COPD does terrible things to thinking ability. when the oxygen levels sink below normal, there is a cascade of events that happen, and hallucinations are not uncommon. the ability to sort out normal things becomes impossible. every day tasks go undone because they don't make sense. just looking at the quilt probably exhausted every capability this poor lady had. i'll be she would welcome some help, and after she is better, will be embarrassed that she had so much difficulty. the toll that oxygen lack takes is incredible, and it's something we take for granted every day. you would be a real angel to just help her out as gently as possible.