Toilet Training Towards Independence Series-4

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Toilet Training

[Towards independence series - 4 j

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Toilet Trahthi

Towards independence series -4

(Funded by UNICEF)

National Institute for the Mentally Handicapped

(Ministry of Welfare, Govt. of India)

Manovikas Nagar, Secunderabad 50Q 009

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• j•••

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Ccçflht C NM$j

by the Mentally Handicapped, 1990

A$rhbresente&

•

•c•

Mist:

K. Nageswar Rao

Printedby :G A Graphics, Hyd-4, Ph :312202 & 226681.

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*

go to the toilet,

TOILET TRAINING AIMS Ar TEACHING THE CHILD TO

knw When he needs to go to the toilet,

(5)

0 T

Helps11* thi1-tO stay clean and dry

Le*s him towards more independence

T lfldYlMtg R

A Provides better acceptance in the

I coflvnunity

N I

N

G

(6)

* close the ddor,

* pull down the knicker,

(7)

S!nate I defecate,

1.

-'c- - -

-.

1clean himself,

:.

(8)

* pull his knicker up, and

/

I pour water

(9)

IPATH WAYS TO TOILET 1!4JNGj

(GET MEDICAL CHCK.UP DONE)

Make

sjià

^{is free}

from ml ems

(10)

Readiness Signs

CSTART WHEN THE CHIW s RMD)

Staysdryforl to 3 hours

(11)

Walks

(12)

Understands simple instructions

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I TAKE THE CHILD To THE TOILET Af TIMES HE IS MOST LIKELY TO USE ITJ

Start

with training for urination.

Follow procedure (A) or (B).

Procedure A

Take the chlld to the toilet

when he wakes up in the morning.

• before and / or after breakfast.

• mid morning.

• before and after lunch.

• mid afternoon.

• before and / or after dinner.

• before bed.

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Proedure B

Maintain a tolietting frequency chart (like how you would maintain your milk account!)'

A sample of the chart is given:

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Data from the chart will give you an Idea of the frequency, tIme, and the activity before / after which the child generally eliminates.

Determine

optimal periods for training The

first column on the chart shows that the child is-most likely to urirate after

waking up in the morning.

Approximate range of period for defecation can be determined by observing data on the horizontal side of the chart.

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Study the chart closely for one week to observe similar patterns of toiletting behaviour in your child.

Caution:The child shoUld be free from diarrhoea during the week of study.

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Take the child to the toilet, a few minutes before the anticipated time.

Continue taking him till he learns to associate the need with the place.

NQte: If he does not use the toilet in five minutes, do not force him. Probably he

does not have the need!

ApprecIate the child for his cooperation

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AF1iDING1

It has been the experience of many parents that by virtue of maintaining the chart, they tend to get a clue as to WHEN the child would need to use the toilet. Therefore they successfully train the child by taking him to the toilet at the

• right time.

Remember:

CONSISTENCY in

maintng

the chart for one week is absolutely essential for

successful TOILET TRAINING.

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Slowly, the child will learn to

ndicatethneed.

P4t: AlWays use the same

Worditoeferto4oUettinM

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—

cDAPT TO9(Jff 1JTS OF ThEE

CH1th)

If the child has trouble pulling

down pants or pantee, use loose

fitting clothing with eas1ic waist

bands.

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IBEGIN NIGHT liME TRAINING AFTER THE CHILD IS TOILET TRAINED DURING DAY J

• Let him drink any rquid, if needed, an hour

before

bed time.

•

_{Take him}

to

toilet jUst before lie

goes to

^bed.

•

_{Note down}

approximately around what time he wets bed. Keep an alarm to nng every night around

that lime and take him

tothetoilet.

if this

is consistently done tori wookto 10 days, the

child is sure to wake you up to go to toilet when

he

has the need, even withqut alarm.

Don't forget to praise him in the morning if the bed is dry.

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E)i\Ki ¶i1 fW 1flOT

Give physical assistance lng with verbal thrections

Ii.GWeon.Y

veaL dirtIons

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CRWARD AND PRAISE EVERY SUCCESSFUL ATFEMPTJ

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Points to Remember .

* Be patient!

a

You will have

to certainly put in

some of your time and effolts, for successful resutts.

* Proceed In a systematic manner!

Start with what the child can do and move forward step-by-step.

* You are creative I

Use your commonsense and imagination to train the child.

* Catchhimgood!

Reward the child when he is tight.

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Contributors

Jayanthl

Narayan Jandttyala Shobha

MS. (Sp.Ed) Ph. D.. D.S.Ed. M.Sc. (Child flevt) Prohect Coordinator Research Assistant

Project Advisory Committee

Dr. V. Kianarlah Dr. DK Menon

Associate Professor (CI. Psy.) Director. NIMH NIMHANS.Bangabre

Ms. V. VnaIa Dr. T. Madhavan,

Vice Principal Asst.Prof. of Psychiatry, NIMH

Balavihar Training School, Madras

Prol. K.C. Panda Mr. T. A. Subba Ran

Principal Lect. in Speech Pathology

Regional College of Education, & Audiology, NIMH

Btaneswar.

Dr. NJC.Jangira Mrs. Reeta Peshawarla

Protessor (Special Education) Lect. in Cl. Psychology, NIMH NCERT, New Delhi

Ms. GUlls Devl

Mat. Communication Devt. Othcer UNICEF, Hyderabad

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Other titles

in the series:

- - -

AdnGroés MótôrkiIls

Fine Motor Skills

k. _.èJ

jeding

^on^{their own} ^-,,

Teaching Brushing Skills ^—

WecanDressOuselves

^.-.

A 1aching

Grooming Skills jeaching Basic Social Skills