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Entry Type	Individual Yoga Therapy Session
Client/Group	KH
Entry Category	Case Study
Select your mentor	Steffany Moonaz
Intake
Assessment
Approval Notice	*Your care plan should be approved by your mentor, with any amendments they suggested, prior to your remaining Yoga Therapy sessions.*
Care Plan	Outline 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)
Session Date	07/14/2024
Session Number	1
Total Session Minutes	90
Homework assignment to client/group	• Practice breath of Joy in the morning. • Stretching throughout the day (set alarm to do a few minutes of stretching or walk) – she does computer work all day. • Take note of her energy level and not overdo it – spoon theory.
Activities	The client has a history of lower lumbar disk compression (bulging disk), now generally reduced flexibility, especially of the hips and knees. She has low energy and experiences fatigue. The session focuses on building strength and flexibility and addresses fatigue. • Check in – PROMIS Global Health assessment • Centering – body scan and breath awareness • Joint movement to increase flexibility and mobility: head & neck, seated cat & cow, later bend, shoulder rolls, hip circle, knee, ankles and toes. • Breath of Joy for energizing • Mountain • Sun salutation with chair support • Tree with chair support • Warrior 2 • Triangle • Pelvic tilt • Dynamic bridge • Cobra • Bound angle • Seated forward fold • Leg up the chair • Supine twist • Savasana – Integral yoga format • Three-part breathing • Alternate nostril • Meditation – uplifting words or phases
Client/Group progress summary	From PROMIS Global Health assessment, the scores for physical and mental health are fair. The client reports severe fatigue. Other aspects (general health, QOL, ability to carry out daily activities) are good.
Reflection and self-evaluation	The client does not have a lot of energy. I was going to include prank pose for building upper body strength, but after three rounds of sun salutation (with chair support, prank with chair on a chair), I felt that she had enough of upper body work. Therefore, we skip prank. I did not include fatigue assessment in this session but will use PROMIS_SF_v10_Fatigue_10a in session 2 to assess fatigue level. The client is motivated to feel better both physically and mentally; however, she tends to overexert herself and needs to remind herself to be gentle to the body (ahimsa) and not go beyond her energy limit (brahmacharya).
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.
Plan for next session	• Centering – body scan and breath awareness • Joint movement – shoulders, spine and hips • Breath of Joy • Sun salutation with chair support • Table and leg lift • Downward dog • Child – modified upward dog dynamic • Thread the needle • Cobra • Alternate arm and leg lift • Bridge • Supine hand to big toes (with a strap) • Supine pigeon • Heal fly • Seated forward fold • Seated Twist • Savasana – guided imagery • ‘Ha’ breath for energizing • Alternate nostril • Meditation – uplifting words
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)