My mom has been with me 15 years and on a slow course of deterioration. She is anti-social with crippling anxiety. She's fallen twice over the last few years and now has a fractured wrist. She has very little use of her arms and can barely walk. She's always been an emotional wreck but is now unmanageable. She cries and screams in pain frequently and I don't know how much of it is legit. Maybe all of it, IDK. She's 91. I have caregivers 20/hrs a week and I cover the rest. I think it's time for long term care facility as she needs assistance with everything. How do I know for sure and if so, what can I say to get her there without freaking out?