| Entry Type | Assessment |
|---|---|
| Client/Group | JT |
| Entry Category | Case Study |
| Select your mentor | Steffany Moonaz |
| Intake | |
| Assessment | |
| Proposed number of sessions | 12 |
| Location of sessions | virtual |
| Planned time per session | 60 |
| Presenting Problem | The client was diagnosed with stage IV breast cancer (cancer spread to the liver last year and received chemotherapy. She went into remission and recently breast cancer has come back, but the liver is clear. She appears to suffer from chronic inflammation, although she has not seen a medical doctor about this. Her skin breaks out all over her body (very itchy), extremely dehydrated (need to drink water constantly to keep hydrated) and can only eat limited ingredient diet (only rice and tofu for now). Inflammation gets worse when adding more ingredients into her diet; fibers make her itchy. She also has joint pain (could not sit comfortably during breathing practice). The right side of her body is shorter than the left side. |
| Physical | Breast cancer, chronic inflammation (skin, joint and gut), right side is shorter than left side. Dosha – Vata/Pitta |
| Client/Group goals | She knows that yoga practice (physical and subtle) is helpful, but it is very difficult for her to develop regular practice. Therefore, her goal is to develop regular practice that will help reduce stress and inflammation, fatigue and manage pain. |
| Energetic | Fatigue |
| Emotional | Appeared to be upbeat. She does not worry about her situations (health, financial); she believes that she receives everything that she needs and takes one day at a time. |
| Spiritual orientation and needs | She is extremely spiritual. She grew up with yoga influence (her parents are spiritual leaders). She feels connected with the universe. |
| Intellectual / Sense of self | She believes that the body can heal itself, with enough rest and avoid stress. |
| Yoga philosophy/wisdom research reference(s) | Inside the Yoga Sutras by Reverend Jaganath Carrera I am using these teachings to support her goal of developing a regular practice. When I talked to her, she has a lot of reasons why she does not practice regularly, even though she understands the benefits. |
| Scientific research reference(s), why chosen, how you plan to incorporate 1-3 | 1. Ganit Goren, Doron Schwartz, Michael Friger, Hagar Banai, Ruslan Sergienko, Shirley Regev, Heba Abu-Kaf, Dan Greenberg, Anna Nemirovsky, Karny Ilan, Livnat Lerner, Alon Monsonego, Iris Dotan, Henit Yanai, Rami Eliakim, Shomron Ben Horin, Vered Slonim-Nevo, Shmuel Odes, Orly Sarid, on behalf of the Israeli IBD Research Nucleus, Randomized Controlled Trial of Cognitive-Behavioral and Mindfulness-Based Stress Reduction on the Quality of Life of Patients With Crohn Disease, Inflammatory Bowel Diseases, Volume 28, Issue 3, March 2022, Pages 393–408 I chose the three papers because they focus on mindfulness practices, one in patients with Crohn’s disease and two in cancers patients (#3 study is a review article). The techniques used in these studies include body scan, breath awareness, guided imagery, gentle/restorative yoga, pranayama as well as using yogic philosophy to create healthy way of thinking. The practices increased patients’ quality of life, reducing fatigue, better sleep and modulate immune responses. The techniques listed in these papers can be incorporated into my client’s care plan. Participants in paper #1 also received text reminders to do home practice which I think, will be very helpful for this client. |
| Approval Notice | |
| Questions for Mentor | 1. I have a feeling that getting her to do a home practice will be challenging. Do you have any suggestions on how to get her do home practice consistently? Perhaps, I can ask her to practice mindfulness while doing her daily routine, e.g., washing dishing, eating, instead of having a formal practice. |
| Care Plan | Outline should be a practice adapted to the needs of that client/group, including:
Your care plan proposal should be approved by the mentor before session 2 if possible, or 3 if approval is delayed by mentor. |
| Session | |
| Session Instructions (Not Mentoring) | Your session outline should be a practice adapted to the needs of that client, including:
Tools from each module should be used (not on each client – but overall) |
| Final Client/Group Report | After seeing your client/group (for at least 4 sessions including interactive intake) Please remember practicum is a learning experience. You’ll learn more from sharing what’s accurate than from what might “look good”. Things you did well, not so well, problems and questions are all valid and useful tools to teach you. We can’t serve you to become the best clinician you can be if you don’t share your challenges and mistakes. Success is anything from which you learn. You can continue to add Session entries after submitting this Final Client/Group Report. |
| Report briefly on each Kosha below | Progress toward wellness or worsening reported by the client/group or that you observed in the following areas |
| Additional Information | |
| Personal reflection from doing client/group. | |
| Notify Mentor? | Do not notify Mentor (choose if you wish to continue working on this entry later) |
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