Hi doctor.. Im working as a private nurse, and my patient was diagnosed to have a gbm4.. on sept 2014 she had her operation (craniotomy), and it was indeed successfull, she had her normal activities of daily living, but on Dec 2014, she begun to detoriate,doesnt have her balance, have a slurred speech, and memory lost. she was rush in the hospital and was diagnosed to have sepsis, she was given antibiotic, ct scan reveals enlarged tumor, and doest advised to undergo surgery because of her weak situation. she have an NGT, an IVF of PLR, and Foley balloon catheter.