The purpose of this prospective, crossover randomized study is to explore the efficacy of two music therapy protocols on pain, anxiety, and muscle tension levels throughout the debridement process in individuals hospitalized with moderate to severe burns.

The study is a prospective, randomized crossover clinical trial conducted on a 14-bed inpatient comprehensive burn care center. The purpose of this study is to investigate the efficacy of Music-Based Imagery (MBI) and Music Alternate Engagement (MAE) for pain and anxiety management for burn patients throughout the debridement process.

Inclusion Criteria:

• Patient is admitted for at least three days (excluding day of admission)
• Patient is at least seven years old
• Patient is able to communicate, i.e. awake and alert
• Patient is oriented

Exclusion Criteria:

• Patient admitted for/less than three days
• Patient under seven years of age
• Patient not able to communicate, i.e. sedated and/or intubated
• Patient is not oriented, i.e. active psychosis, hallucinations, delusions, late-stage Alzheimer's or dementia diagnoses