George was admitted with chest pain, CHF, and shortness of breath. He was overweight at 300+ lbs., his hair was disheveled, & his clothes were dirty. He was unkempt, argumentative, and angry. He was a diabetic and had a prior heart attack, but his weight indicated that he was not adhering to a diabetic or heart- healthy diet. He refused to answer questions regarding his medical history. [George] kept yelling, “I am leaving here tomorrow! I am not staying here after tonight!” His wife and daughter were at his bedside, trying to calm him with little effect. He looked a mess but also uncooperative and disgruntled with the staff; the model “difficult” patient….