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Sometimes it's like that. But sometimes when someone gets older or disabled they may have difficulty doing even simple tasks. The clutter gets away from them and they don't even know where to start. And when they start they can't finish, so they just end up feeling overwhelmed. Unless there's someone to help them, they're gonna have other people looking down their noses at them, so they avoid having anybody visit. It is the exact reason why some who send in a response card refuse a face to face meeting. Others have learned how to dismiss their fears of what you may think of them, especially if they really want to take care of a need. So, we need to be careful. If we make assumptions and judgements about people (admittedly hard not to at times), it can cause an unnecessary barrier between us and our client that can be difficult to overcome.I think some people just dont have an awareness of how else they could be living. Like, they grew up in those conditions, and they've never really been exposed to other lifestyles, so the ignorance is kind of bliss.
And then others just dont really understand basic life skills. Like when I go to the appointment of a senior male, who never married, and its kind of reclusive, no kids.. They wont have a kitchen table to sit at, just a lounge chair and a tv. And they dont know how to file papers, just have stacks of stuff, scattered about. They dont know how to clean the house/bathroom, or they dont realize that the toilet needs to be cleaned once in awhile.
I try to imagine how somebody can live that way, like what steps in life got them to this place, it seems so dysfunctional. I want to avoid those steps lol