![]() ![]() These decisions may be an attempt at maintaining control, a lifestyle choice, a personality type, or a reaction to the fear of going to a nursing home (Day & Leahy-Warren, 2008 Ridings, 2008). The individual may choose not to bathe, take necessary medications, or clean or maintain their home, even though they know they should. Intentional (active) self-neglect is when an individual is of sound mind and body and chooses to live in filth and dangerous conditions. A similar result may happen if the individual has become blind as a result of poorly controlled diabetes Tarr, Kaul, Chopra, Kohner, & Chibber, 2013). He or she does not actively choose to be filthy or unsafe (Day & Leahy-Warren, 2008). The individual does not understand what is happening. Over time, their bodies become dirty and homes become filthy and cluttered. When they are confused, they may not take care of themselves or their house. For example, mental conditions can make an individual confused. Non-intentional (passive) self-neglect can be caused by poor health (Ridings, 2008). Table 1 differentiates between intentional and non-intentional self-neglect (Day & Leahy-Warren, 2008). Historically, three classes of SN have been described, non-intentional (passive), intentional (active), and Diogenes Syndrome (Ridings, 2008). Table 1: Intentional and nonintentional risk factors for self-neglect Example 3: A Case of Carbon Monoxide Poisoning.Example 2: I am Blind without my Glasses.Example 1: Mistaken Identity – Cat Lady, not a Pet Hoarder.A newer updated collaborative version is in the works. #Diogenes syndrome freeHe has also written and distributes free of charge via the Geriatric Division’s web page his popular 160 page Geriatric Medicine Survival Guide, an educational resource used by both local and international medical learners. His research interests includes dementia, drugs in the elderly, and he is an internationally recognized expert on extreme hoarding in seniors (i.e. ![]() He also provides in-patient consults at Hamilton Health Sciences hospital sites, as well as providing regular coverage for the Geriatric Rehab Unit (GRU) located at the Juravinski Hospital site. Peter’s Hospital twice weekly, part of which includes Outreach home visits. Misiaszek has a Geriatric Medicine clinic at St. He is currently the Chief of Service for Geriatrics at Hamilton Health Sciences. He completed his MD at the University of Western Ontario in 1997 and his residency training in Geriatric Medicine at McMaster University in 2001. Brian Misiaszek, MD, FRCPS (C), Chief of Geriatric Medicine, Hamilton Health Sciencesīrian Misiaszek is an Associate Professor and Clinical Educator in the Department of Medicine in the Division of Geriatric Medicine at McMaster University. ![]()
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