during the farewell. Discussion This observation aligns with emerging literature suggesting that music may humanize highly technological environments and support family engagement at the end of life. However, current evidence remains limited and heterogeneous. Conclusions Personalized music represents a simple, patient-centered adjunct that may enhance comfort and dignity in the final hours of life. Further research is needed to guide the intentional integration of music into ICU and palliative practice.