Entry TypeIndividual Yoga Therapy Session
Client/GroupGM
Entry CategoryCase Study
Select your mentorSteffany Moonaz
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)
Session Number10
Total Session Minutes105
Homework assignment to client/group

1. Three-part breathing and meditation daily 15 minutes
2. Brahmacharya – gauging energy and not over- exerting the energy limit.

Activities

The client was diagnosed with lumber stenosis and had laminectomy in July. He has been clear for PT. He meets with his PT once per week and does home PT exercise twice a day.
• Check in – body scan
• Breath awareness and extended exhalation
• Eye movement
• Head & Neck movement
• Seated Cat-cow
• Gate
• Table
• Alternate lift
• Puppy
• Downward dog
• Plank
• Child
• Mountain
• Half Sun salutation (incorporate chair and standing lateral bend)
• Warrior I
• Pyramid
• Warrior III
• Cobra
• Bridge
• Hand to big toe with a strap
• Supine pigeon
• Supine twist
• Leg up a char
• Savasana – integral yoga
• Three-part breathing
• Alternate nostril
• Meditation – follow the breath
Yogic wisdom: Brahmacharya, ahimsa and Klesha

Client/Group progress summary

The client feels stronger and has been doing yard work without pain until the past week. He bent down to pick up branches while carrying a leaf blower for about an hour. This had resulted in pain in the lower back; no pain in other areas. The pain is worse when he sits for a long time; if he moves around, then the pain disappears. He realized that he did too much. He rests when needed. His hamstrings are not as tight as they were. He does the home practice (breathing and meditation) daily. Global health assessment indicates slight improvement from the previous sessions. Pain scale has improved significantly from the first and fourth sessions in May. After his surgery in July, the pain subsided, especially when the assessment was done in early November. The pain scale for this session was worse than when he was assessed last time (changed from 1.6 to 3.3), due to the lower back pain this week.

Reflection and self-evaluation

The client does home PT twice a day; therefore, asana practice has not been included in his home practice, except that I recommend him to move with breaths. Overuse and not gauging his energy has been a recurrent issue for this client. We discussed Brahmacharya, Ahimsa, and non-attachment again. He still attaches to ‘his past self’ when he was extremely active. And this may contribute to a modest improvement of his global health score (from average 3.2 to 3.6). He rated questions that are related to physical activity as ‘good’ and questions related to quality of life, relationships, and mental health as ‘very good; even though he can do many activities that he could not before the surgery.

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.
Plan for next session

This is the last session for the case study. I will periodically check in with the client. I suggested to the client that he may consider attending a hatha class.

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