• 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, heel-to-toe walking, hip abduction)

2. Lower body muscles strengthen exercises

3. Eye movement: 1 or 2 times a day and as needed.

4. JAPA Meditation with Alternate Nostril Breathing, suggested combining his 10-minute daily practice
with the affirmation, “I trust my body’s ability to heal and restore itself,” which became his favorite mantra.

5. Seated gentle stretch

6. Gentle neck/shoulder stretch

I began today’s session by asking Dan if he had experienced any new challenges or changes since our last meeting.
Dan reported that his Bilevel positive airway pressure (BiPap) machine for his sleep apnea stopped working and he had to use CPAP (continuous positive airway pressure) machine until he was able to get Bipap machine. He said it was not comfortable using CPAP machine as he has been using Bipap machine over 15 years, without using these machines his blood pressure goes up and he feels fatigue.
I led a few minutes of breathing practice and eye movement practice. Then we moved to physical practice, joint freeing on the chair. After that, balancing practice includes heel-to-toe walking and one-leg standing, forward bending while holding the back of the chair, eagle arm, and cow face. For practice on the mat, supine spinal twist, sphinx pose.
The session ended with 15 minutes of yoga nidra to relax his body and mind, followed by a brief meditation.

Dan likes Netra Viyayaman (eye movement practice). In addition to the physical benefits of strengthening eye muscles and toning optical nerves, this practice also helps him feel mental relaxation. He said that it is a good meditation tool for him.
He also enjoys eagle arm and cow face pose which helps alleviate his back pain.

Dan’s sleep apnea is managed using a BiPap machine; therefore, I did not address this in our session. He shared his experience of how sleep apnea impacts his daily life. I plan to find out more about this condition and how to work with clients who have sleep apnea.
Dan’s case is more complicated; some of the breathing practices may not be suitable for him due to his choking and coughing.

I will continue to follow this care plan for the next several sessions and additional asanas will be introduced gradually to strengthen his physical body.