16. 8/28/2005 CHCCN2C Care For Children Older children who have accidents will feel better about cleaning up after themselves. Encourage their efforts.
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Notes de l'éditeur
Encourage the child who has noticed what they have done after the event. “Yes that’s Michael’s wee – he did it on the e floor. Maddie, are you telling me your nappy is uncomfortable? You did pooh. You want children to feel you welcome them telling you. If you make them feel bad or embarrassed they may avoid the signs that help them to develop control or have their self esteem damaged. Make the bathroom or potty area a bright and interesting place. Allow childfren to play with a clean potty or sit on it whenever they wish, An advantage of toilet training in child care is that they often wish to copy the other children.
Involving children in the parts of the toilet routine they can manage themselves ie pulling down their own pants, washing hands or flushing the toilet. Provide easily-removed clothes and encourage parents to do so as well. In warm weather, just wearing training pants is best. Being in pants helps toddlers become aware of being wet or soiled.
Once children have accomplished these tasks, they are able to care for their own toileting needs. There is usually no need for structures toileting routine or times when adults direct all children to go to the toilet. However, to support children’s independence, it is necessary to have have equipment that is easily accessible to the children and that allows them to act independently How?? Able to reach toilets, taps and towels, easy clothing,enough toilets to seat several children at once time.
Accidents are normal and need to be dealt with in a matter-of-fact way. Caregivers should try to help families tp see it this way. This is an issue that needs to be discussed with new families when they are being intorduced to the group setting.
In cultures where infants are carried close to an adult’s body, sleep with parents or if washing soiled clothing is a problem, people have developed other ways of handling elimination. A common practice is “holding out”. This refers to the practice of removing an infant’s clothing and holding him or her away from the caregiver’s body or over a potty at the appropriate time. This practice is only effective if caregivers are in close physical contact with the infant at the time i.e. cultures that carry infants on their backs. These caregivers b4ecome sensitive to the infant’s elimination pattern and the cues they use to indicate they are about to empty their bladder or bowel. In the Artic North America, traditional Inuit mothers do this as there is a real danger to infants if their urine freezes in their clothes This used to be common in many Australian , European and Asian families. “ Holding out” does not assist the child to become independent. The caregiver becomes trained to watch and catch what the child produces and the child is mostly oblivious to the process The practice of “holding out” has strongly influenced many attitudes to toilet training. Beliefs about lack of control being dirty or bad, result in parents being faced with emotive and stressful situations. Parents who understand the developmental issues involved in the process may be pressured or criticised by grandparents or other people for seemingly lax attitudes to their responsibilities. Caregivers can help by supporting parents.