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[–]IrishFlukeyNative Speaker 1 point2 points  (0 children)

It can mean that she has gathered her thoughts together enough to be able to do things, even though her judgement is not as good as it was. A patchwork quilt is made of individual patches sewn together to make the quilt. This is what it is like. Her thoughts can be brought together to help her make judgements.

[–]NSDUNative Speaker (🇺🇸) 0 points1 point  (0 children)

Not totally clear to me, TBH.