Concept

Into the system

Concept edit

One fall, one ambulance, and the speed of everything after it. A person whose world ran on rhythm, placed somewhere with none.

Duration
28s
Captions
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Stills

The face

Board 33.

An extreme close view of an older person's face behind round glasses, eyes wide, expression frightened.
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Across the bed

Board 32.

Two clinical staff stand on either side of a hospital bed, passing a clipboard between them above the patient, who lies between them looking up.
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Talked over

Board 25.

A person sits upright in a hospital bed, lit from the front. Two large dark silhouetted figures frame the edges of the image, facing them.
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Quotes

"You're in good hands… in good hands… How I now wish that was true."

— A Person Until the End
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"For someone whose whole world ran on rhythm, they were suddenly in a place with no rhythm at all."

— A Person Until the End
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"People appearing out of nowhere… doing a thing to my Dad rather than with them."

— A Person Until the End
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Evidence

58 beds per 1,000

58

long-term care beds per 1,000 people aged 75 and over in BC

Down from 77 a decade ago, while that population has grown.

Source: BC Office of the Seniors Advocate, Monitoring Seniors Services 2024/25 — Listening Report §3

As of 2025-03-31. Review by 2026-12-31.

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The waitlist has tripled

increase in the long-term care waitlist over ten years

More people waiting, for longer, with fewer beds available.

Source: BC Office of the Seniors Advocate, Monitoring Seniors Services 2024/25 — Listening Report §3

As of 2025-03-31. Review by 2026-12-31.

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284-day average wait

284

days is the average wait for a non-urgent long-term care admission

Just over nine months.

Source: BC Office of the Seniors Advocate, Monitoring Seniors Services 2024/25 — Listening Report §3

As of 2025-03-31. Review by 2026-12-31.

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+82% wait from the community

+82%

increase in wait time for placement from the community

From 101 days to 183 days.

Source: BC Office of the Seniors Advocate, Monitoring Seniors Services 2024/25 — Listening Report §3

As of 2025-03-31. Review by 2026-12-31.

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The hospital wait has doubled

increase in wait time for placement from hospital

From 34 days to 70 days — spent on an acute ward, not at home.

Source: BC Office of the Seniors Advocate, Monitoring Seniors Services 2024/25 — Listening Report §3

As of 2025-03-31. Review by 2026-12-31.

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45% admitted straight from hospital

45%

of long-term care admissions now come directly from hospital

Placement decided during a crisis, not planned.

Source: BC Office of the Seniors Advocate, Monitoring Seniors Services 2024/25 — Listening Report §3

As of 2025-03-31. Review by 2026-12-31.

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+25% emergency visits

+25%

increase in emergency department visits by people aged 75 and over

Over the past decade.

Source: BC Office of the Seniors Advocate, Monitoring Seniors Services 2024/25 — Listening Report §3

As of 2025-03-31. Review by 2026-12-31.

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The laws that decide

Three statutes govern what can be done to a person thought unable to decide for themselves.

The Mental Health Act permits involuntary admission and treatment, and once a person is detained under it, consent is deemed given on their behalf. The Adult Guardianship Act allows intervention where an adult is judged unable to seek support. The Health Care (Consent) and Care Facility (Admission) Act sets out how substitute decisions are supposed to be made.

The difficulty is not that these powers exist. It is how wide the discretion is, how rarely it is reviewed, and how often families report that the decision had already been taken before anyone spoke to them.

Source: Listening Report §3; BC Mental Health Act, Adult Guardianship Act, HCCCFAA — Listening Report §3

As of 2026-06-01. Review by 2027-06-01.

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