Send urgent safety-net message + advise immediate in-person assessment.

You clearly explain that Ny. M’s persistent right-sided weakness and difficulty speaking are concerning and should not be monitored at home any longer.

You advise her daughter and the village midwife to take Ny. M to the emergency department immediately for an in-person assessment. You explain that telemedicine cannot determine the cause or severity of the neurological problem and that further evaluation is time-sensitive.

You also give clear instructions to seek emergency help immediately if Ny. M develops reduced consciousness, worsening weakness, seizure, severe headache, vomiting, or new difficulty breathing.

You confirm that the daughter understands the plan and knows where Ny. M will be taken.