Mom's hallucinations are that every where we go, she's being followed. Should I try to explain it's not true or go with the flow?

I might have her checked by her doctor to see if there is something else going on, such as a UTI or medication side effect. If not, there are some meds that might help with paranoia. That's an option. If they don't work, then I'll tell you how I have handled the matter with my loved one.

My loved one's paranoia doesn't lasts long. She had a bad weekend recently, but then it got much better. I just tried to redirect her and focus on other things. For example, if she said that she was upset about what was going on at the assisted living, I would ask for details, but she had none. I would then tell her it has all been sorted out and things would be fine the next morning. That seemed to make her feel better and I just repeated it every time she showed concern.

Another time she was concerned that she had done something wrong, but she didn't know what it was. I told her that she hadn't done anything wrong, but just in case someone thought she did, I had gone to the office and straightened it out. I comforted her and said it was all worked out and no reason to worry. And then I would suggest we go for a walk and I'd talk about art on the wall or her next snack. I would just keep repeating the story that everything was worked out. Eventually, she stopped it. Now, she rarely goes paranoid, though it could happen at any time.

I do not believe that correcting her or trying to convince her that she's wrong will work.

Go with the flow;
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Hallucinations and delusions are symptoms of Alzheimer's disease and other dementias. With hallucinations or delusions, people do not experience things as they really are.

Delusions are false beliefs. Even if you give evidence about something to the person with dementia, she will not change her belief. For example, a person with dementia may have a delusion in which she believes someone else is living in her house when she actually lives alone. Delusions can also be experienced in the form of paranoid beliefs, or accusing others for things that have not happened. For example, the person with dementia may misplace an item and blame others for stealing it. Some people with dementia may have the delusion that others are "out to get them." For example, he may believe that his food is being poisoned.

Hallucinations are incorrect perceptions of objects or events involving the senses. They seem real to the person experiencing them but cannot be verified by anyone else. Hallucinations are a false perception that can result in either positive or negative experiences. Hallucinations experienced by people with dementia can involve any of the senses, but are most often either visual (seeing something that isn't really there) or auditory (hearing noises or voices that do not actually exist). For example, a visual hallucination could be seeing bugs crawling over the bed that aren't actually there. Of course, people also make “visual mistakes,� mistaking a housecoat hanging up for a person, for example, because they can’t see the object clearly. This can happen to anyone, and is not considered a hallucination.
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I agree with Sunnygirl, you will probably not be able to convince her otherwise if you tried. The best path is to reassure her that you've taken care of her concern. I've even taken my cell phone out and made a pretend phone call in reference to my Mom having fears that something bad had happened to one of my brothers. I've "called" to have skunks and other small animals that she believes are under her bed or her chair removed. Once I tell her that someone is coming to take care of the problem, I am usually able to get her to start focusing on a different topic of conversation. Hope this works for you.

Just go with the flow follow her lead sometimes we invite my mom's FRIENDS to have dinner with us. As long as the Hallucinations aren't scaring her just go with it

If your Mom does not have a history of hallucinations, you should definitely have her checked out for a urinary tract infection (UTI) -- it is extremely common among elderly women and causes a kind of psychosis that goes away once the UTI is treated. UTIs are the number one cause of false psych admits among the elderly. Usually within 24 hours of being treated, the symptoms will go away. Another note: sometimes a patient will start to show the symptoms before she tests positive for the UTI -- if you get a negative test and the symptoms persist, insist that she be re-tested. (This won't be a problem in your Mom's case since enough time will have passed already that she would test positive if she has a UTI).
Also, a number of meds that are perfectly safe for younger people, do cause hallucinations in the geriatric population.
Sadly, despite how common both of these things are, there are a lot of doctors practicing on a geriatric population who are unfamiliar with these very common problems.
Good luck.

Do you wish to be happy or right? Simply pick one....

In my book The Crown of Life Society, I have some examples of these kinds of delusions, among residents in a continuing care retirement community. As one character comments, "If you can't give them a better reality than what they have, go with what they have." My own mother, who lives in a large retirement community, believes the director of security is sleeping on her (my mother's) couch every night, to keep her safe. She keeps a pillow and blanket on the couch for him. I am not about to tell her she's delusional. I just told her it would not be a good idea to tell other residents about her special treatment.

my friend's mother has hallucinations about being a young girl in Czechoslovakia. When she was a girl they caught the last train out of the country before Hitler invaded. Her hallucinations are about having to catch the last train she's packing her bags and is very agitated. My friend just consols her and repeats that they don't have to catch the train. It's difficult situation, sometimes she wakes them up at 2 or 3 in the morning telling them they got to catch the train. I think go with the flow is the best advice. She also thought she saw her son walking in the hallway so that was kind of weird too. It certainly is strange and I think we have to have compassion and yes these are our family members that we love so we do the best that we can to try and calm them and comfort them.

I agree as well, go with the flow as long as they are not scaring her. My mom sits and has conversations with blast from the past, I just say hi and let them visit. I tried explaining, it either made her upset or angry so I don't do that anymore.

I just need to say how this is such an amazing community that helps people so much, I love reading the advice and learning how to be a better caregiver from so many perspectives. Hugs and thanks to you all!