The dot
Board 39.
Concept
Concept edit
Fear gets written down as aggression, and a mark is added that follows a person everywhere.
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Board 39.
Board 37.
Board 38.
Quotes
View fragment →"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
View fragment →"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
Evidence
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.