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Entry Type	Assessment
Client/Group	Sharon BBH
Entry Category	Intended Case Study
Select your mentor	Brahmi Romero
Intake
Assessment
Proposed number of sessions	5
Location of sessions	ALF
Planned time per session	60
Presenting Problem	COPD and in hospice
Physical	Limited mobility; difficulty speaking due to breathlessness; bedbound, fatigue
Client/Group goals	companionship
Energetic	low energy
Emotional	feeling bored, lonely and sad; missing her daughter and dog;
Spiritual orientation and needs	Raised catholic and converted to Baptist a long time ago.
Intellectual / Sense of self	needs a sense of purpose; needs community, cannot find the right words.
Yoga philosophy/wisdom research reference(s)	Sutra 1:15 – vairaghya (non-attachment) - letting go of attachments such as loneliness. Sutra 1:23 – surrendering to God - to control the mind. Sutra 2:33 – replacing negative thoughts with positive thoughts - to control the emotions. Sutra 2:40 – Saucha – Purification – guide the mind to receive that which is good for her healing.
Scientific research reference(s), why chosen, how you plan to incorporate 1-3	Initially wanted to use laughter yoga but found this study which concludes "...laughing aloud may cause acute deterioration in pulmonary function secondary to worsened hyperinflation." Lebowitz KR, Suh S, Diaz PT, Emery CF. Effects of humor and laughter on psychological functioning, quality of life, health status, and pulmonary functioning among patients with chronic obstructive pulmonary disease: a preliminary investigation. Heart Lung. 2011 Jul-Aug;40(4):310-9. doi: 10.1016/j.hrtlng.2010.07.010. PMID: 21724041. Stress Management TT Manual - to balance the gunas and relax the body for better breathing. Healing Relationships Manual - to rewrite the story from loneliness to abundance.
Approval Notice	*Your care plan should be approved by your mentor, with any amendments they suggested, prior to your remaining Yoga Therapy sessions.*
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), 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 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
Additional Information
Personal reflection from doing client/group.
Notify Mentor?	Notify Mentor of Updates/Completion