Hey Kathleen, I think the bidet idea is great! Certaintly would bring peace of mind to the parents and offer some sensory propiroceptive awareness/ therapy to that area of the body?
If you can initiate some sort of cleaning game or role play that might have some dividends? Once the young person understands what a clean area feels like e.g. nothing left on the tissue, perhaps a reward chart? You can ask the parents to initiate this training, e,g. it should be them doing this anyway they just need your input...so don't worry if its not you completing the job in the WC! I really believe the whole toilet hygiene and awareness of need for toileting is such a good start in organising and sequencing skills its worth persuing even if you get the bidet as well - so keep in there, but obviously, it may be the parents who give up expecting this skill if the bidet is in....so maybe, the bidet will come in time whilst your therapy is introduced. Of course it would be great to not need it and a great installation if it is... Alex x On Fri, Feb 12, 2010 at 1:50 PM, Kathleen Pyne <[email protected]>wrote: > ---------- Forwarded message ---------- > From: Kathleen Pyne <[email protected]> > Date: Thu, Feb 11, 2010 at 12:31 PM > Subject: hygiene issues related to sensory processing- handling with care > and dignity > To: [email protected] > > > Hello, > I am looking for others who have had experience working with kids who have > often don't wipe effectively or may be a little late getting to the > bathroom > with #2. I have already considered and communicated to parents aspects > related to sensory processing and low tone that may affect bowel control. > These include effective signaling, and interpretation of/ response to body > signals, as well as motor control. > > However, the more persistent issue is often effective wiping. Now there is > a possibility that there is some leakage during or after wiping, but I want > to focus on wiping itself. I am dealing with boys, some approaching teens > (I am female) for whom I am treading lightly. I have worked with boys with > spina bifida in a hospital setting, where it was appropriate to practice > this technique directly, but now I am working in an outpatient clinic where > it is not appropriate to deal with this directly. I have done > consultation > with parents- use of mirror, teaching the same simply sequenced technique, > etc. The boys are at an age where it is tricky even for them to deal with > this issue with their children. > > Does anyone have any other ideas or resources for the motor planning/body > awareness piece that could be carried out in the clinic without > embarrassment? With treatment for general body awareness, there has been > slight improvement, but I'd like to go further. > > Thank you for any ideas! > -- > Options? > www.otnow.com/mailman/options/otlist_otnow.com > > Archive? > www.mail-archive.com/[email protected] > -- Alexandra Lejeune Occupational Therapist www.hpccheck.org -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected]
