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!
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Alexandra Lejeune
Occupational Therapist
www.hpccheck.org
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