Music-Based Interventions for People Living With Dementia

Dementia is characterized by progressive cognitive decline and behavioral symptoms that significantly impair quality of life for both people living with dementia and their paid and unpaid caregivers. Music-based interventions offer unique therapeutic benefits because musical memory often remains intact in dementia, enabling emotional connection and reminiscence. This article provides a practical framework for home care nurses to implement music interventions across all stages of dementia (early, middle, and late) in the home setting. The evidence suggests that music can reduce agitation, anxiety, depression, and sleep disturbances while promoting social engagement and enhancing mood. Strategies include assessing musical preferences, creating personalized playlists, and integrating music into daily care activities such as bathing or dressing. Nurses should monitor responses and collaborate with family caregivers, while considering the ethical implications of providing music. By tailoring music interventions to individual needs and behavioral symptoms, nurses can improve quality of life for people living with dementia and potentially alleviate family caregiver burden. Current research is synthesized to provide actionable strategies for nursing practice, emphasizing the role of culturally meaningful music and individualized delivery methods.