9. Hoarding--Community

hoarding disorder

someone acquires an excessive number of items and stores them in a chaotic manner, usually resulting in unmanageable amounts of clutter. The items can be of little or no monetary value.

symptoms of hoarding

• Accumulating not discarding

• Clutter and waste

• Inability to perform ADLs

• Health, fire safety issue

• Health and sanitation issues

prevention of hoarding requires what?

supporting mothers, who are at risk for hoarding

what is effective for elderly individuals with dementia

group reminiscence therapy

It was also suggested that cooperation and hoarding education among....

non-medical providers are important

etiology of hoarding

• It's not clear what causes hoarding disorder.

• Genetics

• Brain function

• Stressful life events

• Childhood experiences of losing things, not owning things, or people not caring for you.

• Money worries or living in poverty in childhood.

• Having your belongings taken or thrown away by someone

stages of hoarding

1. Clutter, but no concern. ...

2 Deteriorating hygiene, possible hoarder

3. Extreme disorganization, likely disorder

4. Excessive clutter & behavior, contact professionals

5. Severe unsanitary conditions, hoarding diagnosis

Mental health conditions most often associated with hoarding disorder

Obsessive-compulsive personality disorder (OCPD).

Obsessive-compulsive disorder (OCD)

depression

mental and physiological issues

hoarding treatment

• Cognitive behavioral therapy, a type of talk therapy (psychotherapy).

• Antidepressant medications, which are usually selective serotonin reuptake inhibitors (SSRIs).

• Family Support

• Self Help Groups

Since community nurses often visit patients' homes

they can identify hoarding symptoms in early stages and provide support

Community nurses may be able to help prevent hoarding behavior

helps reduce psychological stress among hoarders, their families, and neighbors, thus prevent further hoarding deterioration

nurses should do check ins

to prevent relapse (tertiary)

Hoarding behaviors appear relatively early in life

usually between the ages of 15 and 19 years and then follow a chronic course

If you notice signs of hoarding in your child or someone you know

early recognition, diagnosis and treatment are essential to improving outcomes (Secondary Prevention)

prognosis

poor

some people with the condition greatly improve after treatment with cognitive behavioral therapy

many people still have symptoms after treatment that impact their day-to-day life

people with hoarding disorder lack what?

functional living space, which can prevent them from performing important daily tasks, such as cooking, cleaning, sleeping and bathing

unsafe or unhealthy conditions

Serious hoarding can lead to fire hazards, tripping hazards and health code violations

problems in relationships and social and work activities

leads to family strain and conflicts, isolation and lonliness

Hoarding can affect the social development of children

may lead to separation or divorce, eviction, and even loss of child custody

people who hoard animals

are in unsafe living conditions may also face prosecution under state animal cruelty laws