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﴿ فَاسْأَلُوا أَهْلَ الذِّكْرِ إِن كُنتُمْ لَا تَعْلَمُونَ ﴾

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Ruling on the prayer of a kidney failure patient during the dialysis session

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Question:
This is a question from a patient, who seems to want to know his own situation, so he says: I go to the hospital three days a week because I suffer from kidney failure, and I attend sessions on a machine to filter the blood. However, I miss the 'Asr prayer, as I do not finish my treatment until an hour and a half after the 'Asr prayer, and the chair is positioned in a direction opposite to the qiblah.
The question is: Do I pray in any direction, or do I pray it after the time has passed? Please advise us, may Allah reward you.

Answer:
Allah (Glorified and Exalted is He) says: :
So fear Allah as much as you are ableفَاتَّقُوا اللَّهَ مَا اسْتَطَعْتُمْ
[Surat al-Taghabun: 16]. So if you are a patient for whom it is difficult to perform every prayer at its time, combine them before entering the procedure if it harms you, so you combine 'Asr with Zuhr by advancing the 'Asr prayer.
And if you were healthy before, but it is only for the sake of the procedure, then there is no harm in delaying the prayer and performing it after the procedure. So if you are unable to perform it during the procedure, you delay it, and there is no blame on you for that.
As for after the procedure, you must pray according to your condition: standing, sitting, on your side, or lying on your back, according to your ability:
So fear Allah as much as you are ableفَاتَّقُوا اللَّهَ مَا اسْتَطَعْتُمْ
[At-Taghabun 64:16]
. And the Prophet (peace and blessings be upon him) said to 'Imran ibn Husayn, who was ill:
offer prayer in standing condition; if you are unable to do so, then in sitting condition: if you are then at your sideصلِّ قائمًا، فإن لم تستطع فقاعدًا، فإن لم تستطع فعلى جنبٍ، فإن لم تستطع فمُسْتَلْقِيًا
Sunan Abi Dawud 952Sahih (Al-Albani)
.
But you are in the status of a patient when entering the procedure, so there is no harm in advancing the 'Asr prayer with Zuhr if entering the procedure is after Zuhr. If it is before Zuhr, you delay Zuhr with 'Asr. And when you are finished, you pray them after the procedure ends and after you are able to do so, even if it is in the time of 'Asr, and even if the sun has turned yellow:
So fear Allah as much as you are ableفَاتَّقُوا اللَّهَ مَا اسْتَطَعْتُمْ
[Surat al-Taghabun: 16], unless you are able in the time to pray it before the sun turns yellow, then pray it, even if by gesturing, even if you are on your side or lying on your back. You say takbir and recite, you say takbir and intend the bowing, you intend the rising and say: "Allah hears the one who praises Him," you intend the prostration and say: "Allah is the Greatest," and you say: "Glory to my Lord, the Most High," you intend the rising and say takbir and say: "My Lord, forgive me, my Lord, forgive me," you say takbir and go down to the second prostration and say: "Allah is the Greatest," and you glorify: "Glory to my Lord, the Most High," and so on you complete it if you can. But if your sensation is not with you and you cannot do it, then delay it until the procedure ends and your sensation returns to you.
Also, regarding the observation of wudu: every patient must fear Allah and observe wudu. If he can, he performs wudu, or someone else performs it for him: washing his face and arms, wiping his head and ears, and washing his feet if he can. If that is not possible, he performs tayammum, and dirt should be placed for him under the chair.
We have written to the former Minister of Health and it was circulated to the hospitals that they must have a little fine dirt in a bag or in a dish under the chair for the patient to wipe with. He strikes it with his hands or brings it close and strikes it with his hands and wipes his face and palms. And so the military hospital here and others must observe this, so that the patient has what satisfies his need if he cannot use water. So there should be a container with good, fine dirt, or a bag that is opened for him at prayer time, so he strikes it with his hands and then wipes his face and palms. Or the attendant says to him while he strikes the dirt and wipes his face and palms, and the patient intends it, and this substitutes for wiping his face and palms, with the patient's intention, and this takes the place of purification with water.
As for cleaning oneself from urine and feces: this is done with tissues, so he wipes himself with pure tissues three times or more, and that suffices instead of water. He wipes if he can, or the nurse wipes him if he cannot, and that suffices instead of water.
Source binbaz.org.sa

The Arabic text is copied verbatim from the original source, without any edits.

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