
Arts in Residential Care: Creative responses to grief and loss
Irish Hospice Foundation launched the fourth round of its Seed Grant programme in 2024, this time focusing on creative exploration and responses to grief and loss in residential care. Awardees included activity co-ordinators, artists, clinicians, educators, and academics, aligned with nursing homes in Limerick, Louth, Clare, Cavan, Donegal and Dublin.
The programme took place in collaboration with Caru — a continuous learning programme for care and compassion at end of life in residential care.
Participants
Irish Hospice Foundation’s Seed Grant programme is designed to encourage creative exploration and conversations about death, end of life and dying, bereavement and grief, through micro-financing and mentorship.
Following a public call-out for submissions, six projects were selected to align with Caru’s ambition to support and improve delivery of compassionate, person-centred palliative, end of life, and bereavement care to residents, loved ones, and staff in nursing homes. Each was led by a local artist-facilitator with the requisite skills, interest, experience, and qualifications.
Artist-facilitators also joined Irish Hospice Foundation’s ever expanding nationwide Peer Network for capacity building, and connected with quality improvement, staff engagement, care competencies, and bereavement support training before commencing.
Each project highlighted a particular aspect and all were mentored throughout by Elizabeth Hutcheson and Irish Hospice Foundation’s Arts and Cultural Engagement Team. Additional support was provided by the Caru Regional Lead for the relevant Community Health Organisation area.
Aims
The starting point was a collaboration with Caru. The goal was to include the whole community — residents, staff, management, and loved ones — in creatively responding to grief and loss.
A twin goal was to demonstrate how creative work can mitigate the impact of the myriad of griefs and losses associated with residential care. These range from loss of home, pets, relatives, possessions, privacy, independence, friends (both old and new), to planning one’s own end of life, and everything in between. And for staff – enduring the inevitable, and repeated, death of residents.
Methods
Projects developed between June and November 2024 using a wide variety of creative practice to encourage and facilitate safe conversations about end-of-life planning, dying, death, grief, and loss. This is reflected in the use of song, drama, film, writing, poetry, movement, storytelling, mosaics, collage, and painting.
CAVAN | Esker Lodge Nursing Home – Moving Forward with Grief
Multi-disciplinary community artist Helen Keenan facilitated drawing and movement classes with residents, including those living with an Alzheimer’s diagnosis, aimed at engaging the mind, body, and spirit to process emotions.
CLARE | Ennis Road Care Facility – Healing and Remembrance Space
Lisa Hester (PhD) collaborated with residents and staff to re-purpose an underused prayer room into a therapeutic multi-purpose area for the whole community. This followed a series of workshops utilising multiple artforms, from patterning to painting to Lego to montage. Relatives also attended these workshops, including grandchildren.
DONEGAL | Brindley Manor Nursing Home – Roots of Remembering
Led by artist-facilitator Rebecca Strain, residents and staff collaborated to create a ceramic memory tree while exploring experiences of dying, death, grief, and loss. This has been installed at the entrance to the resident’s sitting room for all to enjoy and appreciate.
DUBLIN | Our Lady’s Hospice & Care Services – Unveiling Shadows
Performance artist Gabrielle Breathnach facilitated drama-based classes for residents to prompt conversations about memories, dreams, and aspirations. These were turned into performances directed by residents and acted out by Gabrielle and Activity Co-ordinator Dolly Dolorito.
LOUTH | Sunhill Nursing Home – In My Thoughts
Director of Nursing, Elaine Moloney, commissioned painter Rozzi Kennedy and writer Sarah Hope Guppy to work with residents and staff in exploring the impact of the myriad of griefs and losses associated with nursing homes, and in particular the death of a resident.
LIMERICK | Milford Nursing Home – Milford Voices Choir
Activity Coordinator Michelle Clifford formed a whole community choir led by residents to share experiences of dying, death, grief and loss through song choices aimed at fostering wellbeing.
Artistic Outputs
Each project produced artistic outputs that will continue to inspire, thrive, and evolve.
Examples include drawings, a mosaic, a remembrance space, legacy gifts / messages, and a song collection. Residents from Sunhill Nursing Home produced a booklet of memories, poems, and drawings, giving a glimpse into never forgotten bereavements and bygone eras.
Short documentary films about each project were also produced, along with an overview from Sharon O’Brien of Caru explaining how they allowed residents to tap into their creativity while safely exploring loss and grief. These are available on the Irish Hospice Foundation website.
Evaluation Methodology
Artist-facilitators completed anonymised evaluation surveys at the start and end of their projects. These showed 95% of all facilitators would highly recommend this programme, with all involved citing the significant impact on staff, residents, and loved ones.
Alongside this, skilled filmmakers Arcade Film enabled residents, staff, artist-facilitators, and relatives to speak for themselves.
Evaluation Outcomes
The results from this programme show that creative practice in all its forms can enhance the lives of participants, including those living with an Alzheimer’s diagnosis. As Kay Chawke, Director of Nursing Therapy and Social Care at Milford Nursing Home, told us about their Voices Choir:
“When people think of healthcare, they often think of direct interventions such as physio and medication. Other interventions, such as music, can also be effective. However, even knowing this, I was amazed at what’s been achieved. At one rehearsal, I noticed a relative was tearful. When I asked if he was ok, he said his wife, who has severe memory loss and no verbal skills due to Alzheimer’s, was singing — actually singing — the words of a once familiar song found somewhere deep in her memory.”
The projects also demonstrate how the vast majority of residents welcomed the opportunity to discuss dying, death, grief and loss, along with end-of-life planning. Or, as one Activity Coordinator told us: “The floodgates opened.”
These brief projects eased boundaries between staff, residents and families. They had a positive catalytic effect on workplace culture. United in a creative hour or so, conversation flowed. Visiting families discover something to do together. Staff and patients gained richer understanding of each other as people. Creative work allowed subjects of death and dying, which everyone in residential care is thinking about but few were articulating, to be aired, for the benefit of all, reducing the stress and anxiety of unspoken fears.
Documentation and Dissemination
In alignment with National Arts in Nursing Homes Day 2025, Irish Hospice Foundation and Caru shared each project’s documentary film on social media, garnering widespread audience engagement.
Films were shared with delegates at the EU Grief Conference, a sector expert event led by Bereavement Network Europe, the RCSI University of Medicine and Health Sciences, and the Danish National Center for Grief, in Croke Park in 2024.
The seed projects were featured in Irish Hospice Foundation and Caru’s quarterly newsletters and showcased at the Caru National Network webinar ‘Building a Compassionate Workplace Culture in Nursing Homes’ in November 2024. A presentation on how to replicate the programme was also given, and a ‘Funding and Resources’ document circulated.
Source: www.artsandhealth.ie (1 December, 2025)

Wellbeing Is More Than Feeling Good: What Cultural Mediation Can Learn from Psychology
When we speak about wellbeing, we often speak in simplified terms. We ask whether people feel happy, satisfied, positive, or emotionally balanced. These are important questions, but they may not be enough. Carol Ryff’s influential 1989 article challenged exactly this narrow understanding of wellbeing and argued that psychological wellbeing is much broader than happiness or life satisfaction alone .
For those of us working in cultural mediation and adult learning, this insight remains deeply relevant. If culture is to contribute to wellbeing, then its role cannot be limited to entertainment, distraction, or temporary emotional uplift. Cultural experiences can also support meaning, connection, growth, dignity, and agency.
Beyond Happiness




























