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Entry Type	Individual Yoga Therapy Session
Client/Group	MACK
Entry Category	Case Study
Select your mentor	Brahmi 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 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	08/14/2024
Session Number	3
Total Session Minutes	75
Homework assignment to client/group	Homework assignment to client/group 1. Balancing Exercise (one leg standing with knee 90 degrees angle) 2. Heel-to-toe walking 3. Heel-dropping exercise 4. Alternate nostril breathing 5. JAPA Meditation with Alternate Nostril Breathing, suggested combining his 10-minute daily practice with the affirmation, “I am not limited by my body’s condition”. 6. Gentle stretches in bed before getting up 7. Neck/shoulder stretch - neck movement needs to be very careful
Activities	It has been three weeks since we last met, as Mack was recovering from COVID and experiencing symptoms such as shortness of breath and fatigue. He has emailed me to say he is ready to resume the session. He reported that over the past week, he practiced several exercises including heel drop exercises, heel-to-toe walking, and alternate nostril breathing. Heel-to-toe walking has been challenging for him. I suggested that he ask family members for support with this exercise. He reported experiencing body pain when getting up in the morning, so I suggested doing gentle stretches in bed to help alleviate the discomfort. I began by leading a few minutes of three-part breathing to relax both his body and breath. Then moved to physical practices that included neck and shoulder stretches combined with slow breathing, JAPA, and balancing exercises. I demonstrated some gentle seated poses that he can practice in bed. To help him relax further, I offered a session of yoga nidra while seated in a chair and we practiced alternate nostril breathing together.
Client/Group progress summary	Mack reported that deep breathing is helping Mack to go back to sleep after waking up several times a night. One leg standing while holding a countertop is improving his balance gradually.
Reflection and self-evaluation	My other client has stiff person syndrome and other conditions, but this is the most challenging case for me so far. I believe he moves more, and he feels better. I added some gentle stretches in the bed, he appears to enjoy them and is trying his best
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	I will continue to follow this care plan for the next several sessions as he can execute most of his homework assignments and they are working well.
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