Communicate referral plan + safety-netting clearly to the daughter

You explain to Ny. M and her daughter that the sudden right-sided weakness and difficulty speaking are concerning for an acute neurological condition and require immediate assessment at the emergency department.

You explain clearly:

• what you observed during the telemedicine assessment,
• why an in-person neurological examination and further diagnostic evaluation are needed,
• where Ny. M should be taken,
• why the transfer should not be delayed,
• what to do if her condition worsens during transport.

You verify understanding using teach-back:

“Can you explain back to me what you will do after this call?”

Her daughter asks:

“Doctor, she is still conscious and can respond. Do we really need to go to the emergency department now?”