She used to exercise more (elliptical, treadmill), but now because of AFIB, she is more conscious. During the assessment, I noticed: that her neck and hamstrings were tight, she cannot twist much because of her fused spine (she had back surgery and removed 7 discs from her thoracic spine when she was 12 years old), she has a dry mouth that according to her is a side effect of a medication she had for Afib that caused also toxicity on her lungs, and she can’t spread her toes much (I advise her feet massage with essential oils at night, which is good for her vata condition and she can pull her toes to massage her fascia and spread them more. The balance begins on the toes. She said she feels some balance problems. Sometimes she feels shortness of breath and lightheadedness because of AFIB.
When she wrote her intake, she didn't know she had osteoporosis. She received the DEXA scan result some days ago with osteoporosis in the lumbar spine (2.7) and hip (2.8), and osteopenia in the femoral neck (2.3).
She went to the ayurvedic doctor and he said she is a vata type, so she is overactive in many ways: she has spasms in her back, Afib, and her mind is very active. She is doing abhyanga and is so dry that she doesn't need to shower after having oil on her body. After beginning abhyanga, she is sleeping better. The ayurvedic doctor also recommended that she sleeps earlier, because the body heals from 10 pm to 2 am. She still feels an "excruciating" pain on her left side. She said she would schedule a massage in a place that I suggested. She said she has more pain and spasms when her back is not supported, it's why she thinks she needs more strength in the back muscles. I agreed with her. Strengthening and stretching.
We talked about the recommendations of her doctor so that we could find ways to work together.

She felt lightheaded after practicing uttanasana with her arms on the chair. I asked her to practice it slower, taking stops while she came up from the asana, inhaling and exhaling more times if necessary. Then she did it and everything was fine.
She generally doesn’t have fatigue but needs to nap in the afternoon for about 30 minutes to restore her energy.

She is very balanced emotionally, but she said she doesn’t know if she is suppressing emotions, because it could be the cause of AFIB, as she doesn’t have this disease in her family. Her husband is a veteran and has PTSD, which could cause some stress. This is something to observe, although is not proved that stress can cause AFIB. “Stress, anxiety, and depression are bad for your heart, but whether they trigger AFib is debated.” https://www.mayoclinic.org/diseases-conditions/atrial-fibrillation/in-depth/atrial-fibrillation-managing-stress/art-20118647

Member of Self Realization Fellowship, practice Kriya yoga meditation, devotee of Paramahansa Yogananda.

Intellectual stimulation: she likes reading Paramahansa Yoganada’s teachings, knitting, and training her dog. She likes to read and study about her health too. She said she tries to control her thoughts during meditation, her mind is very active. She is reading "The Power of Breath" from swami Saradananda and "Ayurveda, replenish your soul" from Gita Vara.

During the assessment, I told her that she has the power of healing inside of her and that I am just there to facilitate her search and find this within herself. The disease is a disruption in our knowing that we are the Atman.

” … all living beings, are seated as on a machine made of the material energy.” Bhagavad-gita 18.61

“Never was there a time when I did not exist, nor you, nor any of these kings; nor in the future shall any of us cease to be.” Bhagavad-gita 2.12

“That which pervades the entire body is indestructible.” Bhagavad-gita 2.17

Atrial Fibrillation: How Can Yoga Help?
https://yogauonline.com/yoga-and-healthy-aging/yoga-for-heart-disease/yoga-and-atrial-fibrillation/
Atrial Fibrillation Patients: Guide on how to get started with yoga

Atrial Fibrillation Patients: Guide on How to Get Started with Yoga

5 Heart-Health Benefits of Yoga
https://www.everydayhealth.com/atrial-fibrillation/treatment/heart-health-benefits-yoga/
The Yoga-Heart Connection
https://www.hopkinsmedicine.org/health/wellness-and-prevention/the-yoga-heart-connection

Pubmed
Effect of Yoga on Arrhythmia Burden, Anxiety, Depression, and Quality of Life in Paroxysmal Atrial Fibrillation: The YOGA My Heart Study
https://www.sciencedirect.com/science/article/pii/S0735109713000442?via%3Dihub#sec6
Atrial Fibrillation Specific Exercise Rehabilitation: Are We There Yet?
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9029299/
Impact of Yoga on Cardiac Autonomic Function and Arrhythmias
https://pubmed.ncbi.nlm.nih.gov/33024508/
Modulation of the autonomic nervous system through mind and body practices as a treatment for atrial fibrillation
https://pubmed.ncbi.nlm.nih.gov/31601087/
A Review on Role of Yoga in the

I added 90 minutes to this assessment after we had 2 calls, on July 12 (30 minutes), and on 27 July (60 minutes).

• Check in, centering, balanced hatha yoga set considering contraindications, relaxation (with imagery as appropriate),
• Balanced pranayama considering contraindications, meditation/centering.
• Include at least one suggestion from Karma, Bhakti, Raja, or Jnana Yoga tailored for this client.