Concept

The purple dot

Concept edit

Fear gets written down as aggression, and a mark is added that follows a person everywhere.

Duration
22s
Captions
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Stills

The dot

Board 39.

The patient chart held up, now showing the name, the two written phrases, and a single filled circle stamped in the lower portion of the page. The pen has been lowered.
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The name

Board 37.

A close view of a hand holding a pen over a patient chart on a clipboard. The name SIDNEY has been written at the top in handwriting. The rest of the chart is blank.
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The words

Board 38.

The same patient chart, now with two handwritten phrases added beneath the name: aggressive, and resistive to care. The pen is still on the page.
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Quotes

"They were confused and would resist when someone came at them quickly, which got written down as aggressive. Resistive to care. Agitated."

— A Person Until the End
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"Every time I tried to tell them how we did things at home, I got, give us space, we're doing our best. But they didn't."

— A Person Until the End
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Evidence

What a purple dot actually is

Several BC health authorities operate alert policies that attach a marker — commonly a purple dot — to a patient's file and room door. It indicates that an incident of violence occurred, or that a worker assessed the potential for one. It is an administrative label, not a clinical finding: it marks the patient as a workplace hazard.

There are no accountability measures protecting patients from the consequences of being labelled this way. In one case documented by the BC Ombudsperson, a patient was only able to have the dot removed from their medical record after involving that office, and even then only after repeated requests.

For a person with dementia, distress is a form of communication — a response to unmet need, to noise, to being approached too fast. The dot records the response and erases the cause.

Source: BC Office of the Ombudsperson; BC health authority alert policies — Listening Report §3

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

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