Toilet training a child with cerebral palsy can be challenging, but with patience, you're likely to have positive results. Don't forget that their bodies work differently from others, and it will probably take time for them to accomplish this task. Also keep in mind that some of the medications may cause bowel and bladder incontinence, so discuss this with the child's doctor if it seems to be an issue. Provide plenty of physical, mental and emotional support.
Step 1
Around the age of 2 years, it's a good idea to start introducing the child to the concept of potty training. However, he may not be ready until past his third birthday. Once he understands what will be expected of him, start the process. Encourage him to let you know when he is wet or has a dirty diaper. Once he does this on his own, he is probably ready to start potty training.
Step 2
Start out with a child-sized potty seat or special potty chair. This helps eliminate some of the frustration from trying to fit on the adult sized toilet. Allow him to sit on the potty seat and try to eliminate. Praise him for trying, even if he isn't successful.
Step 3
Encourage the child to let you know when she needs to use the toilet. Even if it's a false alarm, praise her for making the effort. Stay with her as she attempts to urinate or have a bowel movement. After she is finished, praise her for her accomplishment.
Step 4
According to an article on caringforcerebralpalsy.com, it helps to establish regular mealtimes. The child will get used to the bowels and bladder being full, and the foods will stimulate the digestive system. Then after the meal, help the child go to the bathroom to help her establish a routine of the bowel and bladder going from full to empty.
Step 5
If the child's cerebral palsy makes balance difficult, there are potty seats designed for special support. Discuss this with your child's doctor or therapist who may have access to a special needs chair or suggestions that will help.
Step 6
If bowel training is difficult, there may be other factors causing the frustration, including a lack of fiber in the diet, not enough liquid, medication side effects or not enough exercise. Add more fiber to the child's diet. Prunes, green leafy vegetables, seeds and other fruits and vegetables will help. Too much dairy may be causing the constipation. Try to limit the use of laxatives and discuss them with the doctor before administering them.
Tips and Warnings
- Don't show frustration if potty training takes a long time. Stay with the child while potty training. If the child is fearful of any aspect of potty training, it may be too early to start.
