Adaptations for toileting


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For any potty training or continence programme to be successful, the first priority is to make sure the individual feels secure. Secondly, comfort and safety are vital. For ordinary toileting (not including ACE or other bowel irrigation procedures), toileting time should not exceed 10 minutes.

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Adaptations for toileting

  1. 1. 42 Park Road Peterborough PE1 2UQ 01733 555988Adaptations for ToiletingFor any potty training or continence programme to besuccessful, the first priority is to make sure the individualfeels secure. Secondly, comfort and safety are vital. Forordinary toileting (not including ACE or other bowel irrigationprocedures), toileting time should not exceed 10 minutes.In practice, this means that when which they have been individuallyusing a toilet: assessed in the situation in which it is to be used. Provision of side• feet should be supported on and front hand rails can increaseeither the floor or a footrest. stability, safety and independence. Wherever possible, the simplest• a comfortable toilet seat should solution should be tried provided, and if necessary apadding on the seat that does not An assessment should be“stick” to the skin. undertaken by either the child’s or adult’s own occupational therapist;• the individual should be able to or a referral should be made to themaintain good sitting balance for appropriate agency. This wouldthe necessary period of time. be the case for any equipment or adaptations which may assist with• assistance should be within easy successful toileting.calling distance, and the personshould only be left alone for short Health & Safetyperiods and/ or have access to analarm. All carers who may be involved in assisting in any toilet training orWhere good sitting balance is not continence care need to be fullypossible, the child or adult should aware of safety precautions; andbe supported by either a toilet/ trained in the correct positioningpotty chair and appropriate rails, for and movement of both chair and
  2. 2. individual. This should include both continence, and to encouragevoluntary and employed carers. independence. Wherever possible they should be tried out in situ, inMany toilet/shower chairs have the presence of an occupationalparts, including removable seat therapist. If an item is to beand castors that are necessary, purchased privately, because ofbut can be hazardous. Therefore the waiting list for assessment, itall equipment should be checked should at least be viewed, beforeregularly. costly provision is made.Moving and handling guidelines Most areas now have Disabledand regulations require that many Living Centres where members ofservice users and their carers use the public can receive professionalhoists. LOLER (Lifting Operations advice from occupational therapistsand Lifting Equipment Regulations) and view or try out equipment.governs the use and care of all Often an appointment is required.lifting equipment: existing, second- It is essential that the limitations ofhand, leased or new. LOLER statesthat all equipment and accessories the service user’s own bathroom orused to lift people must be serviced toilet, be made clear and taken intoevery 6 months. consideration. For example, most shower chairs require as muchEquipment doorway width as a wheelchair and will need to be stored somewhereThere is a vast array of equipment when not in use.available to assist with toileting andHelp usShine relies on people’s generosity and support so we can help our clientswho depend on us for help and advice - people with hydrocephalus, spinabifida, their families and carers. To donate to Shine please or call 01733 421329.This information has been produced by Shine’s medical advisers andapproved by Shine’s Medical Advisory Committee of senior medicalprofessionals.Shine - Registered charity no.249338To see our full range of information sheets and to find out how to donate toShine please visit