• 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.

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

8. Kirtan Kriya meditation

This report is for 4 sessions, 9/11,23,10/7,14

9/11
I began today’s session by asking Mack how he had been feeling and whether he had noticed any physical or mental changes or challenges since our last meeting.
He said he enjoyed walking outside since the weather was good, he can walk up to 30 minutes without a walker or cane. I suggested continuous practice of joint freeing and other exercises to maintain his muscle strength.

9/23
I began today’s session by asking Mack how he had been feeling and whether he had noticed any physical or mental changes or challenges since our last meeting.
I demonstrated the Kirtan Kriya meditation not only for relaxing and calming his mind, its because this meditation has physical movement (mudra), repetition of chanting/whispering/silence, and improving brain health.

10/7
I began today’s session by asking Mack how he had been feeling and whether he had noticed any physical or mental changes or challenges since our last meeting.
He reported no major changes but mentioned that he sometimes feels fatigued due to lack of sleep and stress. He described breathing practices and meditation as helpful in staying uplifted.

10/14
I began today’s session by asking Mack how he had been feeling and whether he had noticed any physical or mental changes or challenges since our last meeting.
He reported that his sleep has been disturbed by an indescribable sensation under his skin, which he believes is a side effect of the medication.

At each session, I offered guided meditation to start the session, then I led a series of physical practices which included balancing, neck-shoulder stretch, joint freeing, and heel-to-toe walking, lower body muscle strengthening.
We ended the session with a yoga nidra, or body scan, with visualization and alternate nostril breathing, which helped him relax his physical body and mind.

As he retired officially, he had more time than before. He started practicing Kirtan Kriya 2/day, which helps him to relax mentally. His balance has improved but still varies with his physical and mental condition. His practice has become routine despite his physical condition and fluctuating energy levels.

Mack’s case was the most challenging, compared with Stephanie or Daniel.
But I see him in person so that I can observe better on his physical movement, voice, and breathing. As a physician, he has broad knowledge about his conditions and how to deal with them. By adding yoga practice, I now believe that he will be able to maintain his physical/mental and emotional well-being.

I will continue to follow this care plan for the next several sessions to improve his balancing and strengthening muscles.