• 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.

No pranayama, laughter yoga nor singing because the client's breathing becomes increasingly labored when focusing on the breath, instead I slow my own breath, speech and movements and she mirrors and relaxes, allowing her to breathe easier.

Check in - is about the client's comfort and to see if there is any pain; then we move on to what her day was like and what would she like to do with out time together and take it from there.

Movement - based on her energetic level we may do some limited joint freeing exercises.
Energetic - holding space until she relaxes and can breathe easier.
Emotional - Sutra 2:33, when distressed guide towards something positive using visualization or motivational interview.
Closing - Hand at the heart and letting her know it is time for me to go. I recap the session, ask if she is comfortable, did she have any questions, did she enjoy anything in particular. Is there any request for next visit, would she like to lay quietly or have the tv on?

Progress in companionship and socialization with other residents of ALF.
The client is comfortable and well adjusted, no signs of distress.
Client is able to breathe easier when in a relaxed environment.

Progress in mobility, mindfully transfers from wheelchair to bed; range of motion is good.

Progress in balancing energetic level to reduce labored breathing. I notice she is slowing her movements to be able to speak.

Sharon's mood is improving, she has not cried nor complained about loneliness or missing her daughter. She and another patient held arms and shared smiles and pleasantries. She's made a new friend with similar backgrounds.

She is dealing with an attachment issue due to a recent gift.

Her posture has improved, she holds her head higher and lets me know her wants and needs.

She remains in a peaceful state of mind; She has not mentioned a support plan nor shown any concern, however, hospice, daughter and ALF are her current support system. Hospice provides a chaplain visit weekly.

Client expressed that they felt a connection with me.

no homework

I would let the client know the services I am able to provide as a yoga therapist instead of introducing the practices as needed.

Am I doing enough for my client? I feel the comfort of this client is primary and whatever else shows up is met with compassion and ahimsa.

Yes, very much and I look forward to continuing. Answering the questions above have made me realize that the little yoga therapy that she has received may have contributed to improving her quality of life. When I visit her neighbor's drop by to say hello and she feels special. She is heard, someone is listening.