i suspect families who behave that way have seen one too many episode of "ER," or more than there share of lifetimeTV movies. they have the idea that being overbearing and treating us like the enemy is the way to operate. true, there are some who deal with anxiety/fear by resorting to anger--those, i've found, usually escalate rather than initiate.
instead of blaming perfectly serviceable terms and abbreviations, folks should slow down and write legibly--even print, if they must. sort of like the driver who tells the cop "the tree hit my car." heh.
mine is dealing with all the bloody paper--duplicate charting and care-plans that are almost as lengthy as the H&P. on one patient, i might chart VS on four or five different forms. we have care plans that are the thickness of short novels. we spend more time wading through reams of paper than laying hands on our patients.