| Entry Type | Assessment |
|---|---|
| Client/Group | JR82453 |
| Entry Category | Intended Case Study |
| Select your mentor | Steffany Moonaz |
| Intake | |
| Assessment | |
| Proposed number of sessions | 20 |
| Location of sessions | House |
| Planned time per session | 60-90 min |
| Presenting Problem | CHF and Guillain Barre syndrome |
| Physical | Pt is bed bound. He currently has L sided paralysis of limbs. Legs are able to move partially,toes, ankle, knee, hip. Flexion at knee is partial, about 90*but beyond is painful, hip flexion not able to get past degree necessary to get foot flat on bed. Arm is not moveable at shoulder, there is displacement anteriorly lying in bed. elbow is barely moving, wrist is able to do some flex and ext. All movement past the ability is painful. (the PT is working with this and theorizing why the pain is so intense. Right side is getting back to normal but due to left side it is difficult to fully asses. His Ribs rise evenly on breath and abdomen can activate. |
| Client/Group goals | Improve ability to move, encourage and build on existing movement for CHF, Breath coaching for partial paralysis and better circulation through heart and lungs. |
| Energetic | Overall he has great energy. Somedays he is a bit down and others he is a fighter. His labs had elevated CO common in bed-bound, light breathers. He did notice the CHF for a few yrs prior to DX in fall. He had been dx with HTN and decided to quit meds yrs ago and the last few yrs had noticed he was getting SOB with walks around his property increasingly. As well as gaining weight -hindsite edema. Sleep around 6 hrs but naps during day. |
| Emotional | On the surface, with interaction and questions, it appears he is miraculously getting through this. However leaving his life of living at his cabin mostly alone and loving life, living in a room with his niece and friends has to be difficult. He is sensitive-saying he cries when animals die. |
| Spiritual orientation and needs | Self describes as sincere, loving and curious. Nature is his deepest love. |
| Intellectual / Sense of self | He is an intellect by nature, loves to read science articles about all kinds of topics. Copes with stress by self-modulating his thoughts. |
| Yoga philosophy/wisdom research reference(s) | First- Bring nature into his room- Elements Connection to self through this journey. The Gunas connect us to nature so helping to connect the gunas to nature then to his situation-balance in brain work vs physical work. YS B2:18 |
| Scientific research reference(s), why chosen, how you plan to incorporate 1-3 | Sendhilkumar, R., Gupta, A., Nagarathna, R., & Taly, A. B. (2012). “Effect of pranayama and meditation as an add-on therapy in rehabilitation of patients with Guillain-Barré syndrome—a randomized control pilot study.” Disability and Rehabilitation, 35(1), 57–62. https://doi.org/10.3109/09638288.2012.687031 van Doorn PA, Van den Bergh PYK, Hadden RDM, et al. European Academy of Neurology/Peripheral Nerve Society Guideline on diagnosis and treatment of Guillain–Barré syndrome. J Peripher Nerv Syst. 2023; 28(4): 535-563. doi:10.1111/jns.12594 Very long overall look at GB. Includes section on yoga improving mental emotional state. Nehal Shah, Manisha Shrivastava, Sanjeev Kumar, Raunaq Singh Nagi, |
| Approval Notice | |
| Questions for Mentor | Our sessions are breath work, asana-using alt sides of body simultaneously and working towards his goals of standing walking ie get left side to wake up. We end with relaxation bringing body scan, nature, sensory imagination and positivity. |
| 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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