Understanding Hoarding In The Home

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Understanding Hoarding in the Home After reading the newsletter, the home health aide should be able to: 1. Describe the causes and symptoms of hoarding. 2. Identify the physical and emotional effects of hoarding. 3. Discuss actions that help to support clients affected by hoarding. When Tisha, the home health aide, entered her new client’s home, she was stunned. The admission assessment for the new client had revealed a hoarding situation, and the nurse had informed Tisha of this. But that did not prepare Tisha for what she saw. Boxes, bags, junk mail, and newspapers filled almost every space, from floor to ceiling. None of the furniture could be used, and the only space available for the client was a small area on the bed. Tisha did not show any negative reaction to this as she greeted the client warmly and introduced herself. But she was thinking to herself, “How can someone live like this, and how does this happen?” Hoarding, sometimes called compulsive hoarding disorder, is a mental health condition that can seriously affect the person’s safety, health, and family relationships. This newsletter will discuss hoarding, including characteristics, causes, symptoms, and related issues. Also, the role of the home health aide working in a hoarding situation will be covered. What is Hoarding? Hoarding is a condition in which the affected person collects too many items, or allows materials or waste to accumulate in the home. The person is also unable to clear out or get rid of the items. These items have little or no usefulness or value, such as old newspapers, junk mail, trash, or used containers. In some cases, hoarding is not limited to objects, and can involve animals, such as large numbers of cats and dogs that cannot be properly cared for. The affected person may acquire items actively, such as by compulsive shopping, and buying many more

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