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Potty training 7.20 pdf

Potty training tips for children with special needs.

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Potty training 7.20 pdf

  1. 1. Potty Training Jessica Quinn Lead Teacher at Every Little Blessing 1
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  3. 3. Child development Connection between spinal cord, bladder, and brain develops between 18 months and 3 years Gross motor development to walk to the bathroom, sit up on the potty, and wipe is necessary Fine motor development to pull pants up and down is necessary Cognitive development to recognize wet or soiled clothes is necessary Boys develop later than girls Children with Down syndrome are usually ready to begin potty training between 3-4 3
  4. 4. Signs of Readiness in the Child Signs of being independent with routine activities Interest in seeing others using the restroom Uncomfortable with wet or soiled diapers Holding bladder for 1 -2 hours at a time Regular poop time or routine (crouches in a corner) Has the physical development necessary to follow the steps of using the restroom 4
  5. 5. Signs of Readiness in Parents You are ready to dedicate time to the process You are ready to do lots of laundry You are ready to spend more time in the bathroom You are ready for a $raise$ - no longer buying diapers You will not be frustrated by how long it might take to fully potty train You are ready to take the leap NO more diapers You have at least 2 weeks of data to show a pattern of water intake and output 5
  6. 6. Preparing to Potty Train Begin by purchasing clothing that is very easy for little fingers to pull up and down (leggings, sweatpants, elastic waisted, etc.) Buy pull-ups so your child can pull-up and down diaper. (Discontinue use when you actually start) Teach your child to pull up and down their pants every time you change their diaper. Include your child when you use the restroom, talk about each step and what you are doing. Use a visual schedule of potty steps for yourself and show your child each step and relate to the visual. Begin a potty journal of your child’s diaper changes. Buy a see-through cup for your child and monitor intake in the potty journal. Be familiar with Bristol Stool Chart to monitor for constipation. Add more fiber to your child’s diet. Start diluting juices or switching over to more water. Create a potty routine with your child, have them dump from their diaper into the potty, use consistent language. Involve family members and your child’s school/daycare about your routine and key words. 6
  7. 7. Bristol Stool Chart Type 3-4 is the ideal consistency 7
  8. 8. What does the Stool Chart tell us? Type 1: Constipation Type 1 stools are hard and appear in separate lumps, similar to nuts. They have a longer colon transit time and can be difficult to pass. Type 1 stools are a sure sign that you’re constipated. Type 2: Constipation Type 2 stools are lumpy, hard, and have a sausage-like appearance. They indicate constipation, toxic overload, and the need for intestinal cleansing. Type 3: Normal Type 3 stools have an appearance similar to a sausage but smoother and with surface cracks. This type of stool is considered normal. Type 4: Normal Type 4 stools are smooth and soft in the form of a sausage or snake, and like Type 3 stools, are also considered normal. Type 5: Lacking Fiber Type 5 stools are soft blobs with clear-cut edges that pass quickly. They are a kind of soft diarrhea. Type 5 stools may be a sign your diet is lacking fiber or of a toxic overload in your system. Type 6: Diarrhea Type 6 stools have fluffy pieces with ragged edges. These are mushy and almost resemble diarrhea. These stools are a sure sign of toxic overload. Type 7: Diarrhea Type 7 consists of soft, watery stools with no solid pieces. This kind of stool has spent the least amount of time in the colon and may indicate a bacterial or viral infection. 8
  9. 9. More Water, More Fiber, More Exercise Age Range Gender Total Fluid (Cups/ Day) 4 to 8 years Girls and Boys 5 9 to 13 years Girls 7 Boys 8 14 to 18 years Girls 8 Boys 11 Daily Minimum Fluid Requirements 9
  10. 10. Add Fiber with… Apples Pears Prunes Carrots Whole grain bread Beans High fiber cereal Peas Baked Potato Berries with seeds 10
  11. 11. Exercise ideas Yoga - YouTube Videos Walks Mini-trampoline Balance beam Swimming Sneaky Fitness by Missy Chase Lapine & Larysa Didio 11
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  13. 13. Every Little Blessing We have had great success with our methods for children with and without disabilities. It takes a team where everyone is on the same page about the process for quickest success. Pull-ups are only allowed at sleep times overnight. Water intake is pushed and monitored. A schedule of sitting on the potty every 30 minutes at the beginning. Children sit on the potty for 2-3 minutes at first, sit times are adjusted to meet the needs of the child. Children clean themselves after accidents, adults monitor, give step-by-step instructions, and assist as least as possible. All sit times, accident times and water intake is tracked on a sheet in the restroom. Rewards and incentives are based on individual need; group celebrations are for everyone! 13
  14. 14. What about Rewards Rewards can help some children. The type of reward has to be highly motivating to the child and can only be given for potty success and celebration. Think outside the box, rewards do not have to be bought, do not have to be food. 14
  15. 15. Tips Use puppy pads in the car seat or at nap time Look for double potty seats like this one https://sloanrepair.com/products/toilet-seat-nextstep-potty-seat Prepare with lots of extra clothes, extra shoes Put a few drops of blue or red food coloring in the potty so you can tell if your child went pee Get a step for the toilet; teach your child to use a step to get up on the potty independently Use the timer on your phone to stay on schedule Involve your child in the last box of diapers, talk about getting bigger Look for books about potty training especially ones that have high interest characters for your child Don’t go backwards - every time you put your child back in a diaper or pull-up after you begin you take 5 steps backward and it will take much longer to fully potty train. 15
  16. 16. Examples Date Time Pee/Poop Water intake 4/16 6:30 am Pee Just woke up 7:30 am Pee Milk 1/2 cup 9:30 am Pee Juice watered down 1 cup 10:30 am Pee/Poop Juice watered down 1/4 cup 11:30 am Dry None 12:30 pm Pee water 1 cup 1:00 pm Dry None / before nap 2:45 pm Pee None / nap 3:45 pm Pee Juice watered down 1 cup 16
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  18. 18. ReferencesBaby Center: https://www.babycenter.com/0_developmental-milestone-toilet-training- age-2_63952.bc Dr. Eddy Bettermann, MD https://dreddymd.com/2018/01/17/what-the-bristol-stool-scale-tells-you-about- your-poop/ Gracepoint: https://www.gracepointwellness.org/462-child-development-parenting-early-3-7/ article/12756-early-childhood-physical-development-toilet-training Katz, Terry, PhD: NDSC Conference from your Couch 2020. Ditching the Diapers: How to Move Forward with Toileting National Down Syndrome Society: https://www.ndss.org/resources/toilet-training-children-with-down-syndrome/ Vanderbilt Kennedy Center: https://vkc.mc.vanderbilt.edu/assets/files/resources/toilettraindd.pdf 18

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