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Case Study of Maria
Contents
Introduction    3
Background of Maria’s Condition    3
Impact of Schizophrenia on Maria    4
Therapeutic Use of Self    5
Therapeutic Alliance    6
Evidence-Based Therapeutic Strategies    7
Evaluation of Strategy’s Effectiveness    8
Learning and Reflection    9
Conclusion    9
References    10
Introduction
The suffering of a patient with schizophrenia is commonly stigmatised, inadequately treated, discounted, misdiagnosed, and it can be a dangerous, agonising, draining, and tenacious mental disorder. Nurses are at the centre of the healthcare setting, and establishing effective connections with the people they assist is core to their position. Worldwide, the alliance is highly encouraged by Australasian healthcare organisations, which emphasise the importance of connectedness and the ability to present efficient therapeutic alliances (Edwards et al., 2018). The nursing relationship has therefore been identified as "an effective therapeutic interactive process [that] processes in a collaborative manner with other biological processes that enable communities and individuals to be healthy" (Benson & Park, 2019).
Patients look at this relationship as life-sustaining in its potential to facilitate collaboration and a feeling of being acknowledged, whereas nurses see it as demanding an alignment of interpersonal professional competency with individual experience. Individuals receiving secondary healthcare facilities are those who are undergoing serious mental health problems, mostly from the perspective of challenging social and relational conditions (Balfour, 2019). In this setting, nurses seek to develop reciprocity, synchrony, mutuality, and a feeling of connection with their patients, and patients value being recognised and associated with as an individual instead of a service-recipient, which necessitates the therapeutic use of the self. Moreover, schizophrenia is a complex and detrimental condition that impairs people's health status, functioning, independence, qualitative well-being, and self-efficacy (Elhay et al., 2017).
This paper focuses on the case study of Maria, who is suffering from schizophrenia; the impact of schizophrenia on her; therapeutic use of self; therapeutic alliance; evidence-based therapeutic strategies; evaluation of strategy’s effectiveness; and learning and reflection.
Background of Maria’s Condition
Maria is a 41-year-old female experiencing schizophrenia. Maria's elderly parents approached the Psychiatric Health Centre for intervention. Between 2017 and 2021, she spent four years in a psychiatric service centre. Since she has a history of non-adherence with medications, oral medicine reminders are essential. She does not contend that she is afflicted with a psychiatric illness (Fayozova, 2020). According to her family members, her illness is characterised by derisive auditory hallucinations and also paranoid perceptions concerning women reading her thoughts. She stated,"I feel frightened since voices inform me that I'm an extremely negative human." She further added, "Women read the emotions in my head".
Furthermore, when asked more about this, she asserts that a microchip would have been ingrained in her
ain. Music is her coping method. Her family members and she live in the housing department. Maria is the mother of a 17-year-old girl who stays in Melbourne with her partner. Maria does not have cousins or friends. She has some relatives in Queensland, but her bond with her child is tough. Her mother mentioned that Maria had never consumed illicit drugs or drank in public. She held a position in retail until 2017, when she was compelled to abandon it due to psychiatric illness.
 
Impact of Schizophrenia on Maria
Schizophrenia is the major cause of disability around the globe. Cognitive deficits are usually a fundamental aspect of schizophrenic disorder; they are ascertained in afflicted individuals throughout their lives and are amongst the strongest determinants of functional disability. Individuals with schizophrenic disorder have considerable cognitive defects in processing speed, executive functioning, vigilance/attention, ve
al learning, working memory, reasoning, problem-solving, and visual learning (Balfour, 2019). When an individual has schizophrenia, he or she often wants to isolate himself or herself from other individuals (Edwards et al., 2018). They may be depressed or i
itable, and they might even have difficulties comprehending other human emotions. According to research studies conducted over the last few years, individuals suffering from schizophrenia have an average lifespan that is diminished by up to 15 years on average. Challenges with the physical structure of the
ain and with its parity of neurochemicals can contribute to this disorder (Durna et al., 2019).
Essentially, schizophrenia disconnected Maria's mind from reality. Her reasoning abilities and thought processes have also been disrupted. Her memories have suffered as a consequence. She expresses little to no emotion and speaks rarely, if at all. She is perpetually unhappy. A dearth of gratification in things she used to relish is often related to psychological depressive episodes, but it can also be an effect of schizophrenia (Elhay et al., 2017). This encompasses favourite ho
ies, socialising, and activities, among other things. Individuals can have both schizophrenia and depression at the same moment. According to a review, approximately 40 percent of patients with schizophrenia can sometimes suffer depression. She has many difficulties communicating with people around her. When other individuals say something, she does not always react or even takes a glance at them. In addition, her family members have to assist her with some of the essentials of personal hygiene (Salois, 2018).
Living with schizophrenia is frightening every day. In several cases, patients become convinced that they have been threatened and that certain individuals they think are planning to endanger them. Usually, these misunderstandings can result in raving and ranting, antisocial behaviour, and an increased degree of negative stress. When she goes out in public by herself, she has to...