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Can you get a specimen jar from her doctor and get them a urine sample without her actually going to the office? Does she say why she doesn't want to eat, i.e. is she experiencing pain or feels full or feels nauseated? Will she drink something, like Ensure? It is very hard when our parents don't want to eat. My mom has up and down periods and has lost quite a bit of weight, but will still eat. It's hard to tell what is just "normal" for their age and what signals a problem that could be addressed. And there's always the idea, "Is this the beginning of the end" in the back of my mind (and probably yours too).
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Call the doctor, explain that she refuses to go see him and ask him to have Hospice do an in home evaluation. Refusing food is a sign that everything is shutting down, she could probably use a visiting nurse.
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