I'm thinking fake. Look at the shadow cast by the bill of Damars cap. Notice the sides of his face are in the light but the bill does not cast a shadow straight down onto his chest. Now look at the shadow of his arms. The cap bill should have a shadow down the front of his chest, like the shadow of his arms.

Now look at his mom's left hand right at the rail of the bed. Looks photoshopped to me. Too smooth of lines compared to other lines within the background with the medical equipment.

To me, all three people look inserted into the scene. The lines around their hair is just too perfect. Shouldn't there be fly-away hair, here and there?

Last thing I noticed was Damar's bed sheets. They are perfect. That guy has been sleeping in that bed for three days and nights and the sheets look like they were just placed under and on him just before the pic was snapped. Might have happened, but realistically there should be wrinkles on the sheets and the bed linens ought to be pulling away from the corners.