Problem: Clinical Manifestations in Clients Experiencing End-of-Life Processes End-of-life (Lewis, pg. 129-130) End-of-life refers to: Physical manifestations Define the term death rattle and its cause: Define Cheyne-Stokes respirations: Describe changes in the cardiovascular system as death approaches: Describe changes in the musculoskeletal system as death approaches: Describe changes in the integumentary system as death approaches: