Lack of control and sensation below waist
Prone pressure sores
Back pain from T-9 to L-3 due to metal rod placement surgery
Nerve pain
Spasms
Digestion affected by SCI
Bowel movement does not occur naturally
Pain in lower and middle back, right hamstring and quad
Compromised ROM for backbend, forward bend, and twist.
Fatigued shoulders due to pushing the wheelchair and strengthening
Jaw discomfort
Constant chronic pain
Client/Group goals
Use breathing and meditation for pain management, physical and neurological recovery. Improve focus and attention. Reduce distractions and unhelpful thoughts.
Energetic
Overall low energy level
Has the most energy during midday and least energy at night
No consistent good night sleep.
Sleep disturbances
Quality of sleep is poor
Always Fatigued
Have to rest often
Breathing is normal and healthy.
Feels discomfort in the back while breathing due to stretching of the muscles
Emotional
Stressed due to health issues and concerns about the future
Rarely experiences anxiety and anger or frustration
Occasionally feels sadness or depression
Feeling of loss of freedom, independence
Spiritual orientation and needs
Connection with nature, community and family is important for his life and health
Feels connected in a meaningful way through his contribution with his physical acts and service
Deep connection with friends and loved ones gives the most joy and meaning
Before the injury, seeked little bit for “Self-realization” to see if there was such a thing.
In recent times lost his belief of “being enlightened”
Thinks that human brain and human body will always pull you back to its evolution
Thinks even the enlightened person when they go through horrible situations will just act like normal human and suffer.
Intellectual / Sense of self
Ruminates/relives about redoing the moment he got injured
Reflects on finding a new purpose that justifies the price
For now his purpose is being a good example for family, friends and himself
Likes to learn about AI applications.
Likes doing hands on practice
Engages in reading, interacting with people, learning new skills, learning about technology
Constantly reminds himself what are the reasons that he need to continue to make effort and fight all the disability and pain
Yoga philosophy/wisdom research reference(s)
Discussed sutras during Intake Session1:
2:15 - Suffering is inevitable
2:16 - The suffering that is not yet come can be avoided
Chosen Yoga philosophy teachings for Session 2:
Pain(Dukha) is inevitable:
Dukha 2.15
Resource: The Yoga of Suffering
Cause of Dukha:
Kleshas(obstacles) 2.3
Ignorance 2.5
Dukha can be avoided:
Cessation of Dukha: 2.6
Way out of Dukha:
Viveka 2.26 - Ability to discern between our true Self
How to develop Viveka: 8 limbs of Yoga 2.28
Minimize obstacles 2.3
How to minimize obstacles: Kriya Yoga 2.1
Tools when disturbed by negative thoughts
Pratipaksha Bhavanam 2.33
Resource: Pratipaksha Bhavanam
Ahimsa - Compassion towards ourselves - Sutra 2.35
Santhosha - Being at Peace with what we are and what we have - Sutra 2.42
Scientific research reference(s), why chosen, how you plan to incorporate 1-3
Evaluation of a specialized yoga program for persons with a spinal cord injury: a pilot randomized controlled trial (Link: https://pmc.ncbi.nlm.nih.gov/articles/PMC5422575)
Effect of Rāja yoga Meditation on Psychological and Functional Outcomes in Spinal Cord Injury Patients (link: https://pmc.ncbi.nlm.nih.gov/articles/PMC8023440/)
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
1. I have listed the Yoga sutras that would benefit the client. Could I share all of them or will it be too much too cover in a session? Could you shed some light about this?
Care Plan
Outline 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),
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),
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 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.
Report briefly on each Kosha below
Progress toward wellness or worsening reported by the client/group or that you observed in the following areas
