Poor Spike it seems you would give a person who has had some trauma some consideration, privacy, and time perhaps. Again its Buffy's timetable and instructions. Do this, undress, drink now. Then she loses her temper. At least she didn't hit Spike in the face. That never sat well with me.
Lovely Dawn friendship. She didn't make demands just was there, respecting Spike. And his "new friend" the little Arab slayer organizing the blooddrive was moving. Buffy was just going to do it herself by herself. This to me is a I know what's best for you.
I think in light of the fact that Spike didn't want Buffy there when he got into bed should have clued Buffy that Spike needed some space. And I think it was presumptive of Buffy to get into bed with Spike. I don't think he is going to be happy when he awakes.
Looking forward to what happened to Spike and Illyria. Great story!