I'd like to know if any one knows how hoarding will affect the at-home skilled care that medicaid and/or medicare will be willing to provide (pay for). In other words, will they require that the home be cleaned first? Thank you.
I think it depends on the level of hoarding and cleanliness of the home, we've all seen the horror homes on TV where there is an obvious health and safety issue. You need to consider that people will refuse to work in an unsafe or unpleasant environment, if this was a stranger's home would you feel comfortable spending time there?
They'll want the work environment to be safe and clean for the person being cared for and the person providing the service. They may not outright say this, but make subtle hints.
One additional thought... If the house is significantly hoarded, maybe with only pathways and some entries and windows blocked...a caregiver would have many problems. First, what if there was a fire? How would anyone (caregiver or patient) be able to safely exit? What if there was a medical emergency? How would the ambulance get the stretcher into the home to remove the patient? What if the caregiver trips and falls over something and hurts themselves, and then sues for damages? I think if its at the point of needed an in home caregiver, then the hoard will need to be dealt with for safety reasons.
I don't have an answer for you though someone else may have. If you click on the 3 bars on the upper left of the page on the blue banner you can do a search with the word "hoarding" and maybe get some relevant information. Hoarding gets worse as people get older and it is a problem that has been discussed here. Good luck.
If the house is significantly hoarded, maybe with only pathways and some entries and windows blocked...a caregiver would have many problems. First, what if there was a fire? How would anyone (caregiver or patient) be able to safely exit? What if there was a medical emergency? How would the ambulance get the stretcher into the home to remove the patient? What if the caregiver trips and falls over something and hurts themselves, and then sues for damages? I think if its at the point of needed an in home caregiver, then the hoard will need to be dealt with for safety reasons.
Angel