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My mother-in-law has end stage COPD. In the last 4 days her condition has changed. I have the feeling she is drawing to the end of her life. She has been sleeping for almost the whole day for a couple of days, she has stopped wanting to eat and has been waking at odd times and with confusion. Her breathing is very bad. She has been struggling to get her breath and we have increased her oxygen from 2 litres per minute to 3 litres per minute and she has had to top up with her portable oxygen machine (on 4 litres per minute) when things are really bad. She has been having pains in her chest and aching and today complained of having a headache. Am I right in thinking I need to start initiating further care for her? The GP came in and wasn't sure how to diagnose what was happening to her and said she had a rumbling in her lungs, which is normal for her as only the top half of her lungs are taking in oxygen.
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