Entry TypeAssessment
Client/GroupVCU - 4 North
Entry CategoryStandard
Select your mentorBrahmi Romero
Intake
Assessment
Proposed number of sessions52
Location of sessionsVCU Hospital - 4 North
Planned time per session45
Presenting Problemmental health crisis
Physical

Clients are offered not opportunities for physical exercise during their admission beyond the 45 min yoga classes. Most hold excessive tension throughout their body and report stiffness, achiness and limited mobility.

Might only see a specific client one time, or at best 3-4 weeks.

Client/Group goalsstress management, reducing anxiety
Energetic

Clients are often on their first - or early days of new medications, leaving them more tamasic in their energy - reporting low energy, fatigue, heaviness, dullness. Breath assessment usually is shallow with little to limited movement in the abdomen. Probably the most useful practices that can be offered are pranayama.

Emotional

Taking into account the possible effects of the medicine, clients present more tamasic than rajasic - although on occasion some clients can present more rajasic - rapid speech, shallow quick breaths, overly animated fascial expressions

Spiritual orientation and needs

Clients are open to the wisdom teachings of yoga, and introduction to the sutras

Intellectual / Sense of self

Clients struggle with connecting to self

Yoga philosophy/wisdom research reference(s)

Introduction of the pancha kosha model - the idea that we are more than the body.

Sutra 1.2 - the restraint of the modifications of the mind stuff is yoga.

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

Chairs are provided, no mats. The floors are clearly dirty, so practice is often in the chair or standing with chair support.

Approval Notice
Your care plan should be approved by your mentor, with any amendments they suggested, prior to your remaining Yoga Therapy sessions.
Questions for Mentor

Not a question, but I appreciate your sharing the idea "You are their frontal lobe". I find not only do I need to demonstrate and move with them, but I must overexaggerate the movements to a degree, as well as slow them down even more so that the clients can follow along.

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?Notify Mentor of Updates/Completion