Nobody's Home

Nobody's Home : Candid Reflections of a Nursing Home Aide

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"At present nursing homes are designed . . . like outmoded zoos. Residents are kept in small rooms, emotionally isolated. Occasionally they are visited by family members who reach through the bars and offer them treats. Aides keep their bodies clean and presentable. . . . America invests huge amounts of money to maintain the body while leaving the person to languish, cut off from all they love." From Nobody's HomeAfter caring for his mother at the end of her life, Thomas Edward Gass felt drawn to serve the elderly. He took a job as a nursing home aide but was not prepared for the reality that he found at his new place of employment, a for-profit long-term-care facility. In a book that is by turns chilling and graphic, poignant and funny, Gass describes America s system of warehousing its oldest citizens.Gass brings the reader into the sterile home with its flat metal roof and concrete block walls. Like an industrial park complex, it is clean, efficient, and functional. He is blunt about the institution s goal: keep those faint hearts pumping and the life savings and Medicaid dollars rolling in. With 130 beds in the facility, the owner grosses about three million dollars annually. As a relatively well-paid aide, Gass made $6.90 an hour.Seventeen of the twenty-six residents on Gass s hall were incontinent, and much of his initiation to the work was learning to care for them in the most intimate ways. One of the many challenges was the limited time that he had available for each of his charges 17.3 minutes per day by his calculation. Even as he learned to ignore all but the most pressing demands of the residents, he discovered the remarkable lengths to which aides and their patients will go to relieve the constant ache of loneliness at the nursing home.With Americans living longer than ever before, elder care is among the fastest growing occupations. This book makes clear that there is a systemic conflict between profit and extent of care. Instead of controlling costs and maximizing profits, what if long-term care focused on our basic need to lead meaningful and connected lives until our deaths? What if staff members dropped the feigned hope of forestalling the inevitable and concentrated on making their charges comfortable and respected? These and other questions raised by this powerful book will cause Americans to rethink how nursing homes are run, staffed, and financed as well as the circumstances under which we hope to meet our end."

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Product details

  • Paperback | 224 pages
  • 139.7 x 213.4 x 15.2mm | 294.84g
  • Cornell University Press
  • Ithaca, United States
  • English
  • New edition
  • 1st New edition
  • 080147261X
  • 9780801472619
  • 961,084

Review quote

"Nobody's Home, a disarming memoir of meditations and straightforward observations by former nursing home aide Thomas Edward Gass, is a stark yet illustrative look into an industry based on money and death but oiled by compassion and sacrifice. . . . Gass dives in and brings to the surface immensely rich stories out of an environment full of pain and decrepitude, whether it is an intimate conversation or an accident in the bathroom. He describes his residents in an intuitive yet brutally honest manner so that the reader can truly witness the realities of aging. . . . By the end of the book, you feel compelled to meet the author or, at least, want the kind of person putting the Depends on your own aging parents to be as caring and perceptive as he." The San Francisco Chronicle, April 11, 2004"

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