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1. Identify and define hoarding and hoarding
   behavior.

2. Understand the dangers related to hoarding.

3. Implement behaviors to prevent fire and loss of
   life.
 Is the excessive collection of items, along with the
  inability to discard them.
 This can include items as well as animals
 Those most likely to be hoarders
 - older people
 - unmarried females who live alone
 - symptoms occur in 1/3 of OCD patients
 - is a common symptom of dementia patients

 Estimated 6 million people, 1 in 20 affected
 Health hazards
 - medications can get lost in the clutter
 - dust and mold can exacerbate lung problems
 - insects and rodents
 - difficulty getting a stretcher into home
 - trip hazards
 Fire hazards
 - obstructed means of ingress and egress
   “ If you can’t get out the fire department can’t get in”
 - unplanned load on structural supports of house
 - heavy fire load (more fuel for the fire)
 - piles could fall over due to the fire or hose streams
 trapping you
 No access to maintain smoke
  alarms
 More fuel more smoke
 Larger fire increases chance of
  fire spread to neighbors home
 Difficulty categorizing possessions


 Difficulty making decisions


 Remembering where things are
Cognitive-behavioral
     Therapy
 Show empathy.


 Don’t argue.


 Respect autonomy.


 Remind individual of personal goals and values.
FIRE:
   a rapid oxidation process with
evolution of light and heat in varying
              intensities.
FLAMES

HEAT

SMOKE
If you
smoke, smoke
outside.
• use deep, sturdy ashtrays

• fully extinguish ashes

• never smoke in bed
Give space
heaters space.

• keep 3’ away from
anything that can
burn

• unplug when going
to bed or leaving the
house
Stop, drop, and roll.

• stop   (do not run)

• drop gently to the floor
                               stop   drop

• roll over and over or back
and forth
Smoke alarms
save lives.

• install outside each
sleeping area, inside
every bedroom, and
on each level

• test monthly

• replace batteries
Plan and practice
your escape from
fire.
• know 2 ways out
• ensure
windows/doors open
easily

• get out, stay out
Keep walking areas clear.
Look out for
yourself.
• have annual eye
exams

• keep your home well
lighted

• use nightlights

• turn on lights before
using stairs
Beware of
uneven surfaces.

• use only rugs that have
non-skid backing

• stairways should have
handrails

• stairwell should be
clearly lit from the top
and bottom
Hoarding in Senior Populations

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Hoarding in Senior Populations

  • 1.
  • 2. 1. Identify and define hoarding and hoarding behavior. 2. Understand the dangers related to hoarding. 3. Implement behaviors to prevent fire and loss of life.
  • 3.
  • 4.  Is the excessive collection of items, along with the inability to discard them.  This can include items as well as animals
  • 5.  Those most likely to be hoarders - older people - unmarried females who live alone - symptoms occur in 1/3 of OCD patients - is a common symptom of dementia patients  Estimated 6 million people, 1 in 20 affected
  • 6.  Health hazards - medications can get lost in the clutter - dust and mold can exacerbate lung problems - insects and rodents - difficulty getting a stretcher into home - trip hazards
  • 7.  Fire hazards - obstructed means of ingress and egress “ If you can’t get out the fire department can’t get in” - unplanned load on structural supports of house - heavy fire load (more fuel for the fire) - piles could fall over due to the fire or hose streams trapping you
  • 8.  No access to maintain smoke alarms  More fuel more smoke  Larger fire increases chance of fire spread to neighbors home
  • 9.  Difficulty categorizing possessions  Difficulty making decisions  Remembering where things are
  • 11.
  • 12.  Show empathy.  Don’t argue.  Respect autonomy.  Remind individual of personal goals and values.
  • 13.
  • 14. FIRE: a rapid oxidation process with evolution of light and heat in varying intensities.
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  • 17.
  • 18.
  • 19.
  • 20. If you smoke, smoke outside. • use deep, sturdy ashtrays • fully extinguish ashes • never smoke in bed
  • 21. Give space heaters space. • keep 3’ away from anything that can burn • unplug when going to bed or leaving the house
  • 22. Stop, drop, and roll. • stop (do not run) • drop gently to the floor stop drop • roll over and over or back and forth
  • 23.
  • 24. Smoke alarms save lives. • install outside each sleeping area, inside every bedroom, and on each level • test monthly • replace batteries
  • 25. Plan and practice your escape from fire. • know 2 ways out • ensure windows/doors open easily • get out, stay out
  • 26.
  • 28. Look out for yourself. • have annual eye exams • keep your home well lighted • use nightlights • turn on lights before using stairs
  • 29. Beware of uneven surfaces. • use only rugs that have non-skid backing • stairways should have handrails • stairwell should be clearly lit from the top and bottom