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Toilet Training and Spina Bifida

Toilet Training and Spina Bifida

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Published by Shine Charity
Potty training for the non-disabled child usually begins at around the age of 18 months to two years, and the child is usually ‘trained’ by day at around two-and-a-half years.

Every child is different and it is advisable to watch for signs in the child’s development which may suggest he/she is ready to begin potty training, such as : awareness that they are passing urine or having a bowel action, waking from naps with a dry nappy, asking to have their nappy changed.
Potty training for the non-disabled child usually begins at around the age of 18 months to two years, and the child is usually ‘trained’ by day at around two-and-a-half years.

Every child is different and it is advisable to watch for signs in the child’s development which may suggest he/she is ready to begin potty training, such as : awareness that they are passing urine or having a bowel action, waking from naps with a dry nappy, asking to have their nappy changed.

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Published by: Shine Charity on Feb 28, 2013
Copyright:Attribution Non-commercial

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06/13/2013

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Every child is different and it isadvisable to watch for signs in the
child’s development which may
suggest he/she is ready to beginpotty training, such as : awarenessthat they are passing urine orhaving a bowel action, waking
from naps with a dry nappy, askingto have their nappy changed.For children with spina bida,
bladder and bowel continence
should be addressed at the sametime and the way the bladder works
should be assessed in infancy in
order to protect the kidneys fromdamage. This should be done
before starting toilet training, and
appropriate management shouldbe in place. Toilet training for a child with spinabida is likely to be quite differentfrom that of other children. Veryoften, damage to nerve pathways
which coordinate the bladder
and bowel function and promotethe sensations, mean that controlcannot be learnt in the usual way. Toilet training should begin ataround two years of age. Thetoilet should be comfortable andnot damage pressure areas (the
skin on the buttocks and the
backs of the legs).
Potty training for the non-disabled child usually begins ataround the age of 18 months to two years, and the child isusually ‘trained’ by day at around two-and-a-half years.
Toilet Training and Spina Bifda
shinecharity.org.ukinfo@shinecharity.org.uk42 Park RoadPeterboroughPE1 2UQ
01733 555988
 
 A young child with spina bidamay have difculty balancingwhen sitting. The potty or toilet
should provide a stable and secure
position, with a comfortable,supportive seat. If necessary,there should be rails or something
for the child to hold on to, to give
stability to the upper body. The
child should be able to place his/ 
her feet at on the oor or a box/ plinth. An occupational therapist
should be able to help with
equipment if the child has poorsitting balance.
 A child who is using clean
intermittent catheterisation can
also be encouraged to sit on thetoilet and pass urine, although it is
not always necessary. It is essential
to continue with the catheterising
regime as well.
 Bowel training
Bowel training depends ondeveloping a habit of opening the
bowels at roughly the same time
each day and clearing a large
amount from the bowels eachtime. Do not allow constipation todevelop. Ideally, the faeces shouldbe rm and formed.Watch for times in the day when
the child opens his/her bowels
to see if a pattern emerges. Thebowel is more active after meals,especially breakfast. Sit the childon the toilet at these times andencourage her/him to push downgently. To encourage this, try tickling to
get the child to laugh or the child
could blow a party toy (not balloons
and always under supervision) and
the effects of gravity will also help.
Even if there is no result, continueto sit the child on the toilet after
meals. However, the child should
Toilet Training and Spina Bifda
 
not sit on the toilet for longer than
5 minutes. All programmes will involve sitting
on the toilet even when there is
no sensation (feeling) of a needfor bowel action. If it becomes anormal part of the daily routinefrom early childhood, it is lesslikely to become a major issuelater on. If this is unsuccessful, itmay be necessary to seek advicefrom your continence adviser.
Encourage the child to clean her/ 
himself with tissues and attend toclothing, as far as possible.
For further advice; contact yourcontinence adviser, school nurseor
Shine
medical adviser.

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