| Entry Type | Assessment |
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| Client/Group | Jeanne |
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| Entry Category | Case Study |
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| Select your mentor | Brahmi Romero |
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| Intake | |
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| Assessment | |
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| Proposed number of sessions | 4 |
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| Location of sessions | Zoom Online platform |
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| Planned time per session | 90 |
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| Presenting Problem | Gist in the stomach lining, less flexible, incontinence |
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| Physical | 77 years old female client
Has gist in the stomach lining, may be cancer and will not metastasize. Requires removal because of growth. Started a year ago
Expecting surgery in the following weeks
Had uterine cancer and hysterectomy was done. Radiotherapy was given
Back spoke up loudly when tried to yoga after radiotherapy
Loss of flexibility and debilitating back aches
Overall health was good other than these recent encounters with health
Under continued observation post uterine cancer treatment
Not taking any medications other than occasional anti-inflammatory pills for back aches.
Able to get up and down from the floor
Cramping in legs while sleeping
Has a healthy diet
Experiences digestion issues which is taken care of
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| Client/Group goals | To successfully find her old yoga abilities for better health. |
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| Energetic | Experiences low energy level since last year
Experiences the most energy in the morning and low energy level in the evenings
The quality of sleep is great. Sleeps for 8 hours, waking up twice to use restrooms
Take a nap when time permits and when experiencing fatigue.Tries to challenge her brain with new experiences when feels fatigue
Breathing is normal
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| Emotional | Has moderate amount of stress mainly due to health, concerns about future and relationship issues
Worries about her daughters, shared that one is not in touch and the other one attracts the wrong crowd and gets her second marriage.
Worries about her grandkids future as well
Has concerns about the future of America. Not listening to News and not reading newspapers
Copes with stress by stretching and removing herself from the source
Feels anxious for one of her daughter not communicating well
Feels sad or depressed for her other daughter as she seems to attract the wrong group. She gets her second marriage and hopes this marriage turns out well as her ex-husband was an alcoholic
No anger issues
Consumes moderate level of alcohol/recreational drugs and infrequent over-the-counter medication
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| Spiritual orientation and needs | Doesn’t identify with any particular religion but believes in something higher than us
Believes that we are all connected
Feels that beauty of life to be honored
Connection with nature, family, pets are important to her
Feels like overly connected with people around her
Active in weaving guilds, book groups, and now works with the medical professionals to solve her health concerns
Spending time with family, her tog, traveling to new places, concerts, social gatherings with long term friends gives the most joy and meaning to her life
Her husband and friends are her major support system
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| Intellectual / Sense of self | Identifies the following as her major intellectual sources and engagement in life:
Reading
Discussion with friends
Travel
Involvement in hobbies ie weaving, dyeing, printing etc
Granddaughters
In the process of learning how to cope with a body in repair
Enjoys life and adds to her knowledge
Expresses that having granddaughters allows for all kinds of learning and teaching
Likes to “live for now”
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| Yoga philosophy/wisdom research reference(s) | Stress management
Yamas - Compassion, love (Ahimsa), The right use of energy (Brahmacharya)
Niyamas - Cleanliness (saucha), Contentment (Santosha), Self-reflection (svadyaya), self- discipline (tapasya), surrendering to a higher power (Ishwara pranidhana)
Practice and non-attachment
Sutra 1.33
Sutra 2.33
Viveka
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| Scientific research reference(s), why chosen, how you plan to incorporate 1-3 | Effect of guided imagery relaxation on anxiety in cervical cancer: randomized clinical trial - https://pmc.ncbi.nlm.nih.gov/articles/PMC10561422/
The effects of deep breathing on ‘tensioneanxiety’ and fatigue in cancer patients undergoing adjuvant chemotherapy - https://2024.sci-hub.box/1982/9a400d2026748c8274b3fce690f21e3f/hayama2012.pdf
Feasibility and acceptability of home-based strength training in endometrial cancer survivors - https://pmc.ncbi.nlm.nih.gov/articles/PMC9362896/
Role of Yoga in Cancer Patients: Expectations, Benefits, and Risks: A Review - https://pmc.ncbi.nlm.nih.gov/articles/PMC5545945/
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| Approval Notice | Your care plan should be approved by your mentor, with any amendments they suggested, prior to your remaining Yoga Therapy sessions. |
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| 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.
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| Session | |
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| 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) |
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| 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. |
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| Report briefly on each Kosha below | Progress toward wellness or worsening reported by the client/group or that you observed in the following areas |
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| Additional Information | |
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| Personal reflection from doing client/group. | |
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| Notify Mentor? | Notify Mentor of Updates/Completion
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