| Entry Type | Assessment |
|---|---|
| Client/Group | NM |
| Entry Category | Intended Case Study |
| Select your mentor | Steffany Moonaz |
| Intake | |
| Assessment | |
| Proposed number of sessions | 5 |
| Location of sessions | Online |
| Planned time per session | 75 |
| Presenting Problem | Client has arthritis/bursitis, high blood pressure, fatigue, GERD, depression, anxiety, sleep disturbances, and hyper mobility. |
| Physical | Client has very pronounced hyper mobility in all joints, has no limitations for physical activity, and is a reverse breather. Client has overpronation of the feet with internal rotation of the knees and hips. The knees hyperextend while standing. After review of all of my notes from the intake session, I suspect that this client should be tested for Ehlers-Danios syndrome and I will make a referral to a specialist. |
| Client/Group goals | Client would like to relieve stress, lower anxiety, reduce physical pain, improve overall health, receive spiritual support, and change her relationship with her condition. |
| Energetic | Client was low energy after a long work day and commute. Tension was visible in the client as well, but responded well to centering, breathing, asanas, and deep relaxation. Client self-reported that she ruminates and can never focus. |
| Emotional | The client seemed melancholy for most of the intake session, but stressed when talking about past trauma history. She self-reported the during meditation that she feels like she’s not successful because she can’t clear her mind. |
| Spiritual orientation and needs | Client is Christian and would be open to Biblical scripture as part of sessions. The client is interested in spiritual care and yoga philosophy. |
| Intellectual / Sense of self | The client is very judgmental about self, but also seemed very unsure of self. For example, the client talked about a lack of self-efficacy as it pertains to work and their personal life. This client has experienced troubles with teacher licensure requirements—being unable to pass the required state tests for licensure. |
| Yoga philosophy/wisdom research reference(s) | I have researched the Yamas and Niyamas in the Yoga Sutras as well as the Bhagavad Gita. I read the 10 Commandments from the Bible. I would likely draw a comparison between the Yamas and Niyamas and the 10 Commandments in my first session with the client, since she is familiar with the Bible to help her make a connection about yogic options for how she might care for herself and others in a different way. |
| Scientific research reference(s), why chosen, how you plan to incorporate 1-3 | This paper provided a lot of information for me to better understand how this client’s GERD may be impacted by the vagal nerve, leading me to consider utilizing vagal toning/stimulation for this client. Chen JH. Ineffective esophageal motility and the vagus: current challenges and future prospects. Clin Exp Gastroenterol. 2016 Sep 20;9:291-299. doi: 10.2147/CEG.S111820. PMID: 27703389; PMCID: PMC5036831. This review was helpful for me to better understand the importance of a multidisciplinary approach to support this client with her hyper mobility and resulting symptoms. This review was focused on healthcare professionals providing the care, but I found that the approaches were very similar to ones that are within scope in yoga therapy. For example, mindfulness and replacing negative thoughts with positive ones. Clark NL, Kainth GS, Johnson M, Rangan A, Kottam L, Swainston K. Psychological interventions to improve pain, fatigue, anxiety, depression, and quality of life in children and adults with hypermobility spectrum disorders and Ehlers-Danlos syndrome: a systematic review. Rheumatol Int. 2024 Jan;44(1):41-55. doi: 10.1007/s00296-023-05503-2. Epub 2023 Dec 13. PMID: 38091036; PMCID: PMC10766748. |
| Approval Notice | |
| Questions for Mentor | How do you recommend that I suggest that this client see a doctor regarding the hyper mobility, particularly if she is reluctant to seek medical care? |
| 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? | Notify Mentor of Updates/Completion |
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