How does your LTC facility deal with alert & oriented residents who are abusive to staff? I have been a nurse for 2 years now, and still struggle with this. I have no problem with the dementia residents who are unaware of their actions and language (which can get quite colorful!). There are ways I have found to work with this and I am not bothered by the words that come out of their mouths. I do have a problem with alert & oriented residents who regularly verbally and physically abuse staff with no repercussions. They will yell, curse, hit, kick, bite, spit, ect. and the most we can do is assure they are safe, walk away and chart. I asked the supervisors and was told basically that "it is what it is" and that I should have known it was like this when I got into nursing. They also say it is their illness (ie: CVA, mental illnesses) Is this the norm? How do you deal with this?