Emergency nursing

It does sound as if this lady has made her mind up to stay at home.

All anyone can do now is arrange careers for her. How very sad.

Being unable to walk and doubly incontinent sadly does not mean the lady requires nursing care, but personal care (unless there are other medical considerations)
Incontinence pads or “nappies” or at best a commode is all she would get in hospital and probably have to wait longer for attention in a geriatric ward than at home.
If medical attention (IV anything, injections oxygen etc) is required then at the very least there should be district nurse support and of course regular carers.
I hope you find the support you need.

As others have said - if this person is mentally normal and has capacity there really is nothing you can do.

The same thing was happening with my Ddad.
Living independently but having to be admitted to hospital, then sent home before he was properly "on his feet".
How would she feel about having Respite Care in a local home.
We persuaded my Ddad to do this until he regained his strength.
Quite honestly, he loved it, treated it like a hotel and enjoyed the company and banter with male nursing staff.
Perhaps that could be an option Katyj?

Yes travel I think that's what she is thinking.But she cannot walk so is doubly incontinent as of today,so needs nursing care.I think if we could have someone coming in regularly, she maybe could stay home.

In light of the last post maybe the person refusing hospital care feels she wants to remain home and nature to take its course. She has been in three times maybe, she just wants to be left alone. As long as she has capacity and can make a reasoned decision.......

Thank you everyone.There is someone there at the moment trying to persuade her, the problem being she has already been in hospital three times recently, they send her home, barely able to cope, then she goes rapidly downhill.There isn't anybody that can help physically.Let's hope she can be persuaded. All very sad .

Is the patient capable of telling you why she doesn't want to go to hospital. She may have good reason, as emergency departments are notorious for discomfort these days.

Is she capable of understanding the difficulty of getting alternative to hospital nursing care for her?

Unfortunately, if she has capacity, there is very little you can do. You could try 111 and ask for advice, telling them all the details. You may have to wait a long time for a call back as they are very busy. They may send an ambulance, paramedics are very skilled at persuading but if she still refuses then there is nothing they can do.
Local nursing agencies may have an on call service so worth trying but it depends on what the problem is as to whether they will be prepared to take responsibility. In these increasingly litigious days in can be difficult and you can understand them wanting to protect themselves.

If the patient has refused then there's not a lot that can be done. She is obviously aware of her own condition and may or may not wait until tomorrow for a further opinion.

Someone who's very ill is usually non-caring one way or the other and will enter hospital anyway.to be treated, or anyone who's in severe pain won't usually refuse.

Have you tried Carers’ or Nursing agencies in your area? I appreciate theybwill be shut on a Sunday, but might have an out of hours service .
Alternatively any care homes in your area who might have personal recommendations?
Can the family cope just for today?
But if the doctor says she needs to be in hospital, even a qualified nurse might not have the necessary facilities at home. So for her own safety perhaps you need to insist?