My mother who is 88 lives with me and has not been diagnosed with Dementia or Alzheimers. However, I have noticed that lately she is very sleepy during the day and when awake is very confused about what time of day it is. This thinking persists even when I remind her of what the time is. Most of her memory and living skills seem to be fairly intact, although she loses things frequently. She has an annual in June, where I would like her to bring it up, but when I mentioned this she gets real defensive. How does a caregiver bring something to physician attention without the patient consent?