But unfortunately, the way our healthcare system is set up, you can't fix everyone. I have a close colleague who is an FNP hospitalist, so I hear quite a bit of what goes on in the rest of the hospital. Elderly woman went home, they called APS, she could not walk, could not get up on her own, had minimal help, yet insisted on going home by herself.
She is legally allowed to put herself into an unsafe situation. She didn't have dementia, but she wasn't sick enough to be in the hospital. Anytime she needed anything, she would call 911, it was ridiculous. It took several of these trips before enough evidence was gathered to take the case before a judge to have her declared legally incompetent. Then her choices are taken away.
Even if patients are sent to a nursing home, if grandma doesn't want to take her anticoagulants, is oriented, can make her own decisions, and she has a stroke and dies? She's allowed to do that.