| Entry Type | Assessment |
|---|---|
| Client/Group | SB |
| Entry Category | Standard |
| Select your mentor | Brahmi Romero |
| Intake | |
| Assessment | |
| Proposed number of sessions | 8 |
| Location of sessions | virtual & in person |
| Planned time per session | 60-90 minutes |
| Presenting Problem | Client is seeking Yoga Therapy for the pain and numbness in her feet due to peripheral neuropathy. |
| Physical | Client’s main issue is pain in her feet from neuropathy. She experiences pain more than 20 hours a day and it has been getting worse. Walking helps but she is in pain while she walks. Client does not have balancing problems or coordination problems while walking. |
| Client/Group goals | Wants to move her body with ease and to be able to meditate. |
| Energetic | Client’s energy is low because she is not getting sleep due to the pain in her feet because of neuropathy – she spends most of the night in pain. |
| Emotional | Client has high levels of stress related to health, financial situation, work and family. Client experiences sadness and depression. The last four years have been very difficult for her and then that trend started to get better, then this year in January she started to experience painful neuropathy in the feet. This led her to question “why me”? She has recently lost two jobs and is concerned that she will be able to do the same things in the same capacity like she was able to do like cleaning her apartment, concentrating on a work assignment, etc. Client has been experiencing brain fog. |
| Spiritual orientation and needs | Client feels that there is a higher being, God, and it is someone that she looks to consult with and pray to. Client’s views meditation as a tool to help expand or come into knowledge of internal things that affect you on a day to day basis. |
| Intellectual / Sense of self | Client has feelings of sadness and being alone. She struggles with intrusive thoughts - she becomes a prisoner of her mind. This leads her to feeling very sad. She struggles with overthinking, and the criticism she puts on herself by over analyzing her actions. Client wants to overcome procrastination. She feels she needs to work harder on achieving some of the things she wants to achieve. |
| Yoga philosophy/wisdom research reference(s) | I think this client would benefit from receiving stress response education and being able to identify her internal stressors. Additionally, the following sutras would be helpful: II.42: By contentment, supreme joy is gained. II.43: By austerity, impurities of body and senses are destroyed an occult powers gained. II.45: By total surrender to God, samadhi is attained. Meditation: The purpose of meditation, asana, meditation techniques, developing a personal routine, and overcoming obstacles to meditation. |
| Scientific research reference(s), why chosen, how you plan to incorporate 1-3 | These articles are ideal for my client with diabetes and neuropathy. They show that yoga can turn down the HPA axis, pranayama stimulates the pancreas to secret insulin, and pranayama and meditation can help with the emotional aspect of pain. One article is not free but I will offer it to my client in case she wants to ready more about Hatha Yoga for Individuals with Diabetic Peripheral Neuropathy. Free Articles: Staudt MD, Prabhala T, Sheldon BL, Quaranta N, Zakher M, Bhullar R, Pilitsis JG, Argoff CE. Current Strategies for the Management of Painful Diabetic Neuropathy. J Diabetes Sci Technol. 2022 Mar;16(2):341-352. doi: 10.1177/1932296820951829. Epub 2020 Aug 28. PMID: 32856490; PMCID: PMC8861791. (Arkiath Veettil Raveendran, Anjali Deshpandae, Shashank R. Joshi: Therapeutic Role of Yoga in Type 2 Diabetes, EnM Endocrinology and Metabolism. March 2018:3 Not Free Article: |
| Approval Notice | |
| Questions for Mentor | Do you think that these wisdom teachings will help her with her sadness? What do you think I can give her for the sadness? Note: she gave me permission to send the Waiver Form without redacting her name on it because it is a pdf (DocuSign) form and I am unable to redact it. |
| 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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