it is likely that most teachers will, at some time, have at least one child in their class who has a...
TRANSCRIPT
It is likely that most teachers will, at
some time, have at least one child in
their class who has a wetting or soiling
issue.
Children with continence issues may experience more
emotional problems and have lower self-esteem than children
without continence problems
Children who wet or soil may be at an increased risk of bullying
When parents and carers do not receive appropriate treatment
or support they can feel isolated, stressed and guilty. There is
often a negative impact on family life and relationships
Learn more about how to support these children and young
people with
resource has been produced with the support of
the Big Lottery Fund
Supporting CDP and ITT
Understand how children and young people develop and progress
Know how to make effective personalised provision for those they
teach
Be aware of current legal requirements, national policies and
guidance
Know when to draw on / refer to the expertise of colleagues
Know how to identify and support children and young people
whose progress, development or well-being is affected by changes
or difficulties in their personal circumstances
Session Objectives
Find out about continence problems in children and young people
Understand how continence problems can affect the well-being of
children and young people
Understand how to support children and young people with
continence problems
Words for Urine or Urinate Wee
Wee-wee
Pass water
Piddle
Piss
Take a leak
Spend a penny
Whiz
Slash
Pee
Use the bathroom
Micky Bliss and Jimmy Riddle
(Cockney rhyming slang)
When we begin our lives we are all incontinent By the age of 4, all children are dry at night Bedwetting is a problem for very young children only Children have continence problems because they have not been
toilet trained properly Most children and adults find wetting and soiling problems hard to
talk about Wetting and soiling problems can affect children from all ethnic
backgrounds Bedwetting usually affects boys only One in 12 five to 16 years olds in the UK experience continence
problems Wetting and soiling problems can improve through treatment Drinking plenty of water is important (6-8 glasses of water-based
drinks spread throughout the day)
True or False?TRUE
FALSE
FALSE
FALSE
TRUE
TRUE
FALSE
TRUE
TRUE
TRUE
Jack and Paddy’s story
Link http://www.eric.org.uk/
Continence - The Facts
Continence is the ability to consciously control the discharge of
urine or a bowel movement
One in 12 (about 750,000) five to 16 year olds in the UK
experience continence problems; bedwetting, daytime
wetting, constipation or soiling
Most children gain night-time and daytime bowel control and
night-time dryness by 3-4 years of age
Children with special needs often take longer
Continence - The Facts
Bedwetting – Nocturnal Enuresis
Bedwetting (nocturnal enuresis) is generally defined by health
professionals as an involuntary voiding of urine during sleep, with
a severity of at least twice a week, in children over 5 years of age
3 main reasons:
Child unable to wake
Child makes a lot of urine
Child has an overactive bladder
Continence - The Facts
Daytime Wetting
Daytime wetting is the term used for children over the age of
five who regularly (more than once a week) wet their pants
during the day.
Possible causes
In younger children it may be linked to change in routine
For all ages, overactive bladder or UTI (urinary tract
infection)
Caffeinated drinks can stimulate the kidneys to produce
more urine or irritate the bladder
Continence - The FactsSoiling and Constipation
Soiling is involuntarily doing a poo (fluid, semi-solid or a solid
stool) into clothing rather than the toilet. It is more common in
boys than girls.
Reasons
Chronic constipation (most common)
Blocked bowel
The child is not yet toilet trained for stools (most often when
the child has a specific problem for example a learning
difficulty)
The Impact Missing out on things such as trips and sleepovers
Worries that friends and classmates might find out
Not knowing where to get help and support
Worries about being bullied or ridiculed by other young people
Tension at home with parents, carers and family
Feeling different from young people
Feeling isolated and alone
Feeling angry and frustrated
Low confidence and self-esteem
We should ensure that all children feel included, secure and valued We should be aware of children’s diverse needs in our school or
setting All pupils need to develop knowledge and skills for a healthy lifestyle We aim to promote the Every Child Matters outcomes to all children We consider ourselves a “healthy school” It’s important to reduce factors that make some children vulnerable
to bullying We want children to have good relationships with each other and
respect differences It’s our responsibility to promote all aspects of children’s well-being We have a role in providing support to parents and making sure they
get the help they need We should be building good links with other services that support
children and familiesWhat are the three most important factors in your setting?
Supporting these children
Supporting these children
Help and advice
ERIC – www.eric.org.uk
Effective, policy planning and management strategies:
Health and social care professionals:
Health visitor
GP
School nurse
Social Services
Supporting these childrenChildhood Wetting and Soiling: Information for parents and
carers A booklet with information on bedwetting, daytime wetting and
soiling, and the treatments that can help.
Nights away – no worries A short leaflet to help children who wet the bed and their
parents prepare for sleepovers and trips away.
Children’s Continence MattersPublished by Airedale PCT Continence Service A DVD and video that gives an insight into the difficulties that
bladder and bowel problems can cause children and families, and shows how professionals can help.
Why me? resource and DVD had been produced with the
support of the Big Lottery Funding
For more information about supporting children with
continence problems in your school or setting,
management advice and topic curriculum integration visit
see www.eric.org.uk/whyme/index.html?