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 minutes Choose either breakfast or dinner bowel training program

child is comfortable, simple descriptive common words positive by praising - no distractions give an enema Put 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 place Age 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.