How some people are using playlists to prepare for dying

Hazel O'Connor wearing a black jacket and a black dress with her arms outstretched and mouth open performs on stage at Rewind South in 2019Image source, Getty Images
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For years, local DJ Dave Gilmore soundtracked other people's nights out in pubs and clubs.

But now he's curating a uniquely personal playlist - the songs of his own life to carry him through terminal illness.

The list includes both November Rain and Sweet Child O' Mine by Guns and Roses, The Shadows by Apache - which inspired Dave to play guitar - and Pink Floyd's Comfortably Numb.

Hazel O'Connor's 1980 hit Will You? is dedicated to his wife and mother to their two children.

An ode to tentative yet powerful romantic tension, it is known for its saxophone solo - an instrument Dave also learned to play.

"It's our tune from when we got together," Dave explains, tapping his feet.

As the song evokes memories, his wife Kate quietly adds "the fight was worth it."

Dave as a younger man with a brown beard, donning aviators, alongside a picture of him today as a 78-year-old with white hair.Image source, Kate Gilmore/BBC Morning Live
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Dave is curating a playlist of songs from throughout his life to carry him through terminal illness

Moments like this emphasise the power of music to forge everlasting connection.

Its therapeutic benefits are increasingly recognised in palliative and end of life care.

The impact is neurological as well as emotional, explains Sarah Metcalfe, managing director of the Utley Foundation's Music for Dementia campaign.

Brain activity scans show music "lights up" multiple parts of our brain, simultaneously touching physical and emotional sense centres.

"Even if one part of the brain is damaged, those other parts can still be accessed," Sarah says.

Dave, sporting a beard and 80s aviators, in a suit with a blonde-haired Kate next to him in her bridal dress Image source, Kate Gilmore
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Dave and Kate on their wedding day in 1986

UK charity Marie Curie, external surveyed 1,000 adults whose loved ones had received care in the final stages of life.

It found listening to music together helped to create a shared experience that brought them closer, creating a sense of normality and helping them relax.

Kate experienced this first hand. When Dave once returned home after a lengthy hospital stay, he was twitchy and exhausted but unable to sleep.

Out of desperation she turned to Native American music, one of his favourite genres to relax to.

"And then all of a sudden, this agitated, anxious man began to sleep," she recalls.

Diana Schad, a staff nurse at the Marie Curie hospice in Glasgow with 19 years of experience as well as a musician herself, has installed a piano for patients and volunteers to use.

She says it is important to consider the feelings music evokes.

"You've always got to ask yourself, is this what they would like to be feeling at the moment?" says Diana.

How to make a good palliative playlist

1. Focus on music memories between ages 10-30, which is when the strongest associations are formed

2. Include songs connected to special, significant places and important life events - youth, holidays, romance, first dances and wedding songs

3. Consider feelings sparked by songs - these can be just as powerful as memory association

4. Remember that music can trigger memories even for people with conditions like dementia by connecting multiple brain regions. Use resources like BBC Music Memories, external to spark memory recall

5. Be open to unexpected musical connections, like TV show themes or commercial jingles that might hold special meaning

Source: Music for Dementia's managing director, Sarah Metcalfe

Diana, a middle-aged blonde woman, smiling in her blue Marie-Curie nurses uniformImage source, Marie Curie
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Diana, a musician in her spare time, says music plays a pivotal role in end-of-life care

Experts agree that music can reduce anxiety and psychological pain, even when someone is unconscious.

Dr Sam Murphy, senior lecturer at the Open University, specialises in thanatology, the study of death and the practices associated with it.

"There's certainly evidence to suggest that hearing is the last sense to go so even when someone is unconscious or unresponsive, music can still reach them," she says.

"It keeps them connected to their surroundings, to the people they love, and to the sense of being alive and those memories that they've had."

An everlasting comfort in death

Music can be equally helpful to loved ones after a person has passed away.

"I think it's just another distraction for those people that are mourning a loved one," Dr Murphy says. "But there's that comfort in knowing that they're listening to something that their loved one would have listened to over the years."

This is true for Anna-Kay Brocklesby, whose husband Ian passed away from prostate cancer in 2023.

As Ian's health deteriorated, sharing his favourite songs became a crucial part of their family's coping mechanism.

It became a way to keep spirits up and stay positive, says his wife.

"Every morning he would go down and make the tea, he would play. Oh, What a Beautiful Morning from the musical Oklahoma," she says.

"And he would belt it out. He used it as a sort of mindset of, this is how today's going to be".

They would play Frank Sinatra, Nat King Cole, and Elton John songs, which provided comfort and connection.

Two years after Ian died, Anna-Kay still finds comfort in the music they shared together.

"He lives on in us in many, many ways," says Anna-Kay, "but music can take us to a place with Ian".