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Entry Type	Assessment
Client/Group	Craig
Entry Category	Intended Case Study
Select your mentor	Sarala Evans
Intake
Assessment
Proposed number of sessions	5
Location of sessions	Studio
Planned time per session	90
Presenting Problem	Multiple military injuries (R knee, hard landings), PTSD, anxiety
Physical	77 y/o male, pilot veteran with hard landings, R knee reconstruction. Recent pain includes R hip and deep gluteal/piriformis syndrome - current pain 1/10 (states due to deep tissue massage this AM.
Client/Group goals	Prevent Reinjuries, Enhance Coping Skills
Energetic	Client enjoys pranayama (regular personal practice includes nadhi suddhi, kaphalabhati, and deerga swasam. Interested in chakras.
Emotional	Client primary dx include PTSD, anxiety, secondary claustrophobia (no issues with yoga practices), leg length discrepancy, scoliosis, hypersensitivity, HTN (controlled w/Rx), Hyperlipidemia (controlled w/Rx), pacemaker, mitral valve replacement. Client feels balanced and has developed the coping skills when issues arise. Enjoys meditation in regular practice, prefers a balance between silence (short ok) and guided
Spiritual orientation and needs	Trained as chaplain, very spiritual, open to all religions, very interested in yoga philosophy
Intellectual / Sense of self	Very balanced and avid reader (in certain styles), prefers visual learning, well educated with history as pilot and chaplain.
Yoga philosophy/wisdom research reference(s)	Since the client hasn't given too many specific goals, I feel beginning with the 8 limbs of yoga from the sutras is a great start and see what sparks interest as we discuss.
Scientific research reference(s), why chosen, how you plan to incorporate 1-3	Will use adaptive techniques for R knee and R hip to not cause pain flareup. Keeping the knee moving with yoga is shown to decrease stiffness and pain. Another study showed that a return to yoga (average of 2 mos. post op) after hip replacement is warranted, and even after 5 years showed no negative outcomes, but did note adaptation was warranted. Lu J, Kang J, Huang H, Xie C, Hu J, Yu Y, Jin Y, Wen Y. The impact of Yoga on patients with knee osteoarthritis: A systematic review and meta-analysis of randomized controlled trials. PLoS One. 2024 May 16;19(5). Yun AG, Qutami M, Carles E. Returning to Yoga Practice and Teaching After Total Hip Arthroplasty. Cureus. 2021 Sep 2;13(9).
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)
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