The video dating from 1998, broadcast by American news channel CBS yesterday as Mandela remained in critically ill in hospital, showed the towering South African statesman visiting a 15-year-old, also named Nelson.
"Understanding the fact that I'm near the end, I remain optimistic with my morale very high, because I'm saying I have lived my life," the statesman, then 80, told the teen, who was dying of brain cancer.
In the amateur video the boy, his head shaved, smiled shyly from his bed at the peace icon, who wore one of his colourful trademark shirts.
"If your spirit is not optimistic, your morale is not high, medicine is not very effective," the then president said.
The boy died under three months after the visit.
Broadcast as the 94-year-old nears one month in hospital, the words carry added poignancy.
According to court documents from Mandela family lawyers, filed nine days ago, doctors believed Mandela was in a "permanent vegetative state" and they advised his family to turn off his life support machine.
South Africa's presidency has since said his condition has improved and yesterday denied he is in a vegetative state.
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