Use teach-back and address barriers (transport, wait time), still prioritize safety.

You acknowledge the daughter’s concern and explain that Ny. M’s preserved consciousness does not rule out a serious neurological condition. The sudden right-sided weakness and difficulty speaking still require urgent in-person assessment.

You work with the daughter and village midwife to make the referral plan feasible:

• identify the most appropriate nearby emergency facility,
• arrange safe transportation without unnecessary delay,
• advise that Ny. M should not be left alone,
• recommend bringing identification, medication information, and relevant medical records if available,
• explain what to do if her consciousness decreases, weakness worsens, she develops a seizure, severe headache, or vomiting during transport.

You use teach-back to confirm that the daughter understands both the urgency and the plan.