• 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.

Centering, chanting, brief gentle asana practice followed by 10 minutes of pranayama and meditation

Consider using affirmations from today's practice; and also the body scan, with your awareness directed to feeling the heaviness in a body part as you scan. Then, find warmth in each body part.

n your journal, please track your process and feelings after this Om practice.

Centering -
grounding feet, sitting bones, crown of head to the sky, then overall posture alignment
mindfulness, committing to staying in the present moment
Nadi Shodhana in Chair
affirmation for healing and calming
Sutra 2.16 - prevent future pain from manifesting
chanting

Check-in

Chair
reconnected w/ breath before beginning movement practice
hand clenches
neck stretch w/ arm straight out to side
neck rolls
arms to side rotations
cactus arms
foot on step of step stool - internal and external rotations of foot
torso circles
mt pose arms raised overhead
overhead stretch
1/2 DFD with elongated spine
supported FF
Variety of leg lifts/gentle walking in place

Supine
pelvic tilt - @ 12, 3, 6, 9
wind relieving R side only

Yoga Nidra on bed with supports
savanna & supported relaxation for restoring and enhancing health and well-being (adapted pp. 145-153; Julie Lusk)
autogenic training, healing affirmations, breath work, guided imagery for well-being, health-enhancing suggestions
The koshas:
Autogenic training focused on heavy then warm sensations
Healing affirmations while calmly breathing - client was asked to repeat statements while engaging body parts
Guided imagery for healing and well-being to improve immunity, healthy cell renewal, heart health - heaviness of body part through body scan, followed by warmth of each part
Using imagery - Intuitive guidance to support health
Joyful rest , reminding client to return to the present moment when mind wanders
True nature awareness, resting in pure unlimited awareness
Sankalpa

Closing
Gradually transition client back to the room, then either lying down or seated, repeat healing affirmations
Chant shanti chant

PAM stated that when she lies down for longer periods of time it can lead to pain. She chose her bed for YN, as opposed to a supported savasana in her chair. This YN was 25 minutes which was doable and comfortable for client, she stated.

I offered the following, "Based on what I’ve read and what your doctor shared, it seems like paying attention to how your hips and lower back are positioned when you’re sitting, standing, and walking could be really helpful. What are your thoughts on that?”

"Does the way your hips and lumbar area are positioned during movement perhaps affect how you feel?" "How do you notice your body moving or feeling in those moments?”

She was ambivalent, “I mean, sure — it might make a difference, but I don’t know how I’d even start keeping track of that all the time.” I offered an observation that it seems like it's something she'd started to notice, and it makes sense that she'd want to understand how much of a difference it could actually make. She said she'd try it out today, noticing and adjusting to see if it helped.

I need to remember to use more motivational interviewing with this client. I listen then leave space for her to process what she's saying. She sometimes comes to a positive conclusion on her own. She appears resistant to direct input, I learned that early on that despite her apparent ease and openness, I need to better package my thoughts. I've been reading more about MI in order to be able to process and respond appropriately.

Chair postures with fewer hip-focused movements as there appears to be more pain and less ROM. She chose not to stand this session. I'll have some supported standing options in place but if the pain persists/has increased again, I'd like to check-in about her PT and medical appointments. She's in the pool, doing PT, and yoga, and on medication but there seems to be little to no improvement.