Entry TypeAssessment
Client/GroupYoga for Letting Go, Group 3
Entry CategoryIntended Case Study
Select your mentorSteffany Moonaz{}
Intake
Assessment
Proposed number of sessions6
Location of sessionsOnline
Planned time per session75 mins
Presenting ProblemPresenting problems include anxiety, chronic pain, joint issues (hyper and hypo mobility, injury and arthritis), lower back issues, and two with high blood pressure.
Physical

I observed reverse breathing in all clients. All clients had visible tightness in the shoulders, which relaxed quickly with dramatic shoulder shrug joint-freeing, Two clients have hypo mobility and one has hyper mobility. One client has numbness in the left lower arm into fingers which became worse with arm stretches.

Client/Group goalsGroup goals are to relieve stress and anxiety and to improve general health.
Energetic

The group was largely very high energy, friendly, and laughed at appropriate times.

Emotional

All of the clients talked about grief about various life changes, with one client actively being a caregiver to a family member in hospice. This client refused to share personal goals with the group. This client was teary-eyed for most of the session.

Spiritual orientation and needs

All clients expressed that they are not interested in anything that seems religious. None indicated that they'd like spiritual support.

Intellectual / Sense of self

All clients seem to have hyperawareness about their own suffering and pain, which seems to extend to hyper-vigilance.

Yoga philosophy/wisdom research reference(s)

I will offer the Locks and the Keys from the Yoga Sutras to help the clients with some of the interpersonal relationship pressures that they shared are impacting them.

Scientific research reference(s), why chosen, how you plan to incorporate 1-3

I found this study as part of my search for yoga and hypertension. I will introduce Yoga Nidra to lower blood pressure and overall anxiety as a result of this research. Ahuja N, Bhardwaj P, Pathania M, Sethi D, Kumar A, Parchani A, Chandel A, Phadke A. Yoga Nidra for hypertension: A systematic review and meta-analysis. J Ayurveda Integr Med. 2024 Mar-Apr;15(2):100882. doi: 10.1016/j.jaim.2023.100882. Epub 2024 Mar 13. PMID: 38484438; PMCID: PMC10950755.

This study discusses abdominal pain the benefits of yoga as method that can assist. Although the client in this group doesn't have IBS, this was the closest free study that I could find about yoga interventions and the abdomen. This study provided understanding how the asanas and breathing can positively impact abdominal and digestive challenges. Kavuri V, Raghuram N, Malamud A, Selvan SR. Irritable Bowel Syndrome: Yoga as Remedial Therapy. Evid Based Complement Alternat Med. 2015;2015:398156. doi: 10.1155/2015/398156. Epub 2015 May 6. PMID: 26064164; PMCID: PMC4438173.

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

I would like to find a study that I can read that talks about yoga interventions for when a person has had a partial colostomy reversal I'm aware of the poses to avoid (twisting, folding, etc) but I'd like to get some ideas for ways to support this client. We will do most of the series seated because of the other clients' issues.

Care PlanOutline 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 ReportAfter 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 belowProgress 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