| Entry Type | Assessment |
|---|---|
| Client/Group | Karen C |
| Entry Category | Case Study |
| Select your mentor | Brahmi Romero |
| Intake | |
| Assessment | |
| Proposed number of sessions | 4 |
| Location of sessions | Online |
| Planned time per session | 60 |
| Presenting Problem | Karen's primary presenting problems include chronic lower back pain, poor sleep quality, and significant stress related to caregiving responsibilities for her handicapped son and elderly mother. Despite losing 60 lbs recently and experiencing some improvement in her sleep and mobility, she continues to struggle with interrupted sleep, occasional pain, and high stress levels. |
| Physical | Karen experiences chronic lower back pain due to pinched nerves in her lumbar spine, with pain radiating down her legs. She takes Tylenol 1-2 times/day. She has a history of a left hip replacement, now healed, which has improved her mobility. She could not get up from the chair before surgery, but now she can get up slowly and walk. Karen has lost 60 lbs since September, positively impacting her sleep apnea. She used to eat more when stressed, but she now watches her food intake and maintains healthy eating habits. She exercises infrequently and struggles with adequate hydration. Her physical needs include managing lower back pain, increasing physical activity, improving hydration, and maintaining her weight loss. |
| Client/Group goals | Karen’s primary goal is to alleviate chronic lower back pain due to pinched nerves. Also she would like to manage/reduce her stress and maintain her weight loss. |
| Energetic | Karen has the most energy in the morning but experiences significant fatigue due to poor sleep quality. Despite the improvement in sleep apnea following her weight loss, she still struggles with interrupted sleep. Her energy levels fluctuate throughout the day, impacting her overall productivity and well-being. To enhance her energy level, she needs to improve her sleep pattern which is not easy for her due to taking care of her handicapped son, regular physical activity, and stress reduction tools that can help stabilize her energy levels. |
| Emotional | Karen's emotional well-being is heavily impacted by the high levels of stress and concerns associated with her caregiving responsibilities for her handicapped son and elderly mother. She has shifted from using food to cope with stress to relaxing and praying. However, her stress remains significant, leading to occasional irritability. Her emotional needs include effective stress management strategies and improving sleep quality. |
| Spiritual orientation and needs | Karen identifies as a Christian and regularly attends church, finding meaning and purpose in her faith. She values her connections with family, pets, and her church community, and she is often participates in volunteer activities such as food distribution. Despite her strong faith and community involvement, Karen seeks deeper connections and more meaningful engagement. Her spiritual needs include continued participation in church activities, opportunities for meaningful volunteer work, and practices that enhance her sense of purpose and connection. |
| Intellectual / Sense of self | Karen is not currently engaged in any specific intellectual activities or learning but expresses a desire to learn stress management techniques. Her intellectual stimulation comes from her interactions during volunteer work. Her sense of self is rooted in her roles as a registered nurse, caregiver and community member, with a focus on being cheerful and kind. |
| Yoga philosophy/wisdom research reference(s) | What: Ishvara Pranidhana Or by devotion with total dedication to Isvara 1.23 Ishvara Pranidhana is one of the five Niyamas (observances) in Patanjali’s Yoga Sutras. Why: Since Karen believes in Christian faith and volunteers at church, this teaching can provide her with a sense of peace, and purpose of life. |
| Scientific research reference(s), why chosen, how you plan to incorporate 1-3 | What: Hatha Yoga, Breathing Practice Why: Hatha yoga poses help to alleviate chronic lower back pain and improve digestion. https://www.medicalnewstoday.com/articles/pinched-nerve-in-lower-back#exercises https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9889201/ spinal twist |
| Approval Notice | |
| 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? | Notify Mentor of Updates/Completion |
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