Schroeder-Sheker T
J Holist Nurs. 1994 Mar;12(1):83-99. doi: 10.1177/089801019401200113.
Music-thanatology is a palliative medical modality employing prescriptive music to tend the complex physical and spiritual needs of the dying. "Infirmary music" was an intimate expression of French monastic medicine in 11th-century Cluny and anticipated the holism of both the hospice and palliative medical movements by almost 800 years. Although no longer an expression of any institutional religious identity, music-thanatology is nevertheless concerned with the possibility of a blessed death and the gift that conscious dying can bring to the fullness of life. Music-thanatology interns seek to integrate and model these contemplative and clinical values in daily practice: 18 interns deliver prescriptive music in bedside vigils serving the dying in home, hospital, and hospice settings with great effectiveness in oncology, respiratory illnesses, the slow degenerative diseases, and AIDS. This article is submitted to nurses to serve as an introduction to the field of music-thanatology, providing readers with a brief history, meaningful clinical narratives, some of the musical theories involved, research concerns (archival and medical), and milestones to be addressed for the future implementation of music-thanatology in hospitals and hospices and communities across the nation.
音乐临终关怀学是一种姑息医学模式，运用定制音乐来照料临终者复杂的生理和精神需求。“医务室音乐”是11世纪克吕尼法国修道院医学的一种贴心表达，比临终关怀和姑息医学运动的整体观早了近800年。尽管音乐临终关怀学不再是任何机构宗教身份的一种表达，但它仍然关注善终的可能性以及有意识地面对死亡能给生命圆满带来的馈赠。音乐临终关怀学实习生力求在日常实践中融合并践行这些沉思性和临床性的价值观：18名实习生在家庭、医院和临终关怀机构为临终者提供床边守护定制音乐，在肿瘤学、呼吸系统疾病、慢性退行性疾病和艾滋病方面成效显著。本文提交给护士，作为对音乐临终关怀学领域的介绍，为读者提供简要历史、有意义的临床案例、一些相关音乐理论、研究关注点（档案和医学方面），以及在全国医院、临终关怀机构和社区未来实施音乐临终关怀学需达成的里程碑。
