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    Nobody's Home: Candid Reflections of a Nursing Home Aide (Culture and Politics of Health Care Work) (Paperback) By (author) Thomas Edward Gass, Foreword by Bruce C. Vladeck

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    Description"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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  • Full bibliographic data for Nobody's Home

    Nobody's Home
    Candid Reflections of a Nursing Home Aide
    Authors and contributors
    By (author) Thomas Edward Gass, Foreword by Bruce C. Vladeck
    Physical properties
    Format: Paperback
    Number of pages: 224
    Width: 140 mm
    Height: 213 mm
    Thickness: 15 mm
    Weight: 295 g
    ISBN 13: 9780801472619
    ISBN 10: 080147261X

    BIC E4L: HEA
    Nielsen BookScan Product Class 3: S6.0
    BIC geographical qualifier V2: 1KBB
    B&T Book Type: NF
    Ingram Subject Code: PI
    Libri: I-PI
    BIC subject category V2: MBP
    B&T General Subject: 510
    Warengruppen-Systematik des deutschen Buchhandels: 26920
    LC classification: RT
    BIC subject category V2: JKSG
    B&T Merchandise Category: UP
    BISAC V2.8: MED011000
    BIC subject category V2: 1KBB
    BISAC V2.8: MED058070, MED058060
    LC subject heading: , , , ,
    DC22: 362.16092
    LC subject heading:
    Thema V1.0: JKSG, MBP
    New edition
    Edition statement
    1st New edition
    Cornell University Press
    Imprint name
    Cornell University Press
    Publication date
    28 July 2005
    Publication City/Country
    Review quote
    "I recommend this insightful and well-written book to all those who may want to know, or need to know, more about daily life in a nursing home from the perspective of the residents and the nurses' aides who provide their basic care. Although Thomas Edward Gass details the realities of toileting, feeding, and bathing often disoriented residents, he also discovers their more fundamental need for meaningful human connection and shows that this need is most often met, if it is met, by overworked and exhausted nurses' aides like himself." Chuck Grassley, U.S. Senator, Chairman of the Committee on Finance and former Chairman of the Senate Special Committee on Aging"