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in melbourne, FL. She refuses to take her meds consistently, and has major issues with incontinence. Both myself and brother live 1000 miles away. I think she would prefer to stay in her condo as long as possible, so we need to bring in help I guess. She gets depressed easily, and has diabetes and high blood pressure, and deals with Afib.

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Talk to her doctor first, if she is refusing medications, hiring someone will not fix the problem of refusal. If she also has depression and A-fib she will require care from a trained professional, such as a visiting nurse.
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