| Entry Type | Individual Yoga Therapy Session |
|---|---|
| Client/Group | MR |
| Entry Category | Standard |
| Select your mentor | Steffany Moonaz |
| Intake | |
| Assessment | |
| Approval Notice | |
| Care Plan | Outline should be a practice adapted to the needs of that client/group, including:
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:
Tools from each module should be used (not on each client – but overall) |
| Session Date | 11/23/2024 |
| Session Number | 10 |
| Total Session Minutes | 105 |
| Homework assignment to client/group | Add low lunge dynamic, hamstring stretch, half locust and dancer to the home exercise. And continue with daily pranayama (with imagery) and meditation. |
| Activities | The client has arthritis of the right hip and osteoporosis of the femoral neck. This has improved, although minor pain is still there. The major concern now is that the pain has been outside of the hip and down to the lateral side of the ankle. This is a new development. Yoga wisdom: Svadhyaya (pay attention on how she feels, when there is no pain and what causes pain) and aversion and non-attachment (experience pain without attachment or fear) to develop a new relationship with the pain. |
| Client/Group progress summary | The pain got worse from the last session (2 weeks ago). The pain started from the right gluteus maximus then radiates down the leg, especially when her hip comes closer to the chest (hip flexion, or forward bend). She feels discouraged, partly because she does not know the cause of the pain; her orthopedic doctors think that it is from arthritis and the chiropractor thinks that it also causes from the lower back as well. I asked if the doctors or the chiropractor gave exercise recommendations; none of them suggested anything. |
| Reflection and self-evaluation | I noticed that the pain has affected the client mental health. We discussed aversion/fear and non-attachment and the use of pranayama and meditation to help manage the pain. From my readings, the pain can be due to many reasons, including osteoarthritis, sciatic nerve impingement or piriformis syndrome; the chiropractor also suggested impingement of the lateral femoral cutaneous nerve. For physical practice, I focused on stabilizing the hip (stretching and strengthening the psoas) and strengthening hip adductor. Stretching the piriformis is challenging because the client cannot bend her knee to the chest or rotate the hips (no cross legs or internal or external rotations). I guided her through pranayama with imagery. |
| 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. |
| Plan for next session | Continue stabilizing the hip joint and strengthening and stretching the hip muscles. |
| 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 |
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