16-B Reflective Short-Answer Exercises Darshan is an older resident wh.docx

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16.B Reflective Short-Answer Exercises Darshan is an older resident who is dying of prostate cancer. He is a practicing Hindu and has pictures of Hindu gods on his bedside table. His family has been chanting at Darshan's bedside for the last 2 days. Today he is in a coma. He has not voided for the last 24 hours. He has not had a bowel movement for the last 5 days. Darshan can no longer take anything in by mouth. You notice that he has now started CheyneStokes breathing, and his lower legs are purple in color. 1. How would you perform your job with Darshan's family present around the clock? 2. What respiratory changes tell you Darshan is close to death? How could you explain this to the family? 3. Do you think Darshan can hear the chanting? Why or why not? 4. How could the chanting provide Darshan comfort? 5. Is it normal that Darshan has not had a bowel movement for 5 days? Why or why not? 6. Is it normal that Darshan has not voided for a whole day? Why or why not? 7. How can you help Darshan stay comfortable now that he is exhibiting the Cheyne-Stokes breathing pattern? 8. Should you accommodate the family's round-the-clock vigil in Darshan's room? 9. What feelings might Darshan's family members be experiencing? .

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