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Admin – Practicum Workspace

by | Feb 16, 2024

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Entry TypeAssessment
Client/GroupB. A.
Entry CategoryIntended Case Study
Select your mentorSarala Evans
Intake
Assessment
Proposed number of sessions8
Location of sessionsSr Ctr or Ct Home
Planned time per session45-60 min
Presenting Problemspinal stenosis flare, stress!
Physical

low back pain; good mobility; pain increases during household/job chores without shoes on, when lifting, and spinal rotation. Pain decreases with heating pad and sleep. Thinks maybe SI dysfunction, also, on comment from PTA.
Ct is fitness instructor 6 classes per week and lifts weights, very active with elementary age twins; also enjoys sports and walking when her back isn't hurting.
Healthy weight, zero drop shoes (trying inserts for possible "fallen arch")

Client/Group goals"decrease back pain, strengthen core and imbalances within my body, help with stress relief"
Energetic

reverse breather - found out just this week; vertical breather - thought that's how she was supposed to breathe; Wakes feeling rested, sleeps well, drinks B12 energy drink for afternoon crash
Reports being stressed at an 8/10. PSS shows excellent sense of agency, score 20/40 (moderate stress)

Emotional

On antidepressants, still feels depressed.
Missing connection with husband.
Didn't say much in this area.

Spiritual orientation and needs

Attends church. Considering swapping that time for yoga class at the studio. Recites bible verses for strength. Open to yoga philosophy.

Intellectual / Sense of self

Working toward a promotion. Tends to think things through - ie attempts to address stress through her mind.

Yoga philosophy/wisdom research reference(s)

SMTT manual: Breath awareness until diaphragmatic breathing is understood and felt.

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

Fishman, L., & Ardman, C. (2012). Yoga for back pain. W.W. Norton & Co.

‌This book contains a section on spinal stenosis and a yoga/asana protocol.
Advises starting slowly, and adding on as tolerated.

I plan to incorporate the recommended asana one or a few at a time and ask Ct to report back before moving on.

Approval Notice
Your care plan should be approved by your mentor, with any amendments they suggested, prior to your remaining Yoga Therapy sessions.
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