Another option is Mrs. Bidet, sold at Home Depot and/or Lowes for about $35. It can be installed and removed in about 5 minutes. It's handheld, so it gives the user greater control of water flow and water direction. http://www.mrsbidet.com/
Take care, Tanya -- Tanya Feddern-Bekcan, MLIS, AHIP, MOT, OTR/L formerly Tanya Feddern 305.243.6648 - tfedd...@med.miami.edu - 305.325.9670 (fax) Occupational Therapist, EBM Theme Director, & Reference and Education Librarian Louis Calder Memorial Library - University of Miami Miller School of Medicine "A library without a librarian is a reading room."-- Jenny Garcia of the University of Wyoming, MLS, AHIP On Fri, Feb 12, 2010 at 4:01 PM, Alexandra Lejeune < alexandrath...@googlemail.com> wrote: > 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 <kathleenp...@gmail.com > >wrote: > > > ---------- Forwarded message ---------- > > From: Kathleen Pyne <kathleenp...@gmail.com> > > Date: Thu, Feb 11, 2010 at 12:31 PM > > Subject: hygiene issues related to sensory processing- handling with care > > and dignity > > To: otlist-requ...@otnow.com > > > > > > 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/otlist@otnow.com > > > > > > -- > Alexandra Lejeune > Occupational Therapist > > www.hpccheck.org > -- > Options? > www.otnow.com/mailman/options/otlist_otnow.com > > Archive? > www.mail-archive.com/otlist@otnow.com > -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com
