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shinecharity.org.uk
                                                  info@shinecharity.org.uk
                                                            42 Park Road
                                                            Peterborough
                                                                PE1 2UQ
                                                           01733 555988




Toilet Training and Hydrocephalus
Potty training for the non-disabled child usually begins at
around the age of 18 months to two years, and the child is
usually ‘trained’ by day at around two and-a-half years.

Every child is different and it is      position, with a comfortable,
advisable to watch for signs in the     supportive seat. If necessary, rails
child’s development which may           (or something for the child to hold
suggest he/she is ready to begin        on to) will give stability to the upper
potty training, such as: awareness      body. The child should be able to
that they are passing urine or          place his/her feet flat on the floor
having a bowel action; waking from      or a box/plinth. An occupational
naps with a dry nappy; asking to        therapist should be able to help
have their nappy changed.               with equipment if the child has poor
                                        sitting balance.
Start at a time when you can
spend a lot of time with your child,    Many children with hydrocephalus
when your child seems happy and         learn better when there is a routine.
there are no major distractions or      Before you begin toilet training,
stressful events in his/her life (new   plan what that routine will be and
brother or sister, divorce, moving,     stick to it until a habit is established
new carer etc).                         (e.g. where the potty will be, what
                                        time to ‘try’, whether to use pants
A young child with hydrocephalus        or ‘pull-ups’). Talk through each
may have difficulty balancing           step of the routine each time, to
when sitting. The potty or toilet       reinforce it, being as consistent as
should provide a stable and secure      you can. Watch the child for times
he/she is most likely to have a bowel     Children with hydrocephalus may
action, eg after breakfast, and try       have relapses in toilet training
those times first. Reinforce good         when starting school; there is so
behaviour ie, sitting on the potty,       much going on that the child may
with praise. If nothing happens, say      not listen to the body’s signals.
nothing. If it is acceptable to your      They may need reminding to go to
family, take your child into the toilet   the toilet and may need showing
when you or family members go, to         several times where the toilet is.
reinforce what is expected.               Classroom staff should be made
                                          aware of this.
It may take much longer than with
other children, so be patient. Only
stop as the very last resort, as
children with hydrocephalus can
become used to wearing nappies
through habit and this can be hard
to break.

Once a good habit is established,
you can gently vary the routine,
to allow your child to deal with
changes and become more flexible.




Help us
Shine relies on people’s generosity and support so we can help our clients
who depend on us for help and advice - people with hydrocephalus, spina
bifida, their families and carers. To donate to Shine please visit
www.shinecharity.org.uk or call 01733 421329.

This information has been produced by Shine’s medical advisers and
approved by Shine’s Medical Advisory Committee of senior medical
professionals.
Shine - Registered charity no.249338
To see our full range of information sheets and to find out how to donate to
Shine please visit www.shinecharity.org.uk

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Toilet Training and Hydrocephalus

  • 1. shinecharity.org.uk info@shinecharity.org.uk 42 Park Road Peterborough PE1 2UQ 01733 555988 Toilet Training and Hydrocephalus Potty training for the non-disabled child usually begins at around the age of 18 months to two years, and the child is usually ‘trained’ by day at around two and-a-half years. Every child is different and it is position, with a comfortable, advisable to watch for signs in the supportive seat. If necessary, rails child’s development which may (or something for the child to hold suggest he/she is ready to begin on to) will give stability to the upper potty training, such as: awareness body. The child should be able to that they are passing urine or place his/her feet flat on the floor having a bowel action; waking from or a box/plinth. An occupational naps with a dry nappy; asking to therapist should be able to help have their nappy changed. with equipment if the child has poor sitting balance. Start at a time when you can spend a lot of time with your child, Many children with hydrocephalus when your child seems happy and learn better when there is a routine. there are no major distractions or Before you begin toilet training, stressful events in his/her life (new plan what that routine will be and brother or sister, divorce, moving, stick to it until a habit is established new carer etc). (e.g. where the potty will be, what time to ‘try’, whether to use pants A young child with hydrocephalus or ‘pull-ups’). Talk through each may have difficulty balancing step of the routine each time, to when sitting. The potty or toilet reinforce it, being as consistent as should provide a stable and secure you can. Watch the child for times
  • 2. he/she is most likely to have a bowel Children with hydrocephalus may action, eg after breakfast, and try have relapses in toilet training those times first. Reinforce good when starting school; there is so behaviour ie, sitting on the potty, much going on that the child may with praise. If nothing happens, say not listen to the body’s signals. nothing. If it is acceptable to your They may need reminding to go to family, take your child into the toilet the toilet and may need showing when you or family members go, to several times where the toilet is. reinforce what is expected. Classroom staff should be made aware of this. It may take much longer than with other children, so be patient. Only stop as the very last resort, as children with hydrocephalus can become used to wearing nappies through habit and this can be hard to break. Once a good habit is established, you can gently vary the routine, to allow your child to deal with changes and become more flexible. Help us Shine relies on people’s generosity and support so we can help our clients who depend on us for help and advice - people with hydrocephalus, spina bifida, their families and carers. To donate to Shine please visit www.shinecharity.org.uk or call 01733 421329. This information has been produced by Shine’s medical advisers and approved by Shine’s Medical Advisory Committee of senior medical professionals. Shine - Registered charity no.249338 To see our full range of information sheets and to find out how to donate to Shine please visit www.shinecharity.org.uk