Nobody\u27s Home: Candid Reflections of a Nursing Home Aide

After 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. 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

Hypohydration and Mood State in Free-Living Males and Females

Previous research has shown that acute dehydration can result in changes in mood. These changes have been reported in less than a 1% loss in total body water. However, the effect of hypohydration (i.e., reflected through high urine concentration) on mood in free-living conditions has not been studied. PURPOSE: The present study was designed to determine if hydration status is associated with mood within the general population under free-living conditions. METHODS: A group of 103 apparently healthy subjects (49 male, 54 female, 41±14 y, 1.7±0.1 m, 76.1±16.9 kg) completed three visits separated by a week. Mood was assessed by the Profile of Mood States (POMS) questionnaire during each visit. Participants were familiarized to the POMS questionnaire on their first visit. Hydration was assessed via urine osmolality (uOsm), urine specific gravity (USG), and urine color (UC) done on both spot and twenty four hour (24-h) urine samples taken during the 2nd and 3rd visits. Urine indices and POMS data from the 2nd and 3rd visit were averaged to attain measurements for analyses. RESULTS: Overall USG displayed significance in predicting changes in Vigor/Acuity (P = 0.031). UOsm (P = 0.006) and USG (P = 0.012), as well as 24-h uOsm (P \u3c 0.001) and USG (P \u3c 0.001) showed significance in predicting Vigor/Acuity in females. 24-h uOsm (P = 0.012) and USG (P = 0.004) were a significant predictor of a female\u27s feelings of friendliness. No significant relationships were found for the male subjects. CONCLUSION: These data suggested that hydration status affects mood specifically in free-living females but not in males