Entry TypeAssessment
Client/GroupYoga Therapy for Stress Management
Entry CategoryIntended Case Study
Select your mentorBrahmi Romero
Intake
Assessment
Proposed number of sessions4
Location of sessionsSenior Citizen Center
Planned time per session90 120 minutes
Presenting ProblemYoga Therapy For Stress Management
Physical

6 senior citizens registered for the class.
All the seniors are able to walk without assistance.

Maria C. had a hip surgery on her right hip earlier this year. It had to do with adding some kind of artificial cartilage to her hip. She also has arthritis in the hands.

Fatima has hurt her right shoulder recently while cleaning.

Sirlei has pain in her right heel of her foot. She has an appointment at the end of this month for this problem.

Gloria has tendonitis in her left shoulder.

One of the members of the group may not be a senior. She seems young. I have not asked anyone for their age.

Client/Group goalsUnderstanding and Managing Stress
Energetic

All the members of the group breath normally.

Emotional

All the members of the group seemed to be emotionally stable and friendly and patient.

Gaby has level of stress is high. She manages her stress by yelling and crying, and going for a walk.
Fatima ‘manages’ her stress by eating.
Sirlei also eats when she has stress, but she also prays and reads.
Gloria manages her stress by walking and exercise.

Spiritual orientation and needs

All of the seniors seemed to care for each other. They were friendly and smiled and helped each other.

Intellectual / Sense of self

All of the members of the group seem to feel well with their sense of self.

Yoga philosophy/wisdom research reference(s)

The Yoga Sutras of Patanjali, Translation and Commentary by Sri Swami Satchidananda
Reframed Yoga Philosophy:
o Ahimsa starting with ourselves and our own bodies.
o Satya starting with ourselves and how we really feel.
o Our true nature is experienced in a calm mind state.
o When we quiet the mind, we experience a deep sense of peace.

o Walking this road of life with Love (Bhakti)
• Go for your dreams with all of your heart - never give up on your dreams.
• Feel love for all without attachment to any attachment or expectation.

Scientific research reference(s), why chosen, how you plan to incorporate 1-3

In the study below, the authors believe there is a link between breathing, vagal nerve stimulation and improvements in body and mind. They have looked at slow, deep diaphragmatic breathing with emphasis on long exhalation, and respiration cycles with longer exhalations, and paying attention to natural breathing leading to vagal nerve stimulation and the turning on of the parasympathetic nervous system and thus the reduction in stress markers such are heart rate, blood pressure and salivary cortisol. Breathing techniques are a component of contemplative activities such as meditation, mindfulness and yoga (the authors say) and they find these practices in general to have beneficial effects on cardiopulmonary fitness, immune function, psychological health, stress, anxiety and executive functions.

Gerritsen RJS, Band GPH. Breath of Life: The Respiratory Vagal Stimulation Model of Contemplative Activity. Front Hum Neurosci. 2018 Oct 9;12:397. doi: 10.3389/fnhum.2018.00397. PMID: 30356789; PMCID: PMC6189422.

Dr. Maria Juarez-Reyes MD, PhD. Beyond Stress and Anxiety: How Stress Affects the Body and What You Can Do to Manage It (youtube.com)

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.
Report briefly on each Kosha belowProgress 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