Understanding Hoarding in Dementia Care

Hoarding as a Form of Control

Hoarding is a way for individuals to control their environment, similar to how we keep items we may not immediately need:

• Food and Clothing: Many of us store food and clothes that we may not use daily, akin to hoarding behaviour.
• Collections: People often collect items like snow globes or thimbles, which can be seen as a form of hoarding.

Hoarding in Dementia

For people with dementia, hoarding can be a way to maintain a sense of personal control and security:

• Managing Environment: Hoarding items that hold personal significance can help individuals feel more secure.
• Types of Hoarded Items: Commonly hoarded items include perishable foods, sometimes hidden in inaccessible places.

Managing Hoarding Behaviour

When managing hoarding in dementia care, consider these strategies:

• Substitution Approach: Instead of removing hoarded items outright, offer substitutes with appealing visual cues.
• Conflict Avoidance: Allow individuals to keep certain items to prevent escalating conflicts.

Supporting Positive Management

View hoarding positively unless it poses a safety risk:

• Respect Their Environment: Avoid unnecessary removal of items that provide comfort.
• Family Dynamics: While hoarding newspapers or other items may concern family members, focus on harm reduction.

Understanding and respecting hoarding behaviour can enhance care for individuals with dementia, promoting a sense of autonomy and security.