Hoarding is a behavior that comes from fear.

Many older adults fear loss. The income has dwindled, and they do not want to go without necessities. Often their idea of useful means holding onto EVERYTHING. Helping them to declutter is no easy task.
Families get frustrated, and conflicts arise. Sometimes these aging adults have always been hoarders others have become hoarders as they have developed physical health issues or dementia.
I would say that the majority of homes of seniors I enter are cluttered. Grown children do not know how to stop their parents from keeping every bag, box, and leftover. Parents can become angry and ask their loved ones to leave. It happens.

Elders fear loss of friends, loved ones and possessions. The most common claim for keeping is memories. Those with dementia or Alzheimer's may not understand why the family feels the need to make changes. How can this sensitive topic be dealt with by families?

One suggestion might include creating a memory box- I have used Rubbermaid containers for several clients with great success. Ask them what makes the item special, and if they can't remember ask when they used the item. In the event they can't answer either, then keep a box for " donations" - explain that less fortunate could use this item. This week I have a client that has kept wrapping paper and bags for many years- I counted 50+ tubes of half used wrapping paper; the rubber bands had become attached to the paper or disintegrated. Once he understood that others could use this he felt better. " I just don't want things to be wasted".

Papers another common item that collects and causes disruption of space; and can become a fire hazard and fall trap.
Make three separate boxes- one for shredding, one for keeping, one for trash or donations. Allow the elder to participate in reviewing the items, often old tax records, newspapers, and mail pile up and take over the tables. Do not expect them to have patience to last all day- this process needs to be done in small blocks of time. Offer to show off special items or particular family history thru the use of a picture frames with multiple openings.

Another technique for the decluttering a senior includes dealing with clothing. Clothing is another area that created clutter- and shoes. Often the senior can't use the item because it is difficult to button or zip, maybe it needs repair. Letting the item go means admitting a decline in ability. Allow them to keep their dignity by showing them items that do work (or fit), show them that they have adequate clothing and these can be donated or used for rags. Challenge them to let go and appeal to their feelings of making use for those that are less fortunate.

Keep in mind that this behavior is a result of a long period of time and has become a habit; often the aging adult may be reluctant to change routines. De-cluttering can give them more space to maneuver through the house. Above all else have patience with your loved one; if the family finds the process to be overwhelming consider professional assistance.