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Hepatic encephalopathy will cause confusion. Ask her doctor to order a visiting nurse for you.
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Locally, we have found caregivers through the Council on Aging and also by looking at classified ads in the newspaper and shopper. Also, if you know people, ask around. Good luck.
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I'm very sorry that your wife is going through end stage liver disease. My dad died from ESLD and suffered from hepatic encephalopathy as well.

If you need a regular caregiver you might want to do some research and find a reputable company in your area that provides caregivers. A company like this will also have a supervising nurse overseeing your wife's case. I suggest this not knowing how far your wife's illness has progressed or how confused she may be. Also, I don't know what her day to day life is like. However, I think I might have a good idea of what your day to day life is like since I went through it with a loved one too. I cared for my dad in my home for years until he got to sick for me to care for him 24/7. My dad had had 3 heart attacks in the past, had had a quadruple bypass, he also had diabetes and age-related decline. While we were focusing in on the heart, waiting for "the big one", the liver disease snuck up on us when we weren't looking.

I'm glad you're here. I hope you use this site as I did, it's a wonderfully supportive environment.
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I'd reach out to a local Care Manager near you who can recommend an agency to help you out: www.caremanager.org. They can also assess your situation and give recommendations if there is some planning or other aspects that need to be attended to during this difficult time.
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