ORGANIZATIONAL BEHAVIOR PROJECT MBA (18) _ID# 15-2364

As I work as an inhalation therapist at the hospital, I choose to present to you a case study that occurred with me in October 2013, and a debate that I had with the financial department manager due to a purchase of an equipment used to resuscitation and intubation for patients in need of cardiac and respiratory reanimation. Patient Case Study: Fluid & Electrolyte Imbalance INTRODUCTION• Patient.History: Mr. Khoury presented to accident and emergency on the 6th October 2013, primarily due to the progressive deterioration of end stage motor neuron disease that was diagnosed two years ago. Coupled with a medical history of Alzheimer's disease, renal stones, enlarged prostate, hypertension, and an esophageal rupture, Mr. Khoury's health has continued to deteriorate as evidenced by weight loss, lack of appetite, decreased mobility, muscle wasting, poor oral intake and dysphasia. Prior to his admission to hospital, Mr. Khoury was cared for at home by his wife, however due to severe cognitive disturbances together with motor neuron features, his wife can no longer take care of him at home as she cannot determine his needs or understand his complaints. Mr. Khoury and his wife have both accepted his poor prognosis and deterioration as reflected by orders not to resuscitate, intubate or ventilate. His reason for admission is not an acute illness but to determine which palliative measures can be taken to relieve discomfort whilst correcting his fluid imbalance. A combination of reasons exists as to why Mr. Khoury's fluid and electrolyte imbalance has occurred. Firstly, as a result of Mr. Khoury growing dysphasia, his difficulty in comprehending language combined with decreased communication has led to an inadequate oral intake of medications. Furthermore, coupled with the chronic, degenerative disease of the brain known