Caring and Collaborating A case study on a complex patient under multiple teams

This case study introduces Mr X, who was diagnosed with Tuberculosis (TB) in early 2016. Although the TB originated in his lungs it spread causing Miliary TB in his brain. The case study focuses on the nursing issues identified during the collaboration of different specialities and disciplines, while ensuring the patient’s and family’s needs are met.

This particular case was especially challenging for the authors due to cultural differences, difficulties with communication with both family, specialties and multidisciplinary team (MDT), and the challenges of each team involved to work together and giving differing information to all involved. Due to the rare diagnosis for this patient, this was not something we had come across before.

This case study was developed through information gained from nursing the patient directly, discussions with the surgical and medical teams involved, research articles, personal reflections, and viewing the patient’s clinical notes and scans.

Nursing considerations will be discussed throughout the case study including the obstacles in nursing a patient who required complex care with several different MDT.