• 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.

Adopt the ideas we developed during our Care Plan Review:

Identify 5–7 postures for independent practice
•. Shoulder rolls
•. Neck mobility
• Standing, shifting weight from side to side, heel raises
• Supported Chest openers
•. Supported standing full body stretches - all directions
•. Open/Close eyes and breathe deeply in and out (while at a red light, at your desk, before starting a gardening project, etc.)

Consider joining a chair yoga class or gentle movement class

Purpose: Consolidate skills and support long-term independence

Check-In
• Reflect on progress
• Ask: “What changes have you noticed in how your body moves?”

Centering
• Standing stretches and arm swings to help relax client
• Guided grounding practice

Integrated Chair & Supported Hatha Flow
• Briefly review Seated posture education (neutral pelvis, chest lift without strain)
• Neck mobility: gentle rotations, side bends
• Seated Cat/Cow (small range, extension-focused)
• Shoulder rolls and scapular retraction
• Seated leg extensions with ankle pumps
• Gentle seated spinal rotation (upright, slow)
• Sit-to-stand from chair (functional strength, supported)
• Standing at chair: weight shifts and heel raises
• Emphasis on smooth transitions and posture awareness

Pranayama
• Client-chosen breathing pattern from prior sessions

Relaxation
• Longer guided relaxation
• Imagery tailored to her interest while resting comfortably (her garden)

Philosophy Tool (Bhakti-inspired, reframed)
• Connection through care:
o Framed as showing up for what you already care about
o Link movement practice to caring for pets and daily responsibilities

I introduced the idea of "Connection through Care by framing it as showing up for what she already cares about, like her dog and cats, her garden, her home, asking, "What's the best part of your day, and how can we build on that feeling in your self-care?" She responded that the best part was when she was 'running Ruby (her dog)', and when she got herself out of her chair and away from the computer or book (she's an avid reader), to garden. Again, her dog would be with her.

"Tell me more about that, what do you genuinely enjoy about running Ruby? What makes it so great?" She responded, "I feel good being outside, and seeing her move. She seems happy. I guess that makes me happy, too."

"Do you feel energized?" MMP, "I never thought of it like that but, yes, I'm motivated. But usually I have to get ready for work when we get back so I guess the happiness fades a little."

"I know you sometimes run her when you get home, if you're not too tired. Could you get home a little earlier so you could run her?" "I guess I could. I get caught up in work and don't leave when I should," she said. "What could you do to change that?" She explained that they were told to leave on time, and to work from home a day or two a week, just let the boss know. ''Can you take advantage of that for your health and well-being?" She seemed to warm up to the idea.

In the end, I asked, "What's the best thing that could happen if you integrated more joy into your self-care?" "Joy? I would feel better but it's difficult for me to prioritize my own well-being. And I procrastinate." "Could you give it some thought then contact me? I'd love to hear how things are going for you," I replied. "Sure," she said.

I asked MMP to reflect on her progress and if she noticed any difference in how her body moves. She noted that she felt better, 'looser' when she practiced the neck and shoulder movements. Her hips were hurting (this is the first time she shared this), but wants to continue to practice the leg movements. "I need to keep practicing the balance poses. They're easy to do." I reminded her that she could do them while waiting for the pasta water to boil, or while standing in line at the grocery store. "Try to make them a part of your everyday routine." She smiled and said she'd try to remember that.

When asked if she would continue with chair yoga or gentle fitness class she said she didn't think so. "I don't have the time," she replied. I gently spoke about prioritizing her health and well-being since it was a goal she'd set for these sessions. She nodded but didn't commit.

No further sessions scheduled but I'll follow up to see how she's doing, and if she's caring more for herself by practicing yoga, leaving work a bit earlier.