Entry TypeFinal Client Report
Client/GroupNancy
Entry CategoryCase Study
Select your mentorSarala Evans
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 completed5
Date you started seeing client/group08/05/2024
Total hours of all Yoga Therapy sessions with this client/group to date7.92
Adjustments and adaptations you made to your care plan,

I planned a bridge pose for her but she couldn’t do it because of her body weight, so we had a cobra pose on the chair, which is also a back bend. She had to rise from the floor very slowly and with awareness. Some asanas were practiced on the chair because of arthritis in her knee.

Client/Group Goals

She had some progress at the beginning but was back to the same breathing problems at the end of the sessions. She had some progress in flexibility. Some of the goals needed more time to show some progress.
We reviewed our goals. They are strength, flexibility, improvement of breath (COPD and Sleep Apnea), anxiety, and depression.

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

She has loss of strength and flexibility, COPD, sleep apnea, pre-diabetes, and knee arthritis. I asked her to do some of the joint freeing movements to observe how she moves and she did all the movements on a chair. When standing she felt somewhat unbalanced. She had to hold the chair to lift one leg. She improved her balance and flexibility.

Energetic level

As a Kapha predominant (she had a diagnosis from an ayurvedic specialist), she moves slowly and with low energy. She sleeps at 1 am and wakes up at 10 am. This aspect needed more time to change.

Emotional

She has mild panic attacks when she is working. She didn’t report any progress here.

Intellectual / Sense of self

Most of the time she spends in thought, calm, curious thoughts, not positive or negative.
Her sense of Self improved when she stood by herself at work.

Spiritual orientation and support plan

Spiritual Orientation
She has a Christian background but considers herself spiritual rather than religious. This didn’t change.
Support Plan
Chair yoga
Journaling: Journaling every day about her fears, bravery, and any other thing that comes to her mind. It can even be just a word, doesn’t need to be long.
Better sleep: Before sleep, she will listen to a recorded progressive relaxation for 10 minutes.
Mantra repetition or affirmations.
Imagery and Sankalpa

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

“Anna is a pleasure to work with! I am in my mid-sixties and I have COPD. Anna researched what pranayama and yoga poses would work best for me. She is a gentle, caring soul and she patiently led me through a practice that was challenging but within my capabilities. I look forward to working with her in the future.”

Sample of homework given between sessions (after initial homework)

- Practice the breath of Joy with the following video (in this version you don't have your hands together.)
https://youtu.be/C8vNcLny_-8?si=_8pGi3bbM8GjGiZf
- Observe breath, thoughts (like you practice, put your thoughts in the buble and let them go)
- Create an affirmation for you and use it every morning, when you wake up.
- Practice dirgha swasan (3 part breath) sitting with a support for your back, opening the space for belly breathing, for 5 minutes every day with this video:
https://www.youtube.com/watch?v=OI055S7g7Xs&t=19s
- Practice the lion's roar.
https://youtube.com/shorts/1LNLTHNxrzQ?si=TP8wjpGCtIDqgMCI
- legs up the wall (stretching and breathing)

Personal reflection from doing client/group.
Rough estimate of time spent in preparation and follow up documentation per session5 hours
What you would change with benefit of hindsight

She needed more time. If I had more time, I would have continued with her.

Questions, problems, areas in which you’d like more support

More support in informed trauma material.

Did you enjoy your service?

Yes, I enjoyed the service, she was a nice lady, but it was not easy for me.

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