For a patient in the final stages of dying,a nurse expects to:

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Poor circulation of body fluids,immobilization,and inability to expectorate secretions cause rattles and bubbling.Elevate the head with a pillow or raise the head of the bed; gently turn head to the side to drain secretions.
Coolness,color,and temperature changes in hands,arms,legs,and feet.Place socks on feet.Cover with light cotton blanket.Keep warm blankets on client.Decreased muscle tone and consciousness may lead to incontinence of urine and/or bowel.Change bedding as appropriate.Use an indwelling catheter for patient comfort.Do not force patient to eat or drink; give ice chips,soft drinks,juice,as possible.Provide mouth care.

For a Patient in the Final Stages of Dying,a Nurse