| Entry Type | Assessment |
|---|---|
| Client/Group | Virginia N |
| Entry Category | Case Study |
| Select your mentor | Brahmi Romero |
| Intake | |
| Assessment | |
| Proposed number of sessions | 3 |
| Location of sessions | Sherm Family Chiropractic |
| Planned time per session | 90 |
| Physical | Client moves cautiously - has history of several significant falls and holds fear of falls in the future, especially with osteoporosis diagnosis. Currently one area of pain that stands out is the left foot, following bunion surgery. Client has challenges with getting up and down. |
| Client/Group goals | Reduce pain, increase strength and flexibility, with the hope of improving/increasing bone density and reduce risk of fracture |
| Energetic | Client described overall drop in energy over the past two years - change experienced following foot surgery. Client describes sensitivity to anesthesia during surgeries, beginning with the emergency c-section for the birth of her son, and feels her energy has dropped a little with every surgery, not returning to the previous level. During breath assessment did not see indications of reverse breathing, but little abdominal movement during diaphragmatic breathing. Client in intake described breathing as shallow, and that she gets light-headed when she intentionally tries to breathe deeply - perhaps too much emphasis on the inhale? Sleep is sometimes disrupted due to hip pain or charlie horses. |
| Emotional | Client presented somewhat tamasic, and described difficulty getting motivated when her energy is low and she is in pain, and gets discouraged when she has projects she would like to work on, but lacks the energy to work on or complete them. Client enjoys nature, animals, activities - in particular pickleball, which she would love to be able to play again without fear of falling. |
| Spiritual orientation and needs | Client finds purpose and meaning in "helping others" - enjoys connection with husband, son and close friends. |
| Intellectual / Sense of self | Avidya - Client has awareness of deeper purpose, yet still identifies strongly with the body - can explore awareness of being more than the body |
| Yoga philosophy/wisdom research reference(s) | Sutra 2:46 ( Nischala Joy Devi) - The natural comforts and joy of our being is expressed when the body becomes steady. I love how she words this sutra on sthiram and sukham, knowing the client is looking for stability and steadiness with the hope of finding ease and reducing fear and finding trust in her body. |
| Scientific research reference(s), why chosen, how you plan to incorporate 1-3 | Dr. Fishman's 12 Yoga Poses for Osteoporosis: https://journals.lww.com/topicsingeriatricrehabilitation/fulltext/2016/04000/twelve_minute_daily_yoga_regimen_reverses.3.aspx#:~:text=Poses%20of%20the%20DVD%20from,foot%20I%2C%20(9)%20Supta https://www.health.harvard.edu/womens-health/yoga-another-way-to-prevent-osteoporosis My intent is to modify these wall-supported, encouraging the client to be mindful of engaging her left big toe in particular. Looking at exercises following bunion surgery, will add joint activation for the feet and ankles, with toe extension. |
| Approval Notice | |
| Questions for Mentor | Are you aware of sensitivities to anesthesia (Propofol) that cause long-term reduction in energy? |
| 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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