I didn’t understand how detrimental it was to them,” says Michelle Fitzgerald, Primary Care Paramedic with Region of Durham Paramedic Services. “I didn’t understand that their dementia can get way worse and put them into delirium. A lot of the times when they go to hospital, they’ll come back with delirium, with bed sores, because [hospitals] don’t have the capacity to give them the same care they get in a long-term care home.”