| Entry Type | Assessment |
|---|---|
| Client/Group | MR |
| Entry Category | Case Study |
| Select your mentor | Steffany Moonaz |
| Intake | |
| Assessment | |
| Proposed number of sessions | 8 |
| Location of sessions | In person |
| Planned time per session | 90 min |
| Presenting Problem | Moderately advanced arthritis right hip with lower lumbar compression. |
| Physical | Pain at the groin and outer thigh when external and internal rotate the right hip (assessment was done standing on a chair, lying down with knee bend and straight). Some trouble walking doe to hip pain and cannot sit cross-legged. |
| Client/Group goals | to better cope with daily stress and specifically with hip pain. I want to be able to continue leading an active lifestyle as long as possible. |
| Energetic | The client is very active and has a lot of energy (moderately rajasic). Her sleeping pattern is inconsistent; due to the pain, sometimes she sleeps poorly. |
| Emotional | The client is worried/stress about the hip pain that will prevent her from playing golf with her husband which is an activity that brings her joy. She also takes care of aging mother-in-law and sick kitties which are additional sources of stress. |
| Spiritual orientation and needs | The client does not have spiritual orientation. Her social support is okay. She loves spending time in her garden. |
| Intellectual / Sense of self | She identifies with having active lifestyle. |
| Yoga philosophy/wisdom research reference(s) | 1. Yoga sutra of Patanjali by Swami Satchidananda. 'Peace is experienced by anyone who lives without longing for anything, free of all personal desires and with no individual sense of "me" or "mine".' I choose this quote from the Bhagava Gita because it introduces the basic concepts of the 'true self' and path to end all suffering. The concepts of Kleshas as well as Yama and Niyama, among others will help the client in managing her stress, that in turn will benefits physical, mental and emotional well-being. |
| Scientific research reference(s), why chosen, how you plan to incorporate 1-3 | 1. Moonaz, S. & Byron, E. 2019. Yoga Therapy for Arthritis: A Whole Person Approaches to Movement and Lifestyle. Singing Dragon, London. 328 pp. These references use Pancha Kosha approach to support OA or RA patients. Reference #3 also demonstrated reduction in inflammatory markers in yoga group, although it might not be a fair comparison because the no-yoga treatment did not receive any consultation in addition normal medical treatments. The client will be guided to move slowly and be aware of how she feel and not going beyond her limit [1]. The poses will be modified to limit the pressure on the hips and reduce flexion and rotation of the hip joints [1]. |
| Approval Notice | |
| Questions for Mentor | Should I consider using Perceive Stress Scale? https://www.das.nh.gov/wellness/Docs/Percieved%20Stress%20Scale.pdf. It may be too many since I will be using PROMIS Global Health and Arthritis Self Efficacy scale already. |
| Care Plan | Outline should be a practice adapted to the needs of that client/group, including:
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:
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? | Do not notify Mentor (choose if you wish to continue working on this entry later) |
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