Table 1.

Suggested replacements for violence metaphors used for patient behavior toward medical interventions

Violence Metaphor	Suggested Replacements
“Bucking the ventilator”	Patient’s respirations are dyssynchronous with the ventilator settings (with further details about the cause of dyssynchrony (e.g., “reverse triggering”)
	Patient is biting the endotracheal tube
	Patient appears uncomfortable and is grimacing while connected to the ventilator
“Fighting BIPAP”	Patient is trying to remove the BIPAP mask
	Patient shakes head whenever staff tries to place BIPAP mask
“Struggling with restraints”	Patient is trying to remove restraints
	Patient has hyperactive delirium and is in restraints
	Patient is trying to leave his or her bed
“Resisting staff”	Patient is declining staff requests for medical interventions (i.e., lab draw, medications, i.v. placement)
	Patient is asking staff to leave his or her room

Definition of abbreviation: BIPAP = bilevel positive airway pressure.