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You are assigned to take care of Mr. Hasan, an 85-year-old patient with terminal Rectal Cancer. Mr. Hansan is widowed, has two sons, two daughters, and several grandchildren and great-grandchildren, all living in Las Vegas and Southern California. The family is Muslim and follows the Five Pillars of Islam
Mr. Hasan is on Hospice care and has a DNR order. He has visibly declined in the last 3 months, is now refusing to eat, and consumes only minimal fluids. He has become weaker, increasingly confused, has lost weight, and is bed-bound. When you are providing care to Mr. Hasan, you notice mottling in his lower extremities and cheyne-stokes respirations.
1. What is mottling and why does it occur?
2. What are cheyne-stokes respirations?
3. What is the last sense to be lost as death as approaching?
Mr. Hasan’s son is praying aloud in Mr. Hasan’s room. He comes out and tells you his father has stopped breathing and is not moving. You go into the room and cannot find a pulse.
4. Should you start CPR? Why or Why not?
5. What is rigor mortis?
6. What position should Mr. Hasan be left in after post-mortem care? Why?
7. What would you expect the family to request regarding post-mortem care, due to Mr. Hasan’s Muslim religion?

 
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