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Ask hospice to give her some Ativan for anxiety. It helped my mother a lot when she was anxiety ridden and demanding to ride the subway to go home to see her (deceased) parents and siblings in New York (from Colorado).
Good luck to you
Are you her PoA? Is anyone?
Does she have a medical diagnosis of cognitive/memory impairment?
I'm asking these questions because without a PoA, and no actual diagnosis, and her unwillingness to even go to the doctor, your options to help her will become quite limited, especially if her body is mobile and healthy but her mind is not. So, more information would be helpful.
If I were in your situation, the next time she starts having a delusion about living someplace else or yelling for help, etc. call 911 again and tell them she is delusional and may have a UTI and won't go to the clinic. They will hopefully get her to the ER, at which point they will test her for a UTI (and this is always a legitimate concern for elderly women since they are very prone to UTIs due to changes in hormones, pH and physiology).
Once there you can chose to talk to a hospital social worker to discuss next steps: do you want to keep her at home to care for her? As you are now experiencing, it is getting very challenging and exhausting to be her only caregiver. Can you hire aids to help you during the day, at least for now? This is an option if you can afford it -- even if she fights it (you tell her the aids are there to help YOU).
The other option is to transition her into AL or MC if her symptoms are from actual cognitive decline and not a UTI or any other medical problem. It may be possible to move her directly into a facility but other moving parts have to come together: you need to pick out an affordable place, they need to have open beds, etc. This is a very doable option for LOs who are physically resistant to moving. If she doesn't have a PoA and no actual diagnosis of dementia, the hospital may decide to discharge her, but you aren't under an obligation to go get her, since she is an "unsafe discharge".
Again, more info from you would be helpful in giving you the best guidance.