My 52 year old brother has late stage cirrhosis and has had rectal and esophageal bleeding in the past. Recently, he is having bleeding gums, spider veins on face, and severe lethargy. He spends most of his time lying down and sometimes passes out upon standing. He is in denial about his condition but at times becomes frightened and calls my sister and voices his health concerns. What should we do to help him, especially the recent gum bleeding preventing him from eating? He rarely eats and has wasted except for his enlarged abdomen.