1. Toilet Training
Rae Ann Kaylie
HCPSS

2. 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.

3. 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.

4. Part 1
Readiness signs

5. 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.

6. 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

7. 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

8. Part II
How to begin……………..

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

10. 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.

11. 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

12. 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

13. 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

14. 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

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

16. 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

17. 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

18. 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

19. Questions