If you work in post-acute care, you likely have a story about a resident with hoarding disorder. You know the type—the room overflowing with personal belongings, empty soda cans, old newspapers, and stacks of magazines. The clutter is overwhelming, and if you’re a god-fearing person, you wouldn’t dare attempt to “clean” or “organize” this resident’s room, ever!

Hoarding disorder (HD) is a chronic and progressive condition that compels people to accumulate more objects than their living environment can handle. It’s not just a habit; it’s a complex mental health condition that affects as many as 14 million people in the US. The prevalence and severity of HD increase with age, making it a significant concern in post-acute care settings. Research defines hoarding disorder as the excessive acquisition of possessions that are not discarded, resulting in overwhelming clutter and disorganization.

Beyond being unsightly and a housekeeping nightmare, HD has serious and far-reaching consequences. It poses significant health and safety risks, including fire hazards, tripping hazards, and the potential for infestations. Additionally, it often leads to social isolation, as the individual may feel embarrassed or ashamed of their living conditions. The quality of life for those affected by HD is significantly impacted, and their overall well-being can deteriorate without proper intervention.

In a caregiving environment, it’s crucial to approach these situations with empathy, understanding, and patience. Being positive, listening, and genuinely hearing the resident’s concerns can make a significant difference in their willingness to accept help. What we need are more staff members, social workers, activity aides, and others who are trained to listen, offer support, and remain positive. Before even considering cleaning out a room, it’s essential to provide appropriate mental health interventions. Remember, quality of life is different for each resident, and what works for one person may not work for another.

At the end of the day, know that you did the best you could. Stay well, stay informed, and continue making a positive impact on the lives of your residents. Your compassion and dedication truly make a difference.