Toilet Training Rae Ann Kaylie HCPSS

Purpose The purpose of this class is to prepare the participant to learn about different potty training techniques to help all children become toilet trained.

How Do We Begin? Why can this process be so hard? Pressed for time- many preschool want them trained Diapers today do their job too well kids don’t feel the discomfort of wet dirty diapers Potty training can be an added burden on working families Moms are working out of home where as past generations did not and you will be training with help of daycare etc.. More people are involved with different approaches and styles. Waiting until they are ready .. Don’t understand socially acceptable etc Children are rarely toilet trained in our society before 18 months. training must follow the development of some child's basic abilities an infant has not yet developed the connections between brain and the function of elimination. He cant will himself to eliminate nor is he even aware that he has eliminated. Control is aided by the increase ability of the bladder to hold more urine and the less frequent need to move bowels, The order of development is nighttime bowel control. Daytime bowel control. Daytime bladder control and nighttime bladder control.

Part 1 Readiness signs

Is the Child Ready? Toileting Readiness Signs Has bowel movements at regular times. Able to remain dry for about two hours at one time. Aware of the process of elimination (tells during or after). Able to urinate a good amount at one time. Some interest in the toilet.

Readiness Signs – Developmental Skills Able to sit down and play for about 5 minutes. Able to understand and follow simple directions. Has a name for urine and bowel movement. Cognition skills are at the 20 month level but preferably at the two year level. Desire to be independent walking for at least 3 months. Dressing skills. Imitation skills. Not in a period of negativism. Seems uncomfortable in soiled diaper. 18-24 months have some control over bladder control but some may not until 30 months Bladder control staying dry for several hours at a time urinating about 4-6 times a day. if child is still wetting a small amount frequently 7-10 days -wait

Readiness Signs- Is the Family Ready? Are there any stressful events or changes with the family? The family is ready to make a commitment? Do you want to find out where the bathroom is at each store, ready for potty interruptions all day long is house hold stable

Part II How to begin……………..

Pre-Toilet Training Pre-toilet training activities lay a solid foundation for toilet training. Social Story Photos to sequence steps

Establishing Your Routine Make trips to the potty a regular part of the daily routine. How often will the child go to the potty. Don’t wait for the child to tell you! May take data to identify elimination patterns during the day. 1. May go very often at first – every 20 minute than increase intervals. IN the beginning it is adult regulated Collect data to determine if there are regular times for bowel movements etc.

Relax and Be Patient Remember no one can control when and where a child urinates or has a bowel movement except the child. Expect accidents Relaxed

Choosing Your Space and Equipment Choose a consistent bathroom Choose a potty Underwear shopping May choose a ½ bathroom without shower that are distracting( bathing toys. Toothbrushes etc) move all toilet needed in this room.. Smaller space Plastic pants

The Process Increase liquids Determine intervals during the day- using visual/ auditory prompts. Stay on schedule Stay with underwear Increase liquids- salty foods 2. intervals during the day Intervals during the day

Rewards Determine rewards to use with the child Determine when to use rewards Determine what are reinforces for the child – may be a variety of things or have the child choose Decide if you need to reinforce for each thing happening – going into the bathroom, sitting on the bathroom, staying dry in between intervals, after going

Accidents Handle accidents calmly and patiently Involve child in the clean up process Put toilet paper in the toilet

Other Hints Wrap potty seat as a present. Give a reward even if the child went a little on the potty. Reward for dry pants. Ignore negative comments. Expect accidents. Phase out rewards slowly. Negative comments – if the child says negative things about toilet training or demands diapers ignore Even if training is over and child is doing well, it is important to continue to praise and reward for correct toileting. Rewards may be presented irregularly and less often

Other Hints Diaper party. Don’t switch back to diapers – it is too confusing! Underwear a size bigger for easier pull up. 1. Take changes of clothes

Part IV-Trouble Shooting Resists sitting on the toilet Afraid of flushing Overly interested in flushing Playing in the water Playing with toilet paper Resist being cleaned Bad “aim” Divide into groups with situations

Questions