potty training
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Potty Training. Kristy Kuehn Heather Wilson. Why Toilet Train?. Family Community School/Social Relationships. Health Related Concerns. GI Track Diet. Linking Home and School. Parent commitment-what has been attempted, data collecting - PowerPoint PPT PresentationTRANSCRIPT
Potty Training
Kristy Kuehn
Heather Wilson
Why Toilet Train?
Family
Community
School/Social Relationships
Health Related Concerns
GI Track
Diet
Linking Home and School
Parent commitment-what has been attempted, data collectingConsistent practices-family beliefs and approachesEarly pattern detection-dry overnight, at least 2 hours
Am I Ready To Use The Potty?
Age-mental and chronological (after 4 a priority)
Show interest
Physically able to sit
Remain dry for 2 hours/overnight*still attempt after 4 years old
Present Level Data Collection
Charting pattern of elimination at home and school for 2 weeksInterpret data to detect patternsMaking data a reality-creating a scheduleCommunicating patterns to parents
Time For The Toilet
Setting up the bathroom
Free of distraction
Foot stool
Books
Picture schedule
Timer
Potty seat
Reward
Dressing
Elastic band pants
Diapers vs. underwear w/ rubber
pants
Rubber band for shirt– (Frequently feeling
wet/soiled clothing against the skin for lengthy periods of time will desensitize the person to the discomfort of that sensation)
Bathroom Must Haves!
Reward System
Why reward-increased chances of success, funHow to reward- strict & structured What- individual and powerfulWhen-immediately*if then reward poster
individualized*
Facts To Know Before You Sit
No reward for sitting-only reward for elimination
Always finish routine
Follow original schedule for 1 week before changing
Most common reason for failure-is failure to develop a schedule and stick to it
Common and consistent language
Here I Come Potty!Initiate w/ visual cue card “potty time”Guide through routine with visual scheduleSit for 3 minutes-unless elimination occursBooks can be used while sittingComplete entire routine w/out reward if elimination doesn’t occurRecord on elimination recordRepeat at next scheduled timeMidpoint check-optional reward if dry
Common Obstacles
Resistance of the bathroomResistance of the toiletAfraid of flushingOverly interested in flushingBad aimResistance to being wipedPlaying in the toiletPlaying with toilet paperNegative reaction to taking away the diaperAccidents
You Asked? Pairing the bathroom with positive experiencePractice sitting with clothes on, use potty seat on the floor (separate chair), provide stabilizing deviceOnly flush when elimination occursIntroduce flushing when child not near the toiletGive visual/verbal warning for flushingPhysically cover handle to remove from their sightIndicate on visual schedule when & how many times to flush; add visual cue to handleUse target in water/food coloring-personal discretionUse baby wipes, clothes or practice with dollGive water toy as distraction from playing with water or lap-deskRemove toilet paper if big problem, roll out ahead of time, green/red tape start and stop on wall for pulling toilet paperPlacing diaper over underpants…gradually cutting away portions, pre-teaching and rewarding wearing underwearBe calm-firmly say “Pants wet Yucky” followed by toileting routine
Building Independence
• Personal pocket pictures
• Gradually remove rewards
• Fade physical presence
• Social story
I have to go in THERE…
Continue with visuals!
1. Slow introduction-visit w/out any interactions; repeat 3 times
2. Try one interaction- hand washing, flushing, paper towels
3. Complete entire routine
4. You DID it!!!!!
Night Time Nastiness
Begin ONLY after daytime is successfulStop fluids 3 hours before bedtimeMUST have consistent nighttime routine (ex: bath, pj’s, toilet) Immediately complete bathroom routine upon awakeningIf necessary, pattern wet/soil during the night in order to wake the child for bathroom
I’m A Big Kid Now…Let’s Party!
References• Books:• Exkorn, Karen Siff. (2005). The Autism Sourcebook. New York, NY.: HarperCollins.• Tilton, Adelle Jameson. (2004). The Everything Parent’s Guide to Children with
Autism. Avon, Mass.:Adams Media. • Wheeler, M. (1998). Toilet Training for Individuals with Autism and Related Disorders.
Arlington, Tx.: Future Horizons. • Websites:• Applying structured teaching principles to toilet training. Retrieved November 1st,
2007 from Teacch Autism Program. http://www.teacch.com/toilet.html• Autism and Toilet Training. Retrieved November 1st, 2007 from Behavior Advisor.
http://www.behavioradvisor.com/Autism&Toileting.html• Toilet Training. Retrieved November 2nd, 2007 from The Autism Home Page.
http://groups.msn.com/TheAutismHomePage/toilettraining.msnw• Other:• Coucouvanis, Judith. (2006). Toilet Training the Child with Special Needs
(Conference).