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She will flail with any sudden noise. Sometimes flinging herself forward in her chair or almost off the sofa where she lays during the day. How can I keep her from falling?

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Yes, I'd ask doctor for help on that. It sounds like she's really anxious. Also, just to let her know where you are, you might get some little bells to put on your shoes, just so she can hear you coming down the hall.
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Reply to Sunnygirl1
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Perhaps she needs medication for her anxiety, is her doctor aware of it? And this may seem like a silly idea, but if she startles so violently whenever you enter the room she is in perhaps your could make a habit of singing (humming, whistling) so that she can hear you coming.
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