Entry TypeFinal Client Report
Client/GroupEG
Entry CategoryCase Study
Select your mentorBrahmi Romero
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 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.
Number of sessions completed4
Date you started seeing client/group05/28/2024
Total hours of all Yoga Therapy sessions with this client/group to date5.30
Adjustments and adaptations you made to your care plan,

Yes, I make sure that I don’t give client any asana that tilts her chin upward because that causes discomfort in her neck. I adapt asana’s that move the head upward.

Client/Group Goals

Client wants to totally relax.

Client is learning to relax more and worry less. Reframed Yoga Sutras have helped in this respect, and so have the guided meditations. She really likes the guided meditations and the Chair Yoga.

Report briefly on each Kosha belowProgress toward wellness or worsening reported by the client/group or that you observed in the following areas
Physical level

Client really likes practicing chair yoga and is able to do it without difficulty. She is also practicing the joint freeing movements that she has learned in our sessions – especially those for the hands where she has arthritis in one of her thumbs.
Client is also walking 20 minutes everyday.

Energetic level

Client’s energy is good. She is a very functional senior citizen. Client breaths normally. Client has been taught Deergha Swaasom but does not do it on her own time. She does it in the Yoga Therapy session.

Emotional

She responded well to learning about Stress Response education and understands that we produce internal stress. Client would worry about her grandchildren but she is learning to be less emotional less worried about them and leave them in God’s hands. Thus, she understood that she makes her own stress when she worries about them. She is happy to be able to meditate and become calm and then in that calmness pray for them.

Client gets occasional external stress but she is learning to keep her calm.

Intellectual / Sense of self

To begin with the client’s sense of self was good. She is a religious person and goes to church several times a week. At church they do a meditation and she feels closer to God.

Spiritual orientation and support plan

Client was not looking for spiritual orientation from Yoga Therapy. But client has been very open to being guided in meditation on the image of Jesus Christ. In fact, it seems that she really likes this practice.
The combination of the meditation she does several times a week at her church in a group, and the guided meditation we do together, and the prayer she does before going to bed – she is meditating probably almost every day in the week.

I do not use Yoga terms with this client. I have discussed with her how the mind works using the wisdom teaching of Sutra I.2, I.3 and I.4 with reframed everyday language and I have found that the client is responsive.

Additional Information
Feedback received from client/group, anecdotal or written

Client says she likes all of the practices.

She was very open to the guided meditation on Jesus Christ and his love and white light coming from him, as depicted on one of her favorite pictures.

Client says that she is sleeping longer now that she is taking a shower at night and turning off the tv earlier.
Client appreciated the information on the scientific research study that found that yoga (MBSR) decreased by 15% cholesterol levels in older adults who were at risk for coronary artery disease.

Sample of homework given between sessions (after initial homework)

All joint freeing movements given thus far for Scapula/Shoulders, Arms and Hands/fingers.

Chair Yoga:
o Standing half-locust
o Seated cobra
o Seated side bends
o Forward bend with spinal stretch
o Spinal flexion and extension
o Spinal twist

Meditate on Jesus Christ and being surrounded by White Light, followed by prayer every night before going to bed.

Personal reflection from doing client/group.
Rough estimate of time spent in preparation and follow up documentation per session1.5 hours.
What you would change with benefit of hindsight

If I could, I would like to communicate with her on-line but she does not do this, thus I have to give her the homework verbally. It has been working out.

Questions, problems, areas in which you’d like more support

I have to speak in Spanish to this client so this was not easy at times because although I am pretty fluent, I don’t know everything and sometimes I forget words in Spanish.

I felt I got the support that I needed when my mentor told me to ‘tread cautiously here’ because the Catholicism had advised the client that Yoga was bad because it makes the mind blank. I found it a great challenge.

Did you enjoy your service?

Yes. I met this client at the Senior Center where I occasionally taught Chair Yoga and she loved it and wanted more. When I had to do the practicum, I asked her if she would be interested in being my client. At that time, I did not know she was a very religious person.

It has been a very good experience to work with a very religious client and find her to take in the Yoga practices that we did very well. It helped that we knew each other and she had taken the Chair Yoga with me. Of course, I carefully reframed Yoga, and when possible, I would show her how her religious teachings were similar to Yoga.

I also enjoyed doing Yoga Therapy in person with her.

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