I watched the repeat of this at 2am friday morning - following an evening in A&E after a pt on my ward broke my wrist. Thing is the patient has dementia, I had to fill in paperwork (before I was allowed any pain relief to my disguist). The form did have a code for "injury caused by patient with medical condition contributing to the event". But It officially goes down in the trust that I have been assulted. I am angry that I wasn't warned in my handover that she was aggressive, but how can I be angry at her as she doens't know what she's done. When I was at work friday afternoon her relatives asked what i'd done - but I hadn't the heart to tell them that their mother had grabbed and twisted my arm that badly that she'd cracked my arm! So I feel that sometimes the figures given aren't quite right, but I wish I had the right to act in self defense against a patient.