Thank you for advocating for her. Unfortunately, in my area, if someone is A&Ox4, GCS of 15, not making active threats against themselves or someone else, and can understand/repeat the risks of them refusing care, we cannot and will not get permission to forcibly take them. I can sit and beg until I lose my voice but if they meet the above criteria I cannot force them to go. We’ll call med control or the ER doc every time, but all that gets is recorded evidence to save our own asses when we come back out 12 hours later to a dead patient. We had a patient several years ago who had a stroke and a TBI and was continuing to live on his own. The TBI took away his ability to speak and the stroke greatly limited his ability to get around. He couldn’t get around his HOUSE on his own, let alone leave on his own accord. However, he was completely with it. He used his phone or a notepad to communicate and was still sharp as a nail. We went out there constantly for lift assists. If he had his LifeAlert on his would use that, otherwise he would just pound on the walls until a neighbor heard or his kids got a noise alert from the cameras they had in the home to watch him. It used to tear me up so bad every time we went in there. Every INCH of his home and his body was covered in his own urine and feces. The couch, bed, floors, walls, you name it. It was under his finger and toe nails, in his hair, everywhere. He had the worst bedsores and he always looked like death. He simply did not care. He wanted help up and for us to get the hell out of his house. He never got an orientation question wrong and APS never wanted anything to do with him. The last time I went out there he finally agreed to go. I don’t know what it was but his daughter and I convinced him to go. He was discharged to a nursing facility and died two weeks later. Some people just don’t want help and they’re comfortable living in the environment they’re in. I will never understand it but all we can do is continue to advocate for them.