My Sister was diagnosed with stage 4 liver disease & renal Failure 1 month ago she has  spent the majority of her time in ICU & recently released to my parents home assigned with a hospiatl appointed case manager after they stabilized her and her kidneys showed signs they were healing or in the process of   healing over the weekend she was having sever abdomin pain and she coughed and blood came out of her nose and then she started vomitting quite a bit of blood she was readmitted to icu where they gave her a blood transfusion and drained more fluids from her abdomin These cant be good signs Shouldnt she have a Nurse who cares for her when they release Her? & or How do we get 1 put in place?
1) your sister is suffering from stage-4 liver failure due to cirrhosis associated with impairment in renal function2) episode of blood containing omitting is also due to liver failure3) she need care-taker at home as such episodes are difficult to manage without presence of proper personal. In addition, there might be possibility that she require repeated admissions to ICU due to worsening of condition.