I have experienced and witnessed many episodes of spitting, scratching, hitting, pushing, kicking, and boob and butt grabbing from elderly dementia/Alzheimers patients. I have seen cases with some patients who are very strong, who are capable of seriously hurting someone, where physicians refuse to properly medicate them. I'm talking about not even ordering something PRN. I have seen a patient like that who did not get any medicine until he actually assaulted the physician, then of course he got ativan and haldol on the spot! There have also been patients who really needed something for anxiety or PTSD, but other nurses have failed to document consistent bad behavior. I have had a nurse tell me, "oh, yeah, he fights everyday, but I'm not gonna sit there and document it eveytime."
I work in a VA Hospital and have seen the worst cases of patients who are A&OX3 abusing and threatening nurses, doctors, other patients, etc. We have mostly foreign doctors and, oh, I have heard some racial slurs that make my ears burn!Many of the patients are mad at the government and see staff as "one of them", not realizing that most of the staff are also veterans. And, physicians and hopital administration not wanting to do anything about it because the patients are veterans.