### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hello, My mother has lived with me for the past 4 years. She was diagnosed with cirrhosis 15 yrs. ago at the age of 60, even though she didn t touch any alcolol until the age of 45, when my father died. She was never a heavy drinker, but was extremely obese and ate tons of white sugar right out of the bowl. She had a gastric bypass in 1986, and now weighs a svelt 225 lbs., down from 325. She was in a serious car accident 5 years ago, broke her pelvic socket, crushed her right hip, etc. (she d been having TIA s before the accident) and is now in a wheelchair. She has since been diagnosed with kidney disease and CHF, although no on has ever told us specifically. I ve made copies of her records in between transporting her from the hospitals and rehab facilities, due to falls and now cellulitis flare ups. She s had ascites on her legs for 4 yrs., and probably her abdomen (she s so heavy it s hard to tell). The muscles in her hands have atrophied, and her extremeties are now a deep red. Her sleeping habits are all over the place, and she is constantly falling asleep, and seeming confused consistently. I have given up work to care for her, but am also married, and raising a 13 year old daughter. I would truly appreciate some honesty regarding how much longer I ll have to endure caring for her. I have POA, and my 3 siblings have pretended that we don t exist for the last 4 years because they don t want to deal with her health issues any further. Despite all my negativity, I would like her to pass away in my lovely home, rather than a nursing facility. She s so fussy, I know that no on would provide her with the empathy that I struggle to continue to give. Your response is most appreciated.

### output:

Hello, Sorry about your mothers' health condition. She is suffering from CKD with cirrhosis of liver with hip fracture with cellulitis of limbs with altered sensorial. This condition you may just take supportive care. 1. Check urine output regularly.2. Use antibiotics and diuretics to reduce edema and cellulitis.3. Reduce fluid intake 4. Check serum electrolytes for altered sensorial.5.  Give low salt diet.6. Check her seem creatinine at least two times in a week.7. Physiotheraphy may useful. Please post me follow-up reports will guide you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care 