Is she itching and scratching a lot? Otherwise, it could be skin breakdown due to being in bed so much. You need to also check her buttocks, back, and legs. If it is skin breakdown, she can develop decubitus ulcers (bed sores) which can easily become infected and cause sepsis. My aunt actually died of this. Being in bed so much also affects the circulation. Poor circulation makes healing difficult and also causes cold feet and hands, although many liver patients seem to feel cold a lot. Since she is end-stage, I think it's a circulatory problem. You should keep any open sores clean and covered with non-stick gauge bandages. Check with the doctor about using an anti-bacterial ointment.
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