The Dr found a mass on dads liver about 2 yrs ago. They only recently biopsied it and found cancer. His ammonia levels have been high but were under control with medication. His skin is jaundiced and he is in pain and won't eat at times. he can barely swallow and his mouth and lips are dry and cracked. Last week the NH found him unresponsive in his wheelchair and had him hospitalized. He had no urine output until they hooked him up to a IV. They couldn't catheterize him because he has a large prostate. (their words) and had to use a condom cath to catch any urine. His ammonia levels were ok in the hospital so they sent him back to the nh after a 2 day stay. He has slowly woken up. Now dad is back in the hospital again with high ammonia levels and low platelets. He was admitted this time for aggressiveness and agitation. he won't take his meds, eat, drink and has thrown himself off the side of the bed and he is hitting the staff etc. This started 4 days ago and they said that he didn't want to see me. he has said that before so it was no surprise. The big surprise is that he didn't want to see his "DO NO WRONG" son. The one who wants Guardianship even though he hasn't visited more than 8 times in the last 4 yrs. The nurse said he is quiet and drowsy right now. What I want to know is if this erratic behavior and ammonia and platelet levels are a sign that he's nearing the end of his life. Has anyone gone thru this before? Maybe you can answer from your experience with Liver Cancer.