The client is on his way to recovery. He occasionally is lightheaded. He is active – exercise on a regular basis, The length and intensity of the exercise depends on how he feels physically.

Low energy at times but is better than when he received chemotherapy.

He is optimistic about the outcome of the treatment, but still has a moderate level of stress due to the fear of cancer coming back.

He is spiritual, but not religious. He loves being in nature and is feeling connected with nature.

Sense of responsibility to his family and want to maintain overall well-being.

1. Yoga Sutra of Patanjali by Swami Satchidananda
2. Inside the Yoga Sutras by Reverend Jaganath Carrera.

Book 1, sutra 16: When there is nonthirsty for even the gunas due to realization of the purusha, that is supreme nonattachment – non-attachment is based on the realization that peace, happiness and fulfillment come from within.
Book 2, sutra 42 – By contentment, (Santosha) supreme joy is gained. (contentment) and Brahmacharya (the right use of energy).
Book 2 sutra 2.54 – When the sense withdraws themselves from the objects and imitate, as it were, the nature of the mind-stuff, that is pratyahara. In Reverend Jaganath’s book, he stated that ‘control of the sense is attained not by pulling the mind away from the sense object but by redirecting attention toward something elevating’. The benefit of this is non-attachment and ultimately sattvic mind.

1. Lin PJ, Altman BJ, Gilmore NJ, Loh KP, Dunne RF, Bautista J, Fung C, Janelsins MC, Peppone LJ, Melnik MK, Gococo KO, Messino MJ, Mustian KM. Effect of Yoga and Mediational Influence of Fatigue on Walking, Physical Activity, and Quality of Life Among Cancer Survivors. J Natl Compr Canc Netw. 2023 Feb;21(2):153-162.e2. doi: 10.6004/jnccn.2022.7080. PMID: 36791754; PMCID: PMC9990873.
The study shows that yoga (4-week program, twice sessions/week) that include asana, breathing practice and mindfulness exercise improves cancer related fatigue in cancer survivors. The study used the Multidimensional Fatigue Symptom Inventory-Short form (MFSI-SF) for assessment. The limitation of the study is the lack of diversity of the cancer population (the participants are white, female breast cancer survivors) and no comparison with active placebo. Therefore, it is possible that the findings cannot be translated for my client.

2. Kaur G, Prakash G, Malhotra P, Ghai S, Kaur S, Singh M, Kaur K. Home-Based Yoga Program for the Patients Suffering from Malignant Lymphoma during Chemotherapy: A Feasibility Study. Int J Yoga. 2018 Sep-Dec;11(3):249-254. doi: 10.4103/ijoy.IJOY_17_18. PMID: 30233121; PMCID: PMC6134742.
The study assessed the feasibility of a home-based yoga program for patients with malignant lymphoma. All participants were receiving chemotherapy during the study. The study provides detailed information of asanas and pranayama included in the program which I can adapt to the care plan.

3. Cohen L, Warneke C, Fouladi RT, Rodriguez MA, Chaoul-Reich A. Psychological adjustment and sleep quality in a randomized trial of the effects of a Tibetan yoga intervention in patients with lymphoma. Cancer. 2004 May 15;100(10):2253-60.
The paper demonstrates that seven weekly Tibetan yoga class (combination of movement and breath) that include control breathing and visualization, mindfulness, and movements improves sleep quality in lymphoma patients.

• 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.