Senna's spells should be one or the other.
What the title means is simply putting, her Q shouldn't heal AND do damage and her R shouldn't deal high damage AND shield.
I get she's a support, but the fact she has so much strength in her kits with no real draw backs on the spells is annoying. She seriously needs a looked at as standing in lane with her spamming heals and constant damage is obnoxious, while her one root feels like the range is inconsistent and is either short or excessively long.