Thank you Perna, a very thoughtful view....and to Gus for the specific guidelines for change.

At work, there is a pt. who is very PA, and has minor cognitive deficits that make it very difficult----she (in her 70's) literally does the "If you don't do X for me right now, I won't ("take my meds", "wait to get on the toilet..." "eat anything")---it is very sad, and sadder because most of the staff have no understanding of this except as being very annoying, and we have so many to care for it is a poor setting to work with her in----