Saturday, September 30, 2006

Next Week's Potty Training drill

This is the toileting protocol we are using next week and forever on... in theory. Our therapist is the potty training queen (she really is outstanding!) and I know he will get it eventually. But this is going to be rough. He will be in underwear, although he will have vinyl pants at school. My printer isn't working, but I have to get this run off. I guess I am stopping by the library tomorrow. I have to get everyone - school, daycare, and both of us here - on board with this. It has been discussed and everyone has signed off on it, but the reality of doing is different than the abstract "we are sending a protocol and dry clothes" statement.

  • Jimmy should be taken to the bathroom every sixty minutes. It is suggested that the adult responsible for Jimmy carry a timer to remind them when to take him next. He should sit on the toilet for five minutes after each 60 minute interval.
  • Use a timer with an audible bell and place it in view but out of reach of Jimmy during each sit. This will create a concrete beginning and ending to his sits and he will become more comfortable with the demands. Point to the timer and direct his attention to it while giving him praise for good sitting.
  • Provide Jimmy with a preferred book or toy to enjoy while sitting. Be aware that items falling in toilet is very upsetting for him and smaller items may want to be avoided.
  • If Jimmy is successful he may flush the toilet and receive a treat. Have the treat in your pocket or hand so that you may give it to him as soon as he begins to urinate or have a bowel movement. It is important that he associate the treat with the act of eliminating in the toilet. Tell him as you give him the treat why he is receiving it, and provide plenty of praise!
  • If Jimmy sits with no results he may not flush. Please block all attempts.
  • If Jimmy has an accident he should, if at all possible, play a role in cleaning up the accident. This can be done by giving him a paper towel and asking him to wipe up his accident. Even if it is a minimal amount, it is important that he become aware of what has occurred. After this, he must change himself. In a neutral tone, tell him that he has had an accident and cannot play until he is dry. Please have him stop whatever activity he is currently engaged in and do not allow him to continue until he has changed himself. Redirect him to locating clean clothes and changing them. Please provide the least physical assistance possible.
I guess I will have a lot to post about next week.

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