Well there are different types of hyponatremia and a complete history and blood work and urinalysis certainly need to be done to determine which type or if its in conjunction with some other disease. But from what you have said of your mother she drinks an inordinate amount of water and also does lots of back breaking work out in the sun which would cause excessive sweating. Here's a good article by Merck.....
www.merck.com/mmpe/sec12/ch156/ch156d.html
The confusion and irritability you have been witnessing is surely a symptom of this.
a really good internist should be able to perform these tests or at least recommend a specialist to monitor this. There are so many things that can cause this from underlying disease, renal disfunction, to just drinking too much and sweating too much.
I wish you well Julieanne.....i hope that there is always someone close to her to monitor her..........Pat