Entry TypeAssessment
Client/GroupPD-Group
Entry CategoryIntended Case Study
Select your mentorSarala Evans
Intake
Assessment
Proposed number of sessions6
Location of sessionsLemont, PA
Planned time per session75
Presenting ProblemPrimarily symptoms of Parkinson’s disease (PD). Stiffness, muscle tightness, tremors, limited ROM in all movements of the spine, sore muscles, fall risk/balance issues, lack of focus/concentration, anxiety, compromised proprioception, flat affect..
Physical

Same as above in Presenting Problem section, plus osteopenia, osteoporosis, knee replacement, rotator cuff tendonitis, shuffling gait, hearing loss.

Client/Group goalsImprove balance. Increase flexibility. Ease stiffness and reduce muscular pain. Improve strength. Reduce tremors. Halt or slow the progression of Parkinson’s disease.
Energetic

Fatigue, anxiety.

Emotional

Loss, fear of future as disease progresses.

Spiritual orientation and needs

Varies with the individual. Some more connected to a higher power/the divine than others. All agree there is a power greater than our human capabilities.

Intellectual / Sense of self

Diminished ability to focus, attention dissipated. Identity brought into question as prior abilities, both physical and intellectual, are diminished with disease progression. Ability to speak and communicate is diminished. Cognitive decline.

Yoga philosophy/wisdom research reference(s)

• Patanjali’s Yoga Sutras, Sutra 1.23, Boundless love and devotion unite us with the divine consciousness. Translation: Devi, Nishala Joy, The Secret Power of Yoga, Harmony Books, 2022.
Introduction to Bhakti yoga, the path of devotion. Offer this teaching as a means of focusing our attention on the things we value the most, having faith in a higher power.
• Kraftsow, Gary, Yoga for Transformation, 2002, Penguin Compass.
Practices to teach the koshas as a means of removing the veils covering the soul.

Scientific research reference(s), why chosen, how you plan to incorporate 1-3

• Contraindications. Avoid quick movements, limited forward folding, limited shifting weight backwards (retropulsion is a common PD symptom.)

• To integrate physical and cognitive abilities, initiate controlled, fluid movement and improve proprioception.
Buccino G. Action observation treatment: a novel tool in neurorehabilitation. Philos Trans R Soc Lond B Biol Sci. 2014;369(1644):20130185. Published 2014 Apr 28. doi:10.1098/rstb.2013.0185 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4006186/

• Argue, John, Parkinson’s Disease and the Art of Moving, 2000, New Harbinger Publications, Inc.
Movement sequences designed for people living with Parkinson’s adaptable to yoga.

• Integral Yoga Basic Teacher Training manual. Pranayama section, pp 327-330.
Comprehensive method for introducing pranayama benefits and techniques.

• Prizer, Lindsay Penny, Benzi M. Kluger, Stefan Sillau, Maya Katz, Nicholas Galifianakis, & Janis M. Miyasaki. "Correlates of spiritual wellbeing in persons living with Parkinson disease." Annals of Palliative Medicine [Online], 9.Suppl 1 (2020): S16-S23. Web. 14 Jul. 2024
Validates benefits of spirituality in improving quality of life and coping with Parkinson’s disease.

Approval Notice
Your care plan should be approved by your mentor, with any amendments they suggested, prior to your remaining Yoga Therapy sessions.
Questions for Mentor

None right now. I’ll likely have plenty as the series progresses.

Care PlanOutline should be a practice adapted to the needs of that client/group, including:
  • Check in, centering, balanced hatha yoga set considering contraindications, relaxation (with imagery as appropriate),
  • balanced pranayama considering contraindications, meditation/centering.
  • Please include at least one suggestion from Karma, Bhakti, Raja, or Jnana Yoga tailored for this client/group.
  • Over time, we want to see something from each branch, selected, adapted and re-framed appropriately. Tools from each module should be used (not on each client/group – but overall)
The outline should show the sequence of practices as you plan to offer them.
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:
  • 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.
Over time, we want to see something from each branch, selected, adapted and re-framed appropriately.
Tools from each module should be used (not on each client – but overall)
Final Client/Group ReportAfter 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 belowProgress 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?Notify Mentor of Updates/Completion