• 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.

Since her most recent medical appointment and the news of the surgery, I’ve introduced upper body strength building movements. Asanas focused on the hips and legs have changed due to limited range of motion and increasing pain. We continue discussing the Sutras, Yamas & Niyamas, and practice Yoga Nidra.

The client reported that she feels relaxed after our sessions and temporarily experiences reduced pain. She is finding it difficult to generalize the breathing techniques and visualizations. She is trying to practice medication and pranayama daily, and is managing three days a week.
The first goal is modified since the degenerative condition has reached the point of pain at a level 7 on a scale of 1-10, 10 being the worst pain (client reported on 24.06.12). We continue to implement Goal two, to practice daily meditation and pranayama, as written.

The client’s pain continues to worsen due to the degenerative nature of the condition. There appears to an increase in adverse outcomes, including depression, isolation, and sleep disturbances.

When we practice breath awareness the client reports feeling revitalized. When asked about her energy level, she states feeling a removal of stagnant energy, and a calmness.

Client appears sad and uncomfortable due to the ongoing degeneraion of her hips. She reported today that she’s been on this ‘journey of discovery’ for 2 ½ years. Though the outcome is difficult to accept, she voiced resolve after getting an answer.

It’s a pleasure speaking to a client who has a strong sense of self, and an interest in yogic philosophy. The client follows up with suggestions on websites, papers, and videos that may be of interest whereafter we discuss the content.

PAM appears to enjoy sharing her perspective on the Sutras I’ve introduced through her care plan. We have 4 more sessions planned and will discuss how I will continue to support the client.

PAM reported that the scripted Yoga Nidras were well-received. She was able to relax, she said. She told me her pain level was increasing; and, she was upset about not being able to get an appointment for surgery until August 2024. She shared that some of the asanas we’ve practiced were also recommended by her physical therapist and newer doctor.

Session #6:
a. Five chair asanas, starting with
i. Centering and Breathing (Nadi Suddhi)
ii. Neck Turns (R/L)
iii. Back Reverse Arms
iv. Seated Twists
v. Easy Pose Chair One Leg Opposite Arm Raised
vi. Standing Cat Cow Pose Hands Chair

b. Integral Yoga Guided Meditation/Relaxation Experience
i. https://www.youtube.com/watch?v=t3-WJUM_nKA

c. Apply social ethics & personal practices to large, long-term goals for living, & small decisions you make in daily interactions with others.

d. Journaling prompt: What is the most important lesson you feel you have learned this year?

I asked many times for help with a plan of action, an approach to the process, how many hours would be needed, etc. I’m a planner. I felt I was juggling my personal life which had exploded while trying to create a structure for my professional life as well. It was a lot to deal. I set aside the practicum work while I strategized my daughter’s new illness, and then my firing. I didn’t have the wherewithal to create a structured approach to my practicum. With it lacking, I felt paralyzed and was unable to move forward. I believe I did what I needed to do. I just wasn’t ready.

None at this time, thank you.

I did. I was anxious in the beginning but with more research and planning, I felt more confident.