Wow, good topic!
We had a woman who had COPD, who would SCREAM for her puffers all the time. It was so hard to deal with, name calling, swearing, etc, and it seemed to worsen when families were around. We would do a chest assessment and SATS, and they would be in the high 90's. We had nurses who would say if you can scream like that, you can breathe. The ONE time she came out of her room and was quiet, I took one look at her and knew something was wrong. She truly could not breathe and was cyanotic, died in the hospital.
We have a lady now who does the same thing, screams and swears and hits so below the belt, saying I hope you DIE of emphysema, or to one nurse, I hope your little boy dies, etc. When she is sitting by the nurses station for HOURS doing this, all assessments are normal, it gets hard to keep it together. I guess I should also add, this lady has a Minimental of 30/30. Don't we deserve to be treated with respect?