Looks to me like the bad stuff started a long time ago. If it has progressed to this stage, it seems like it's getting close to the end. Since she is still drinking, is she still seeing a doctor or taking any kind of meds? Has she had any internal bleeding, such as esophageal varices? It's kind of pointless, I guess, to take meds & then continue to drink.
I have chronic Hep C which & cirrhosis. The doctor has prescribed meds to control the edema, & so far they are working as well as can be expected. I haven't had a drink in 5+ years - if I had, so can bet I would not be here now typing this message!