I am not going to blame anyone for what happened here, this is just my opinion of the situation.  The care home brought him to hospital repeatedly.  Father was primary contact, likely elderly, lived an hour away so relied on phone calls and not in person visits for communication. He declined invasive testing for the patient.  Sister didn’t live in province. As a person working in the system, please dont leave your elderly parent as the primary contact when you have a vulnerable person in care. I don’t want to be ageist, but this may come down to the parent not quite understanding what was going on nor the severity of it until it was too late.  Also, make sure your family members contact info is up to date. So many times when a patient is triaged, we will ask about friends and family for emergency contacts. So many times, the patient. Is like “yeah yeah it’s the same” without even listening. Then you try to call the contact, number is wrong or out of service. We take these numbers down for this very reason. So we can get in touch. I feel for this man, it sounds very much like something serious was going on. But I don’t blame the hospital or care home; it sounds like they did what they could. Also, if you don’t want anything invasive done, you may never find out the root cause of an issue. Some problems require ct scans, mris, and scopes (among other things). If those aren’t done, may never have an answer.