Abstract
Objective: To report the experience of intervention with laughter therapy in a Long Stay Institution for the Elderly. Experience report: This is an experience report about an intervention with laughter therapy/clown therapy, conducted with 40 elderly people of both sexes, residing in a Long Stay Institution for the Elderly, in a city on the coast of São Paulo. 11 clown students applied interventions and different activities between April and May 2022. Anchoring practices, to promote bonding, were the main activity established. Furthermore, verbal, and non-verbal communication techniques were also explored, as scenarios for active movement and interpositions to encourage treatment adherence. Difficulties regarding the lack of knowledge of the practice and its effectiveness by health professionals, as well as the scarcity of references for better training of academics, were the main limitations. Final considerations: Clown therapy is an adjuvant practice for the therapeutic process of the elderly, as well as for developing essential skills and competencies in the training of medical professionals.
References
DE FAVERI S e ROESSLER M. Clowning during COVID-19 - A survey of European Healthcare Clowning Organizations highlights the role of humour and art in the healthcare system. Public health, 2021; 196: 82-84.
DE MAULEON A, et al. Intervention of companion clowns in a special care unit: a 1-year pilot study. Aging clinical and experimental research, 2021; 33(12): 3379–3383.
FIGUEIREDO AEB, et al. Doenças crônicas não transmissíveis e suas implicações na vida de idosos dependentes. Ciência & Saúde Coletiva, 2021; 26 (1): 77-88.
GRAY J, et al. Seriously foolish and foolishly serious: the art and practice of clowning in children's rehabilitation. The Journal of medical humanities, 2019; 42(3): 453–469.
HOLLAND M, et al. We are still doing some magic”: Exploring the effectiveness of online therapeutic clowning. Arts and Health, 2022; 9: 1-16.
JACOB G, et al. The beneficial effect of medical clowns on performance of EEG in young children: a randomized controlled study. Eur J Pediatr. 2022; 181(9): 3449-3457.
JAVED T, et al. Medical Clowning: A Cost-Effective Way to Reduce Stress Among Children Undergoing Invasive Procedures. Cureus. 2021; 13(10): e18886.
KANEMOTO Y, et al. Modified clown therapy using traditional Japanese-style costumes for elderly patients in post-disaster Fukushima. QJM: monthly journal of the Association of Physicians, 2019; 112(9): 701-702.
KARNIELI-MILLER O, et al. More than just an entertainment show: identification of medical clowns' communication skills and therapeutic goals. Qual Health Res., 2023; 33 (1-2): 25-38.
KONTOS P e GRIGOROVICH A. Rethinking musicality in dementia as embodied and relational. Journal of aging studies, 2018; 45: 39–48.
KRIEGER Y, et al. Relieving pain and distress symptoms in the outpatient burn clinic: The contribution of a medical clown. Burns: journal of the International Society for Burn Injuries, 2022; 48(3): 654-661.
KURUDIREK F e ARIKAN D. Effects of therapeutic clowning on pain and anxiety during intrathecal chemotherapy in Turkey. J Pediatr Nurs, 2020; 53: e6-e13.
KURUDIREK F, et al. Effects of therapeutic clowning on pain and anxiety during venous blood sampling in Turkey: Randomised controlled trial. Journal for specialists in pediatric nursing : JSPN, 2021; 26(4): e12352.
LALANTIKA V e YUVARAJ S. Being a therapeutic clown- an exploration of their lived experiences and well-being. Current Psychology, 2020; 41(3): 1131-1138.
LOPES-JUNIOR LC, et al. Clown intervention on psychological stress and fatigue in pediatric patients with cancer undergoing chemotherapy. Cancer nursing, 2020; 43(4): 290-299.
MOREIRA JV, et al. A arte do palhaço na educação médica. Revista Brasileira de Educação Médica, 2021; 45(3): e168.
NASCIMENTO AG, et al. Os impactos do estresse e ansiedade na imunidade: uma revisão narrativa. Revista Eletrônica Acervo Saúde, 2022; 15(12): e11330.
PAES CVM, et al. Palhaçoterapia enquanto estratégia de formação para as práticas de humanização do profissional de saúde. J. nurs. health. 2021;11(3): e2111320001.
SIDDIQUI SA e SINGH MV. Therapeutic clowning in pediatric practice: a novel concept to think about in India. Indian Pediatr, 2020; 57(10): 978.
ZULMAN DM, et al. Practices to foster physician presence and connection with patients in the clinical encounter. JAMA, 2020; 323(1): 70.
