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by | Feb 16, 2024

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Entry TypeAssessment
Client/GroupAna M.
Entry CategoryIntended Case Study
Select your mentorBrahmi Romero
Intake
Assessment
Proposed number of sessions5
Location of sessionsvirtual
Planned time per session60
Presenting Problem58 year old female with neck and shoulder pain due to degenerative disc disease.
Physical

Neck pain specifically on left side with limited ROM. Discomfort during neck joint freeing exercise and experiences clicking.
Experiencing spasms to left trapezius and tension on R/L sides.
Right shoulder and hip hike.
Hip tightness, lower back tightness and numbness on left side of thigh

Client/Group goalsreduce neck pain and regain ROM
Energetic

Energy dips in the afternoon and after dinner.
"Sleep is awful" - falls asleep on the couch while watching TV and upon waking up goes to the phone. Sleep is maybe 6 hours a day - interrupted.
Would like to improve sleep and create new healthy habits before bedtime - currently has none.
No breathing issues.

Emotional

Anxiety - wakes up with a sense of impending doom - "free floating anxiety."
Grief - mother passed away 1yr, husband passed away 7yr, her political party lost, preparing for retirement by moving to a different city/state or county.
Happy - in her current relationship
Occasionally meditates while walking

Spiritual orientation and needs

Spiritual, raised Catholic, high moral values, enjoys chanting and open to yoga philosophy.
Needs likeminded community.

Intellectual / Sense of self

Creative writer, dancer, dance therapist, choreographer, cinematographer, 200 hr YT - w/no current practice.
Enjoys reading Thich Nhat Hanh and journaling with prompts.
Considers herself a planner and researcher.

Yoga philosophy/wisdom research reference(s)

Sutra 1:14 - the importance of the benefits from practicing daily. Client does not have a daily practice.
Sutra 1:33 - four locks and keys - client has an "us" vs. "them" relating to political parties. This sutra when practiced will allow the client to retain their peace in the presence of opposing opinions.
Sutra 2:33 - replacing negative thoughts with positive thoughts. Client wakes up with thoughts of doom, would like to incorporate an affirmation to replace these thoughts.
Sutra 2:35 - Ahimsa - discuss how the thoughts may be causing harm.
Sutra 2:40 Saucha - discuss and practice purifying the mind by what we focus on.

Scientific research reference(s), why chosen, how you plan to incorporate 1-3

Yoga for Arthritis Teacher Training Manual, Dr. Steffany Moonaz

McCall, T., M.D. (2007). Yoga as Medicine The Yogic Prescription for Health and Healing (pp. 133-150; 151- 168; and 410-416) for Anxiety, Arthritis and Insomnia.

McGonigle, A. (2021). Supporting Yoga Students with Common Injuries and Conditions (pp. 175-191) for the Cervical Spine.

Approval Notice
Your care plan should be approved by your mentor, with any amendments they suggested, prior to your remaining Yoga Therapy sessions.
Questions for Mentor

Aside from stress/anxiety and pain scales, what additional recommendations, if any, do you have for measurement?

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.
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