Re: [OTlist] Fwd: hygiene issues related to sensory processing- handling with care and dignity
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 inso 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
Re: [OTlist] Fwd: hygiene issues related to sensory processing- handling with care and dignity
I hate to seem stupid, but exactly how does a bidet work? Obviously, it used to cleanse the anal area, but doesn't the wand become contaminated? Doesn't water spray everywhere and doesn't that imply feces contamination everywhere? What about drying off? Does a person just drip dry? LOL - Original Message - From: Tanya Feddern-Bekcan tfedd...@gmail.com Sent: Saturday, February 13, 2010 To: OTlist@otnow.com OTlist@otnow.com Subj: [OTlist] Fwd: hygiene issues related to sensory processing- handling with care and dignity TFB Another option is Mrs. Bidet, sold at Home Depot and/or Lowes for about TFB $35. It can be installed and removed in about 5 minutes. It's handheld, so TFB it gives the user greater control of water flow and water direction. TFB http://www.mrsbidet.com/ TFB Take care, TFB Tanya -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com
Re: [OTlist] Fwd: hygiene issues related to sensory processing-handling with care and dignity
The toto washlet wand directs itself, it cleans itself, it even dries you off. Look at the totousa website under washlet. Many of my clients are now happily independent! --Original Message-- From: Ron Carson Sender: otlist-boun...@otnow.com To: Tanya Feddern-Bekcan ReplyTo: OTlist@OTnow.com Subject: Re: [OTlist] Fwd: hygiene issues related to sensory processing-handling with care and dignity Sent: Feb 13, 2010 4:50 PM I hate to seem stupid, but exactly how does a bidet work? Obviously, it used to cleanse the anal area, but doesn't the wand become contaminated? Doesn't water spray everywhere and doesn't that imply feces contamination everywhere? What about drying off? Does a person just drip dry? LOL - Original Message - From: Tanya Feddern-Bekcan tfedd...@gmail.com Sent: Saturday, February 13, 2010 To: OTlist@otnow.com OTlist@otnow.com Subj: [OTlist] Fwd: hygiene issues related to sensory processing- handling with care and dignity TFB Another option is Mrs. Bidet, sold at Home Depot and/or Lowes for about TFB $35. It can be installed and removed in about 5 minutes. It's handheld, so TFB it gives the user greater control of water flow and water direction. TFB http://www.mrsbidet.com/ TFB Take care, TFB Tanya -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com Sent from my Verizon Wireless BlackBerry -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com
Re: [OTlist] Fwd: hygiene issues related to sensory processing-handling with care and dignity
Although you are not always home for the BM, have you tried the Toto washlet. It is a bidet that fits on top of a regular toilet seat. It is a heated toilet seat that will wash front and back and also dry. www.totousa.com. I install at least one a month. Sent from my Verizon Wireless BlackBerry -Original Message- From: Kathleen Pyne kathleenp...@gmail.com Date: Fri, 12 Feb 2010 08:50:45 To: otlist@otnow.com Subject: [OTlist] Fwd: hygiene issues related to sensory processing- handling with care and dignity -- 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 -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com
Re: [OTlist] Fwd: hygiene issues related to sensory processing- handling with care and dignity
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 inso 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.comwrote: -- 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
