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.

Surviving A Tornado

Risk Assessment: Wind/Tornadoes Description The term "straight-line winds" is used to distinguish common, non-rotating winds from tornado-related winds. Straight-line winds are responsible for most thunderstorm wind damage, Wind Damage Surviving A Tornado with wind speeds in excess of 100 miles per hour on occasion.  read more..

Professional Water Damage Carpet Cleaning

In the wake of Hurricane Isaac's recent recovery efforts, Louisiana's restoration from Hurricane Rita persists, enabled by approximately$1.3 billion in Federal Emergency Management Agency public assistance, hazard mitigation Water Extraction Professional Water Damage Carpet Cleaning and individual assistance funding since her landfall on Sept  read more..

Remove Paint If You Dont Know If It Contains Lead

The standard also provides for a program of biological monitoring and medical surveillance for all employees exposed to levels of inorganic lead above the action level of 30 µg/m3 (TWA) for more than 30 days per year. The purpose of this document is to outline the medical surveillance provisions   read more..

Lead Paint Removal Poisoning

Where the employer does establish that the employee is exposed to levels of lead below 2,500 µg/m3, the employer may provide the exposed employee with the appropriate respirator prescribed for use at such lower exposures, in accordance with Table I of this section. Interim protection as described i  read more..

Fire Damage

A fire can be devastating in the amount of damage left behind could be enormous, in some cases a home is completely destroyed and must be Debris Removal Fire Damage. It seems like in every case of fire that there is some sort of debris that must be removed and thrown away. Even in the case of a partial fire, most   read more..

Fire Damage Electronic Restoration Classes

Some Micro-miniature and Nano-miniature type connectors have the option of pre-terminated cross linked ETFE (TefzelTM) insulated wire pigtails. Users are advised that some ETFE insulations are known to out-gas trace amounts of corrosive fluorine over time. When this wire is used with nickel coated m  read more..

How To Apply Paint To Fire And Smoke Damage

The head of one of the world's leading safety organizations is calling on state and local safety officials, building owners, Fire Damage How To Apply Paint To Fire And Smoke Damage and facility managers to take additional steps to incorporate the needs of people with all types of disabilities into emergency planning.

James M. Shannon  read more..

Natural Disaster Cleanup

Based solely upon the advice of the electronic restoration manager, suggestions listed below in this article might not be required for ‘small scale’ electronic restoration, as long as the source of water intrusion is repaired, cleanup is most likely achieved and the occupied locati  read more..

Radon Element

Note: If you are a former smoker, your risk may be higher. Lifetime risk of lung cancer deaths from EPA Assessment of Risks from Radon Mitigation Radon Element in Homes (EPA 402-R-03-003). Comparison data calculated using the Centers for Disease Control and Prevention's 1999-2001 National Center for Injury Prevention and Con  read more..

Water Extraction From Carpet After Pipe Breaks

In addition to the decline in land-surface altitude,the loss of marshes and barrier islands that dampen storm surge and waves during hurricanes increases the risks of flood disaster in New Orleans Water Extraction Water Extraction From Carpet After Pipe Breaks and vicinity.

Since 1940, approximately 1 million acres of c  read more..