Hoarding >> Facts About Hoarding

Hoarding is often a hidden issue in family medicine. Patients with hoarding problems often present with a sentinel event such as a fall or residential fire. Although hoarding is traditionally associated with obsessive-compulsive disorder, Facts About Hoarding patients more commonly have secondary organic disease associated with hoarding behaviour or have hoarding in absence of substantial compulsive traits. 

Hoarding disorder is expected to be included in the Diagnostic and Statistical Manual of Mental Disorders,5th edition. Management is best provided by a multidisciplinary approach when possible, Facts About Hoarding and an increasing number of centres provide programs to improve symptoms or to reduce harm. Pharmacologic management has been shown to be of some help for treating secondary causes. 

In the elderly, conditions such as dementia, depression, and substance abuse are commonly associated with hoarding behaviour. Attempts should be made to keep patients in their homes whenever possible, Facts About Hoarding but an assessment of capacity should guide the approach taken. Conclusion Hoarding is more common than family physicians realize. 

If hoarding is identified, local resources should be sought to assist in management. Assessment and Facts About Hoarding treatment of underlying causes should be initiated when secondary causes are found. It is expected that primary hoarding will be a new diagnosis in the Diagnostic and Statistical Manual of Mental Disorders, 5th edition.

Although hoarding has received a great degree of attention in the media, it remains a hidden problem in family medicine. Patients with pathologic hoarding behaviour, particularly elderly patients, Facts About Hoarding are often identified by a sentinel event such as a fall or residential fire when their home situation becomes a crisis. 

Treatment of hoarding is notoriously challenging and raises many ethical and legal issues related to safety and Facts About Hoarding capacity.This paper will review the presentation of hoarding and basic management approaches and resources for family physicians. Go to: Case Ms L., an 86-year-old woman, was admitted to hospital after her friend found her lying on the living room floor. 

The friend drove Ms L. to the grocery store each week, but she had not been in the home before, Facts About Hoarding as Ms L. had always met her at the end of the driveway. Ms L. was brought by emergency medical services staff to the emergency department, where she was admitted with a urinary tract infection and renal failure due to rhabdomyolysis. 

Her medical condition stabilized quickly, Facts About Hoarding and she was referred for geriatric rehabilitation to help her return home. The hospital chart documented that the ambulance staff reported that the house was in "poor shape," but not until the friend contacted a social worker with photos of the inside of Ms L.'s house was the extent of the problem clear.

Ms L. did very well during her rehabilitation stay and might have been physically able to return home, save for the deplorable conditions inside of her house that raised questions about her capacity. The Public Guardian and Facts About Hoarding Trustee became involved after a subsequent finding of financial incapacity; the patient's home was padlocked after a building inspector refused to enter the premises owing to safety concerns.

Go to:Sources of information Pub Med was searched from 2001 to May 2011. The MeSH term hoarding was used to identify research and review articles related to the neuropsychological aspects of hoarding and Facts About Hoarding its diagnosis and treatment. Most research was limited by small samples and by mixed populations of patients with hoarding and obsessive-compulsive disorder (OCD).

Go to: Main messages Epidemiology Hoarding behaviour is found in at least 2% to 5% of the population 1 and Facts About Hoarding it can have substantial individual and societal costs. The city of San Francisco, Calif, estimated the annual cost of dealing with hoarding to be $6.5 million, excluding the cost of health care workers involved in care.

2 Fire officials in Melbourne, Australia, found that hoarding was a factor in 25% of fires deemed to be preventable.Although the prevalence of hoarding is higher among older patients, Facts About Hoarding most people with hoarding behaviour not due to identifiable organic causes (ie, primary hoarding or hoarding disorder) start to show signs in adolescence or young adulthood. 

3 Falls are the most common event unmasking borderline living situations.Terminology and definitions Hoarding is a complex set of behaviour that exists on a continuum, Facts About Hoarding from being a messy and very disorganized collector at one end to living in abject filth and squalor at the other. The latter situation occurs as affected individuals' usually worthless material possessions invade their homes and essentially take over their lives, negatively affecting their quality of life.

The conceptualization and nomenclature of hoarding are currently undergoing revision. The Diagnostic and Facts About Hoarding Statistical Manual of Mental Disorders(DSM), 4th edition, includes hoarding behaviour as 1 of 8 criteria for OCD, and the traditional view has been of hoarding as a sub-type of OCD. 

There are DSM-V criteria for a newly proposed hoarding disorder in development, 5 but in practical terms, Facts About Hoarding hoarding can be defined as a behavioural disorder characterized by the following:the excessive accumulation of material possessions of dubious value and quality; the character and quantity of such possessions substantially interferes with an individual's normal social, functional, and vocational roles;

The individual cannot or will not willingly part with these possessions; and finally the individual often lacks insight into the safety risk their possessions can cause. Note that the safety risks can be direct (eg, spoiled food that is not discarded, Facts About Hoarding fire hazard from the accumulation of combustibles, piles toppling onto persons or pathways through home).

Or indirect (eg, possessions becoming home to pests and vermin, possessions interfering with the ability to prepare and eat meals, important items such as outstanding bills and medications lost in the clutter). Some authors suggest viewing hoarding as either being due to organic illness or as a primary condition, Facts About Hoarding sometimes termed hoarding disorder. 

Compulsive hoarding should be used only for describing the problem when it occurs in conjunction with OCD. Hoarding disorder is more likely to be seen in younger patients.1 Organic hoarding due to secondary conditions is more common in older patients, Facts About Hoarding owing to a higher likelihood of concurrent conditions. 

These include dementia, particularly frontotemporal lobar degeneration (FTLD), stroke, alcoholism, and severe depression. Brain injury patients might display hoarding behaviour, and Facts About Hoarding they provide a model for the biologic and anatomic basis of organic hoarding. Schizophrenia can present late in life and might also cause hoarding behaviour. 

A prospective study of referrals to geriatric psychiatry in Sydney, Australia, found that the causes of moderate to severe squalor were dementia (35%), substance abuse (24%), schizophrenia (15%), and Facts About Hoarding personality disorder (7%), with the remainder owing to physical illness, depression, or no definite diagnosis. 6 Box 1 describes features suggestive of the presence of organic causes.

Cleanup After Leaking Dishwasher

Health Effects of Exposure to Water-Damaged New Orleans Homes Six Months After Hurricanes Katrina and Rita We identified groupings using a cluster Water Damage Cleanup After Leaking Dishwasher analysis on the natural logarithm of this score. 13 From that we defined an ordinal exposure variable ("exposure to water-damaged homes")   read more..

Water Heater Leaking From The Bottom

After floods, excess moisture and standing water contribute to the growth of mold in homes and other buildings. When returning to a home that has been flooded, be aware that mold may be present and may be a health risk for your family. People at Greatest Risk from Mold People with asthma, allergies   read more..

Smoke Inhalation

Exposure to Smoke inhalation from Fires The Smoke inhalation released by any type of fire (forest, brush, crop, structure, tires, waste or wood burning) is a mixture of particles and chemicals produced by incomplete burning of carbon-containing materials. All Fire Damage Smoke Inhalation contains carbon monoxide, carbon di  read more..

How To Remove Fire Smoke Smell From Apartment

Proper selection of PPE for individual responders must be based upon a careful assessment of two factors: (1) the hazards anticipated to be present, or are present at the scene and (2) the probable impact of those hazards, based upon the mission role of the individual. The emergency responder must b  read more..

How To Clean Up Attic Mold

How do you get the molds out of buildings, including homes, schools, and places of employment?In most cases mold can be removed from hard surfaces by a thorough cleaning with commercial products, soap and water, or a bleach solution of no more than 1 cup of bleach in 1 gallon of water. Absorbent or   read more..

Water Extration Equipment For Roof Leaks

Does the State have a list of professional mold contractors?New York does not certify or license building contractors, Water Extraction Water Extration Equipment For Roof Leaks including mold contractors. 

If youhire a contractor to work on your flooded home and your home was built before 1978, checkwhether t  read more..

Mold Damage House

Although not captured by the covariates or asthma stratification, it is possible that participants who had been inside but had not participated in clean-up were more susceptible to respiratory symptoms than were Water Damage Mold Damage House others. 

Such susceptible participants m  read more..

Tenant Trash Haul Away

Repair items that affect the safety and health of the tenant, the tenant may issue what is known as a 21-30 day notice. The tenant must serve the landlord with a written notice of the breach or action affecting the health and safety of the tenant and Tenant Move Out Cleanup Tenant Trash Haul Away request that the landlord correct   read more..

Sewer Backup Caused Black Mold

The Community Folk Art Center, 805 E. Genesee St., will remain closed this week as officials continue to clean up. Water leaked through the ceiling and the sewer backed up, said Kevin Leonardi, its marketing specialist. Staff members quickly moved art and equipment to safety, but repairs were n  read more..

Protect Your Doors Against Wind

Certain parts of the country have building codes requiring garage doors to withstand high winds. You should check with your local government building officials to see if there are code requirements for garage doors in your area. Some garage doors can be Wind Damage Protect Your Doors Against Wind strengthened with retrofit  read more..