Entry TypeFinal Client Report
Client/GroupVirginia N
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 completed3
Date you started seeing client/group07/22/2024
Total hours of all Yoga Therapy sessions with this client/group to date6
Adjustments and adaptations you made to your care plan,

I did devote much more time strictly to asana practice in our second session because of the client's travel plans. While she has been exposed to pranayama in chair yoga, I would have liked to spend more time overall in our sessions with pranayama, raja and japa.

Client/Group Goals

Client is reporting seeing progress in her asana practice - more stability and balance, along with an increase in perceived strength. Measurable improvements in bone density will not be identified until client's next DEXA scan.

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 is reporting a reduction in musculoskeletal pain in the left hip, and while still a "work in progress," improvements in balance on her left side, where she still "can't feel" her left big toe following bunion surgery.

Energetic level

I have not observed as much change as I would like to see on this kosha. As the client would like to continue meeting, I'm hoping to invest more time in working with the pranayama kosha, and in general connecting the client more deeply with the subtler koshas beyond the anamaya. Client has demonstrated more abdominal movement in dirga swasam.

Emotional

While client seems able to connect with and regulate emotions, still presenting towards rajasic - reflected in cadence of speech, flow of thoughts, focusing on experience of discomfort in the physical body. Saw a move towards sattva following shavasana and yoga nidra on the floor.

Intellectual / Sense of self

I feel the client has awareness of the vijnanamaya kosha, but would love to see her find overall more santosha, and less attachment to the anamaya kosha.

Spiritual orientation and support plan

Client described her connection to spiritual practices as "very little." Felt with the focus on asana I did not get the chance to offer tools to explore this kosha with the client. Hoping with our ongoing relationship to be able to explore it with her.

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

Biggest feedback is the reduction in pain in the left hip, which excited the client very much.

Sample of homework given between sessions (after initial homework)

Practice: Dirga Swasam - explore the practice at different times of the day, hands on the body, noticing all the sensations, movements present in the body.

Practice: The first 4 of the 12 asanas recommended by Dr. Fishman for osteoporosis. Use a wall, a high-backed chair, and a block

Tadasana/Mountain - option to add heel drops
Vriksasana/Tree
Virabhadrasana II/Warrior II
Trikonasana/Triangle
Parsvakonasana/Extended Side Angle

Personal reflection from doing client/group.
Rough estimate of time spent in preparation and follow up documentation per session15
What you would change with benefit of hindsight

Going back to a comment I made in the notes from the third session: "If I were to adapt the plan I would have added at least one restorative posture to each session, beyond shavasana, just to encourage her to find physical stillness and turn attention and awareness more inward."

Did you enjoy your service?

Yes. I have enjoyed getting to know her more personally during our sessions.

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