Upload
dana-flynn
View
215
Download
0
Tags:
Embed Size (px)
Citation preview
TOILET TRAINING
‘Toilet training' What is TT? knows when he
needs to shit has learned to
'hold on‘ -bowel &bladder control).
tells people when he needs to do his toilet,
takes himself to a special place
removes necessary clothing, cleans himself ,puts his clothing back
Simply define “helping a child learn to stay clean and dry”
To learn in Potty Training
What signs show your child is ready to start potty training
Exactly what day to start potty training
What to do on the very first day (this may shock you)
How to handle problem children who refuse to cooperate
What certain words you should use that get your child to listen
How I stopped my son from wetting at night in a few days
How to get your family to help the right way
What to do at nap times
When you are trying to hard? How to make the tough
times less stressful How to make sure your child
will cooperate Little tricks that make it fun
for your child
What rewards work best How to potty train for
number 2 Why number ONE is easier
than number TWO
How to mentally prepare yourself
How to get dads involved What to tell your daycare Training pants or diapers
Standing up or sitting down and why
What to say that guarantees they will listen to you
Boys vs. Girls. What's the difference.
How to chart your success How to go to bed and wake up
dry
TR in Normal Child
1 yr- Purpose of pott’ & indicate needs
2 yr- partially trained 4 yr- independent in lavatory Easily upset – normal child,
Think of TR for CP child
keeping regular mealtimes stomach, bowels, and bladder
will be empty and full at regular intervals
child’s bowel habits based upon mealtimes
Choose a time child’s-size potty chair or potty
seat
child has indicated - to urinate or have a bowel movement
explain in simple language specific common words child on the seat and stay with her Rewarded for the desired behaviors.
seat without toys or playthings, praise cooperating and sitting quietly not successful in achieving the
desired behavior -Repeat this process
regular pattern –mealtimes, elimination
about 15 - 30 minutes Choose either breakfast or
dinner bowel training program
child is comfortable, simple descriptive common words
positive by praising - no distractions
give an enemaPut him on the toilet every day same time same meal
Tools for toilet training
helpful techniques that may aid parents in the training process:
1.Role modeling
open-door policy” in the bathroom
nonabsorbent cloth reward toilet-training process fun
musical potties and potty charts
drops of food coloring wetting alarms underwear with your child’s
favorite cartoon character
'Toilet training' is important for the development of a child's independence and dignity. Yet it is very often neglected in disabled and retarded children
children 5, 10, even 15 years old still in diapers (nappies)
hard on both child and family little instruction and
encouragement toilet trained varies greatly
from child to child
local customs, place to placeAge 4 - With little or no train For CP or PH or other disabled ind. TR is absent….. Den YYYY????
Children who are developmentally slow, or physically disabled, are often late in learning to stay clean and dry, due to their disabilities…
Truly speaking… parents have not provided the opportunity, training, & help that the child needs
most retarded or disabled children - toilet trained by ages 3 to 5.
severe physical disabilities -need help with clothing or getting to the pot. learn to tell you when they have to go, and do their best to 'hold on' until they are on the pot.
WAYS TO MAKE TOILET
TRAINING EASIER
Start when the child is ready
training aims at 'staying dry', 'staying clean'
3 simple tests to check if your child is 'ready' for toilet training.
bladder control, readiness to cooperate, and physical readiness
Bladder control Does your child SHIT a lot at
one time and not dribble every few minutes?
Does he often stay dry for hours?
Does he seem to know when he is about to SHIT (The look on his face, holding himself between the legs, etc.)
If the child does these 3 things (or at least the first 2) he probably has enough bladder control
Readiness to cooperate.
ask her to do a few simple things:
imitate an action she is probably
mentally ready for toilet training.
Physical readiness.
Can the child pick up small objects easily?
Can she walk? Can she squat, or sit on a
stool, and keep her balance? If not - physical assistance.
SPECIAL PROBLEMS
. does not have enough bladder
control or awareness best to wait until she is older
child does not hear or understand simple language -Special gestures or 'signs'
Instead of teaching by using a doll, it is more helpful to have another child demonstrate toilet use.
child is stubborn, refuses to cooperate toilet training will be more difficult
common in many handicapped children
first on improving their attitude and behavior.
child's physical disability makes it difficult for her to get to the toilet place
Constipation young child or adult with CP symptoms :hard stools; abdominal
pain; rectal bleeding or tearing; poor appetite
‘Fybrogel’ ,massage on her tummy certain foods roughage in the diet, plenty of
fruit (especially plums sufficient liquid and drinks
laxatives four main categories of laxative: stimulant laxatives (bisacodyl,
cascara, castor oil, danthron, fig, senna, sodium picosulphate)
saline laxatives (magnesium sulphate, magnesium hydroxide, sodium sulphate, sodium potassium tartrate, potassium bitrate, lactulose)
bulk forming laxatives (agar, tragacanth, ispaghula husks, sterculia, bran).
lubricant laxatives (mineral oils, diotyl sodium sulphosuccinate, poloxamer
2. Put the child on the pot at the times when she is most likely to use it what time of the day put her on the pot or
latrine encouraging her to
make ‘shit' or 'pee' Leave her on the pot child 'goes', clap
your hands, kiss her, she does not 'go',
just ignore it.
Reward and praise success
to reward success than to punish failure.
make sure that the child knows you are pleased with her, not because she shits and pees, but because she is staying dry or clean.
do not punish or scold her.
say something friendly words "Too bad! - Better luck next time!"
. Guide the child's movements with your hands-not your tongue difficulty in
physical task-
guide his hands with yours
Use models, examples, and demonstrations
best ways of teaching-
tries to copy letting them
watch their brothers and sisters
Good way to Introduce toilet training
a gourd
a baby bottle inside a homemade rag doll.
Show the child how the doll pees in the pot First have the
child show the doll how to get to the latrine or pot - and then help the doll lower his pants.
the child teach the doll how to get onto the pot, and sit there until he pees.
the child pull up the doll's pants. Ask him to feel the doll's pants and check whether they are dry.
Adapt toileting to the special needs of the child
special aids or adaptations different adaptation Different children
If the child has trouble pulling down pants or panties- use loose fitting clothing with elastic or 'Velcro' waist band.
short 'training pants' made of towel
cerebral palsy or spina bifida
clean mat.
custom squat to shit
Latrines Adoptation
simple pot or 'pottie'
severely disabled with cerebral palsy,
mother's knees.
corner seat
A cardboard box
Whatever materials you can get …………
old plastic bucket
'floor pan'
spasticity or poor balance
bar can be put in
Tire potty seat
Help the child to obtain the privacy she needs.
Conclusion: Leader of the team Who..???? Early training. Knowledge –Aids, tools,
Strategies. Independent as much as
possible.