Not one of the ward sisters I trained under would have allowed this sort of thing for an instant - and some of them were bloody scary women, too, who would have had no problems at all taking on SwearyMan.
Nor would they have allowed obs, including peak flows, to be missed, or patients to watch TV all night, keeping others awake. If any of us had failed to feed a patient who couldn't feed themselves, we would have felt their wrath.
In many ways nursing has improved since my day - the training is more academic, and nurses learn far more skills, and can do more than they did in my day - but there are some ways in which the quality of care has fallen.
We had visiting hours, when I was training - and outside of those hours, patients only got visitors in special circumstances - there was flexibility, but enabling the patients to get plenty of rest was considered key to their recovery, and positive effort was put into ensuring that.
Likewise, making sure patients ate and drank properly - if a patient couldn't feed themselves, we did it for them. And nursing staff dished out the meals and cleared them away, so we knew how much each person had eaten.
The ward sister or nurse in charge on each shift made sure they had spoken to or seen each patient during that shift - whereas when I was in hospital for emergency abdominal surgery, I didn't see the nurse in charge once.
A lot of this is down to staffing levels - when I trained, the student nurses were part of the ward's work force, and we spent the majority of our training working full time - so there would be six or more student nurses, at different stages of training, on a ward - which clearly made a big difference to staffing levels.
I think we also need to refocus on responsibilities as well as rights. If a patient has a right to have visitors at all hours of the day and night, those visitors should be told that it is their responsibility to behave in such a way that they don't disturb other patients on the ward - and it should be made clear that, unless they can do this, they will not be welcome at all hours!!
And I think we need the return of the battle axe ward sister. Like my first ward sister, Sister Ball. I got an excellent basic training in my first 8 weeks under her, and she ran her ward to perfection - patients received the best of care.