Entry TypeAssessment
Client/GroupRGC
Entry CategoryCase Study
Select your mentorSarala Evans
Intake
Assessment
Proposed number of sessions4
Location of sessionsbasement yoga studio
Planned time per session90
Presenting ProblemRGC is a 57-year-old woman who has a pinched nerve on her cervical spine (C6-C7), discomfort in her right arm, and right mid-back, dry eye syndrome, and also experiences anxiety and depression (she takes Zoloft) and suicidal thoughts. She has several stressors: her partner has Parkinson’s, and she is sad because can’t help him, she is afraid of not having a job, of loneliness, and of losing her mind.
Physical

1)Neck mobility: she showed a good range of movement on her neck.
2) Shoulder girdle and shoulder joint mobility: The right shoulder has less range of motion than the left.
3)Releasing the jaws: Let the jaws release down when exhaling
4)Sphinx: engaging muscles of the neck (splenius, upper trapezius, longus) and engaging while stretching the front neck (sternocleidomastoid) and pectoralis.
5)Supine twist: During the assessment, I noticed that neck mobility is not an issue, but the right arm has a shorter range of motion than the left.

Client/Group goalsShe wants to have tools to heal her physical body and emotions.
Energetic

Progressive relaxation: she could relax during the practice.
Guided Meditation concentrating on the breath, with imagery: she could be still and concentrate.
Pranayamas: she said she began to appreciate her breath.
She feels weakness in the body, not awake before coffee.
She cannot sleep consecutively 8 hours because her husband wakes up several times at night.

Emotional

She arrived with a low level of anxiety and left feeling much better.

Spiritual orientation and needs

She is Christian and spiritual. She is very sensitive and sees lights in meditation. She believes in eternal life, awareness, spiritual evolution, and God as the creator and the source. Feels connected with nature, people, pets.

Intellectual / Sense of self

She said she has lots of negative thoughts. She likes to read and study.

Yoga philosophy/wisdom research reference(s)

Swadhyaya: Self-study: observe her thoughts and breath.

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

Scientific references are in the intake.
Contraindications: she needs to be careful with her neck, and right arm, respecting her range of motion, and be aware about when to stop the movement.

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?Do not notify Mentor (choose if you wish to continue working on this entry later)