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It is Saturday night, she refuses to talk to me. Paramedics and police came at my request, but said they could do nothing. Refuses Ativan that caregivers (and police) offered on my request. She is 94 at home recovering from severe broken leg/surgery, mobile but vulnerable on walker. Help.

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Hopefully it has blown over by now. I think maybe you need to talk to her doctor about meds she takes routinely instead of something that you can't get into her when her paranoia and anxiety are off the charts.
Oh, and have her checked for a UTI.
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Sounds very much like a UTI to me.
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