Entry TypeGroup Yoga Therapy Session
Client/GroupWalter Reed Radiation Team Group
Entry CategoryStandard
Select your mentorBrahmi Romero
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 Date02/18/2025
Session Number1
Total Session Minutes60
Homework assignment to client/group

Homework (before, during, after work, anywhere, any time, together or alone). These are some examples (feel free to come up with your own):

“When you feel disconnected, helpless, hopeless, [Dorsal Vagal: immobilized] …
… visualize the strength of a mountain, inhale arms up, exhale, anchor yourself through the soles of your feet with a sigh.”
… inhale renewed energy, exhale stress with a sigh, envision a guiding resource strengthening your core.”
… stand underneath the sky, inhale arms up, breathing in the energy of the sun, exhale with a sigh, allow worries to pass by like clouds in the sky.”

“When you feel irritated, fearful, concerned, [Sympathetic: mobilized] …
… inhale arms wide, visualize, absorb the warmth of a sunset, exhale with a sigh, to release any tension and align with nature."
… inhale arms high, envision serenity, exhale sigh, release tension, harmonize with your surroundings.”
... inhale, join hands, share calmness; exhale with a sigh, release unease, synching emotions with breath.”

“When you feel connected, focused, safe [Ventral Vagal: engaged] …
… inhale kindness, exhale judgement with a compassionate sigh, connect internally to yourself with love and understanding.”
… inhale gratitude, exhale worries with a sigh, sense and feel, embrace the present.”
… inhale serenity, exhale restlessness with a calming sigh, find tranquility.”

Activities

Mini mindfulness and stress management sessions for federal employees (radiology technicians and nurses; 3-5 participants) at Walter Reed National Military Center (basement). Primary concerns include stress and anxiety associated with new policies enacted after the recent presidential elections, as well as musculoskeletal issues such as neck and shoulder tension, back, knee, and foot pain, along with symptoms of fatigue and poor diet (fast food).

Assessment: forward head posture, rounded shoulders, instability during single-leg imbalance, moderate fatigue attributed to prolonged standing, low morale, compassionate, and positive attitude. Goals: primary objectives are to release overall body tension and tightness and to enhance feelings of grounding and tranquility.

Provided a total of four sessions (15-20 minutes each) of standing mindful movement and stretching techniques, including centering practices, Pavanmuktasana, Sun Salutations, various asanas, breathing practices, and mindfulness meditation. Props such as tables and chairs were available to facilitate balance support; incorporated principles of self-compassion, self-care, non-attachment, energy management and preservation, cognitive reframing, techniques for emotional release, and use of visualization, as well as resources for dietary and foot care.

- centering: Stephen Porges’ Polyvagal Inspired Body Scan (Dorsal Vagal, Sympathetic, Ventral Vagal engagement)
- JFS
- 1 min mini-sun salvation from Sw Vidyananda (w/ variations: mountain, backward bend, forward fold/ inversion and twist; SMTT)
- asana for nurses (https://consultqd.clevelandclinic.org/nurses-yes-to-yoga-even-at-work.org)
- deep breathing / meditation
- talked about diet (not my scope but I shared my favorite recipes)
- talked about proper footwear and insoles.

Client/Group progress summary

This was a great experiment. At the end of the four sessions, everyone appeared more able to manage/ reduce their stress (a lot of laughing), was more aware of self-care, feeling more connected to the team and hopeful about the future. Participants were also curious about yoga and yoga therapy and interested in learning more.

Reflection and self-evaluation

There is such a need for this type of yoga for healthcare workers in hospitals. I am grateful that everyone made the time and was open to practicing together, especially because some participants had never done yoga before or thought that it was a religious practice that is not for them. After my last session, as I was walking out, one of the nurses called me over and said, "Look, I am making leg circles," demonstrating her newfound practice. I hope I planted a little seed so that this group of technicians and nurses can motivate one another as they continue on this journey.

I was fearful of my radiation treatment (burning; side effects), and to conquer that fear, I made the process a ritual, which included waking up early to eat well and walking to and from the the metro/ hospital. I was anxious that I would not be able to complete my morning treatment before having to teach my Noon classes, especially since I had no control over the schedule. It was tiring but miraculously all that fear did not materialize, and instead, I received support and love. I think this is Kriya yoga

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

I will be going back to the radiology department March 24 and look forward to saying hello to everyone, but there will not be a formal session anymore, or at least at this time

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