<s>[INST] My 83 year old mother is dying from liver failure due to hep c she contracted 48 years ago. We had a port put in so that I could drain the fluid in her abdomen on a regular basis. I ve noticed more confusion lately as well as sleeping more. What can I expect as this progresses. We have hospice care and they help a lot but I just don t know what to expect. [/INST] More confusion as well as more sleeping are signs of hepatic encephalopathy a sort of altered brain function of course attended to increase with liver failure progress. Lactulose used to assure till to three free bowel movements per day is still the best medicine used. Meanwhile, the port of "per se" may cause electrolytic changes another cause of altered brain function, so blood electrolytes should be checked up carefully and if changed, intervention with venous perfusion can help. </s>