My mom will be returning home from skilled nursing today. She fuss and threw a fit until she was able to leave. The facility is recommending 24 hour care with PT and OT and medicine management but she says she can do it on her own. She can't do it on her on and she is pushing her family away. My mother is in a wheel chair and not sure how she became unable to walk, but my mom has been paranoid, delusional, she has bad behavior and it causes her to stay up with no sleep to stay on the look out for I'm not sure what. She fell asleep in a chair trying to stay up because she thinks someone is making her go to sleep, so she fell out of the chair. She could not get up. She thinks some light is beaming on her knees and other areas, or something is trying to get her. To me that's a red flag for mental impairment. So this is going to be challenging but just not sure as to how to care for her and make sure she goes to the doctor, take her medication, not unplug the phone, open her door for home health and family members. I'm worried that she is going to barricade herself in her home. It's hard to get her to sign anything to gain guardianship over her.