THE SHADOWSCAPE – Episode 2

[draft 7-1-2025, added more notes]

THE SHADOWSCAPE

(e)scape for free from reality

in moving from low to high,
we see our pathway as true,
and that we are in the right.
yet forever left nearby,
as if they are out of view,
still the shadows of the night
the gods need not take our sight …

Episode 2

“Grace by the gigabyte” (working title)

[SoCal. Interior hallway of assisted living facility. The hallway is lined with doors (some open, some closed), and contains several gurneys and empty wheelchairs. An unplugged room fan lies on a gurney. The far end of the hall is dimly lit, with lighted signs which say ‘EXIT’ and ‘RESTROOM.’]

A uniformed middle-aged caregiver (‘Mary’) pauses (listless) while pushing a cleanup cart (loaded with cleaning supplies, some bottles of water, a bunch of bed pans). Another caregiver rushes by with a wheelchair.

Mary takes a clipboard off a hook on the cart, looks at the top sheet, and sighs. She’s about to move on when her smartphone beeps; she looks at a text message which says: * Guests here soon, still stinks, hurry * She remarks, “Yes, yes, I know that! … Harry really owes me for filling in for him today. Where’s that AC guy!”

Mary takes an energy drink off the cart, takes a gulp, and flips off her smartphone; then turns her back to the camera, moving with the cart toward the end of the hallway, hunched over, into the shadows there.

[The series host “Rod” walks into the scene, faces the camera, and makes a brief monolog.]

“Witness a seasoned, dedicated caregiver, Mary Woods, oblivious to fame & fortune, struggling to recover a sense of purpose. A survivor – she and most of her patients escaped a wild fire which destroyed their assisted living facility. A refugee – her employer was acquired by a for-profit care company. Soon she’ll face a choice. She’ll be made a offer, a promise of loving grace in a dignified space – a haven in The Shadowscape.”

[Dramatic montage with music fades in and spins out to black.]

[Scene sketch / summary]

Mary’s new boss, a middle-aged woman named Grace, is much less supportive than her old boss. The “refugees” from her former facility have only made the staff to patient ratio worse – the promise of additional resources just a smokescreen.

But Mary seeks no miracle for herself. She wants Grace to have a taste her own medicine, to truly empathize & connect with her patients, not profits.

Grace has corporate ambitions. She’s a talented but glib spokesperson. Grace’s management style appears polite but is demanding, dictating daily routines. Employee job descriptions are open-ended. She puts on good shows for visitors and prospective clients.

Grace takes her well-being for granted, assuming that her fortunate situation will last forever. The patients’ stories offer no counsel to her of life’s vagaries.

Grace’s corporate climb is powered by adoption of generative AI and robotics. In lieu of using funds to advance staff development, better benefits, and more timely facility maintenance, she sees care robots as the solution, with exaggerated optimism and little concern for ethics or human authenticity. The irony is that soon she’ll find herself not only at the receiving end of that vision, but her uploaded persona dispensing that very care. And that persona in the image of Mary Woods.

[Continues]

[Fade to credits]

Copyright © 2025 John P. Healy

Notes

[1] Loving grace in a digital space.

• Wired > “My Couples Retreat With 3 AI Chatbots and the Humans Who Love Them” by Sam Apple (Jun 26, 2025)

[2] Question: what titles do the employees have at an assisted living facility?

AI Overview

Assisted living facilities employ a diverse range of staff to provide a supportive and enriching environment for residents. Some common titles include:

Direct Care Staff:

Caregiver/Resident Assistant/Care Manager: Provide assistance with daily activities like bathing, dressing, eating, and mobility, also offering companionship.

Certified Nursing Assistant (CNA)/Licensed Practical Nurse (LPN)/Registered Nurse (RN): Provide varying levels of medical care, including medication administration, vital sign monitoring, and wound care.

Personal Care Assistant (PCA): Focus on non-medical care, offering assistance with daily living tasks and providing companionship.

Home Health Aide (HHA): May assist with health-related tasks and sometimes medication management.

Management and Administration:

Executive Director/Administrator: Oversee the overall operations of the facility, including staffing, financial management, and resident satisfaction.

Director of Nursing (DON): Responsible for the overall nursing care provided within the facility.

Assistant Administrator: Supports the administrator in managing various departments.

Memory Care Manager: Focuses on the specific needs of residents with memory impairments.

Director of Sales/Marketing Director: Attract and retain residents by showcasing the facility’s benefits.

Support Staff:

Life Enrichment Specialist/Activities Director: Plan and coordinate engaging social and recreational activities for residents.

Dining Room Manager/Chef/Cook/Server/Dining Aide: Manage the dining services, including meal preparation and service.

Housekeeper/Janitor: Maintain cleanliness and sanitation standards throughout the facility.

Maintenance Technician: Perform maintenance tasks to ensure the facility is in good working order.

Transportation Driver: Transport residents to appointments or outings.

Administrative Assistant/Billing Specialist/Receptionist: Handle administrative tasks, including paperwork and scheduling.

Therapeutic Staff:

Music Therapist: Utilizes music interventions to improve cognitive function and emotional well-being.

Physical Therapist (PT)/Occupational Therapist (OT): Provide specialized care and rehabilitation services to improve mobility and function.

Patient Advocate: Assist residents in navigating the healthcare system and provide emotional support.

Social Worker: Offers counseling and support to residents and their families, connecting them with necessary resources.

Other:

Community Supports Specialist: Assists clients with connecting to community services, such as housing navigation and tenancy support.
Med Tech/Medication Aide: Administer medications to residents.

It’s important to note that the specific titles and responsibilities may vary between assisted living facilities, with smaller communities potentially combining roles.

AI responses may include mistakes.

[3] Question: main reasons for job burnout at assisted living facilities

[4] Robots don’t wipe butts – future of elder care?

[5] Regarding “upload” (even a virtual afterlife) and real customer service … and the various afterlife plans, see S1 E4 (May 1, 2020) of this series:

(AI Overview)
Data Limits:
Nathan is shown struggling with his new 2GB data plan and his inability to have a lengthy conversation with Nora due to data limitations. This highlights the limitations of his afterlife existence on the lower plan.

• Wiki > Upload (TV series)

[6] Polypharmacy can be dangerous at any age …

• Washington Post > “Taking too many prescription drugs can be very risky for older people” by Joanne Kenan (June 29, 2025) – Too many pills, too many interactions

Ideally, health providers do undertake “medication reconciliation,” to figure out what’s helpful and what’s not. …

But there’s a shortage of geriatricians in the United States, a shortage of psychiatrists, and certainly a shortage of geriatric psychiatrists. And not everyone’s sister is a nurse. That means much drug oversight is done in primary care settings. And while awareness of polypharmacy has grown, barriers to fixing it remain. Doctors don’t always have time or incentives to do a thorough review. And patients often go to an appointment expecting to get a prescription — not to have one taken away.

There are some new approaches that experts hope will address these issues, including, perhaps, artificial intelligence tools in the near future. …

[7] One sense of grace is unconditional placation & flattery & engagement, something which AI does well – just telling us what we (likely) want to hear. Seduced into feeling so special. Will Grace (the character in this story) experience “ChatGPT psychosis,” as noted in this article? Will her assisted care lead to a break with reality? Will her faith in machines be justly rewarded? One way or another, she’s paying for that care.

• Futurism > “People Are Being Involuntarily Committed, Jailed After Spiraling Into ‘ChatGPT Psychosis’” by Maggie Harrison Dupré (Jun 28, 2025) – Central to their experiences was confusion: they were encountering an entirely new phenomenon, and they had no idea what to do.

The consequences can be dire. As we heard from spouses, friends, children, and parents looking on in alarm, instances of what’s being called “ChatGPT psychosis” have led to the breakup of marriages and families, the loss of jobs, and slides into homelessness.

“What I think is so fascinating about this is how willing people are to put their trust in these chatbots in a way that they probably, or arguably, wouldn’t with a human being,” Pierre said. “And yet, there’s something about these things — it has this sort of mythology that they’re reliable and better than talking to people. And I think that’s where part of the danger is: how much faith we put into these machines.”

[8] If Grace’s AI assisted care rewires (cognitively off-loads) her mind, as noted in this article, will a break with reality even be noticed? Content in synthesized Elysium Fields – “live untouched by sorrow.”

Will Mary turn to the darkside with cruel comfort or will AI nurture creative care?

• Washington Post > “Is AI rewiring our minds? Scientists probe cognitive cost of chatbots.” by David Ovalle (Jun 29, 2025) – Viral headlines often declare that artificial intelligence makes us stupider and lazier. But the research is more complex than that.