My boyfriend has ESLD, how do I know if his health is declining or if it is just normal symptoms?

My boyfriend was diagnosed with cirrhosis in 2016 and since then he has been diagnosed with decompensated cirrhosis. He has had ascites, paracentesis, varicies and ulcers. He has had banding, TIPS procedure, blood transfusions, etc. He has recently had pneumonia, 2 months ago, and now he seems to be showing signs of Hepatic Encephalopathy. I don't know if he is declining in health or if it is normal symptoms of dealing with end stage liver disease (ESLD). He is always exhausted however he can only get 2 hours of sleep at a time. His legs have recently, suddenly, started not working. He has difficulty standing and walking, legs shake and he falls at times. His eyes are so jaundice that they have an orange tint to them now. He has spots in his vision at times or his vision is blurry. His hands and arms shake uncontrollably at times. He goes through bouts of depression and cries for hours, but he said he has had a diagnosis of clinical depression before. He can't do normal things he used to do, for example, washing a couple dishes takes hours because he gets so tired doing them. He has stopped taking his medication, started drinking again and says he is fine. Some days are worse than others and some days he seems perfectly fine. I don't know what to think and the anxiety I have is awful. Any ideas or thoughts?