I have worked in a LTC for the last 16 years and YES this is abuse. Period. My LTC is a state facility so we get the residents that the private facilities reject-like ones that may be abusive. The way we have tried to handle these residents is getting the family physician involved, possibly getting a prn med to administer an hour before cares. An employee would be fired instantly at our place and their license reviewed for such an action. No, I am not a supervisor, I am a floor nurse so I know the difficulties of caring for abusive, dementia ridden patients.