4
If you need help to understand this leaflet or would like it in a different language or format such as large print, Braille or audio, please ask a member of staff. Date implemented: November 2016 Last reviewed: October 2017 Review date: October 2019 Leaflet No. 401 - Edition 2 www.healthforunder5s.co.uk You can text a Healthy Together public health nurse for condential advice about parenting, your child’s behaviour, child development, emotional health and wellbeing, or just for general queries about your child’s health. In Leicester text: 07520 615381 In Leicestershire and Rutland text: 07520 615382 For urgent medical attention you should contact your GP, call 111 or 999. www.leicspart.nhs.uk Email: [email protected] Toilet training A guide for parents and carers Contact your Public Health Nurse (Health Visitor): 401 Toilet training (2).indd Spread 1 of 4 - Pages(8, 1) 401 Toilet training (2).indd Spread 1 of 4 - Pages(8, 1) 13/10/2017 16:11:07 13/10/2017 16:11:07

Toilet trainingg - Health Under 5s

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Page 1: Toilet trainingg - Health Under 5s

If y

ou

nee

d h

elp

to

u

nd

erst

and

th

is

leafl

et

or

wo

uld

like

it

in a

dif

fere

nt

lan

gu

age

or

form

at s

uch

as

larg

e p

rin

t, B

raill

e o

r au

dio

, p

leas

e as

k a

mem

ber

of

staf

f.D

ate

imp

lem

ente

d: N

ove

mb

er 2

016

Last

rev

iew

ed: O

cto

ber

201

7R

evie

w d

ate:

Oct

ob

er 2

019

Leafl

et

No

. 401

- E

dit

ion

2

ww

w.h

ealt

hfor

unde

r5s.

co.u

k

You

can

text

a H

ealth

y Tog

ethe

r pu

blic

hea

lth n

urse

for

confi

den

tial a

dvic

e ab

out

pare

ntin

g, yo

ur c

hild

’s be

havi

our,

child

dev

elop

men

t, em

otio

nal

heal

th a

nd w

ellb

eing

, or

just

for

gene

ral q

ueri

es a

bout

you

r ch

ild’s

heal

th.

In L

eice

ster

tex

t: 07

520

6153

81

In L

eice

ster

shir

e an

d R

utla

nd t

ext:

0752

0 61

5382

For

urge

nt m

edic

al a

tten

tion

you

sho

uld

cont

act

your

GP,

ca

ll 11

1 or

999

.

ww

w.le

icsp

art.

nh

s.u

k Em

ail:

feed

bac

k@le

icsp

art.

nh

s.u

k

Toile

t tr

ain

ingg

A g

uid

e fo

rp

aren

ts a

nd

car

ers

Co

nta

ct y

ou

r Pu

blic

Hea

lth

Nu

rse

(Hea

lth

Vis

ito

r):

401

Toile

t tra

inin

g (2

).ind

d S

prea

d 1

of 4

- Pa

ges(

8, 1

)40

1 To

ilet t

rain

ing

(2).i

ndd

Spr

ead

1 of

4 -

Page

s(8,

1)

13/1

0/20

17

16:1

1:07

13/1

0/20

17

16:1

1:07

Page 2: Toilet trainingg - Health Under 5s

How

will

I kn

ow w

hen

my

child

is r

ead

y?R

emem

ber

all

child

ren

are

dif

fere

nt

- ju

st li

ke le

arn

ing

to

wal

k o

r ta

lk, a

ll ch

ildre

n t

oile

t tr

ain

at

dif

fere

nt

ages

. Th

ere

is n

o

rig

ht

age,

just

a r

igh

t ti

me.

Ho

wev

er w

e d

o k

no

w t

hat

ph

ysic

ally

ch

ildre

n a

re r

ead

y fr

om

th

e ag

e o

f 2

year

s. T

his

may

be

dif

fere

nt

for

child

ren

wit

h a

dd

itio

nal

n

eed

s b

ut

if t

hey

are

ab

le t

o s

it w

ith

su

pp

ort

an

d r

eco

gn

ise

the

feel

ing

of

bei

ng

wet

or

dir

ty t

hen

th

ey a

re r

ead

y to

try

.

Pick

a t

ime

to s

tart

wh

ich

su

its

you

. On

ce y

ou

hav

e b

ou

gh

t al

l yo

u n

eed

an

d h

ave

spo

ken

to

yo

ur

child

ab

ou

t w

hat

is g

oin

g t

o h

app

en, d

ecid

e w

hic

h d

ay y

ou

will

beg

in.

Star

t in

th

e m

orn

ing

aft

er y

ou

hav

e ta

ken

off

th

e n

igh

t n

app

y.

Bef

ore

yo

u s

tart

:U

sin

g a

po

tty

or

toile

t w

ill b

e n

ew t

o y

ou

r ch

ild s

o g

et t

hem

use

d t

o t

he

idea

!

• St

art

to c

han

ge

you

r ch

ild’s

nap

py

in t

he

bat

hro

om

/to

ilet

area

wh

en y

ou

are

at

ho

me.

Tal

k to

yo

ur

child

ab

ou

t it

as

you

ch

ang

e th

em s

o t

hey

sta

rt t

o u

nd

erst

and

w

hat

po

o a

nd

wee

mea

ns

and

th

e d

iffe

ren

ce b

etw

een

a w

et n

app

y o

r d

irty

n

app

y an

d a

cle

an n

app

y.

• G

et t

hem

to

wat

ch y

ou

tip

th

e p

oo

in t

he

toile

t an

d a

llow

th

em t

o fl

ush

, mak

ing

su

re t

hey

was

h t

hei

r h

and

s af

terw

ard

s.

• A

llow

th

e ch

ild t

o w

atch

oth

ers

usi

ng

th

e to

ilet

so t

hey

lear

n t

his

is w

her

e p

eop

le

go

an

d w

hat

th

e to

ilet

is t

her

e fo

r.

27

Ch

ildre

n w

ith

ad

dit

ion

al n

eed

sTh

e p

rin

cip

les

of

po

tty

trai

nin

g a

re t

he

sam

e -

it m

igh

t b

e th

e ti

min

g is

a li

ttle

dif

fere

nt.

So

me

child

ren

bec

om

e cl

ean

an

d d

ry

by

bei

ng

to

ilet

tim

ed. T

his

mea

ns

the

child

is t

aken

to

th

e to

ilet

rath

er t

han

ask

ing

to

go

or

taki

ng

th

emse

lves

. If

you

wo

uld

like

ad

vice

ple

ase

con

tact

yo

ur

Pub

lic H

ealt

h N

urs

e (H

ealt

h V

isit

or)

.

Poss

ible

ste

ps

All

child

ren

go

th

rou

gh

a r

ang

e o

f st

eps

wh

en t

oile

t tr

ain

ing

-

you

r ch

ild m

ay s

tart

at

any

of

thes

e st

eps

bu

t ca

n a

lso

go

bac

k a

step

. Rem

emb

er th

at a

ll st

eps a

re p

osi

tive

an

d sh

ou

ld b

e p

rais

ed!

You

r ch

ild m

igh

t:•

sit

on

th

e p

ott

y/to

ilet

wit

h t

hei

r n

app

y o

n•

act

ou

t to

ilet

trai

nin

g w

ith

th

eir

toys

• si

t o

n t

he

po

tty/

toile

t w

ith

ou

t a

nap

py

• w

et/s

oil

thei

r p

ants

at

fi rs

t -

this

is n

orm

al•

use

th

e p

ott

y/to

ilet

wit

h h

elp

• as

k fo

r th

e p

ott

y/to

ilet

afte

r th

e ev

ent

• as

k fo

r th

e p

ott

y/to

ilet

just

bef

ore

th

ey n

eed

it•

use

th

e p

ott

y/to

ilet

on

th

eir

ow

n.

Putt

ing

yo

ur

child

in p

ull-

up

s w

ill s

low

do

wn

su

cces

s. C

hild

ren

wo

n’t

fee

l wet

or

dir

ty a

nd

n

ot

lear

n w

hat

hap

pen

s w

hen

th

ey d

o n

ot

get

to

th

e p

ott

y/to

ilet

on

tim

e.

Acc

iden

ts w

ill h

app

en a

nd

th

ese

are

par

t o

f th

e le

arn

ing

pro

cess

. Th

ey a

re a

s im

po

rtan

t as

th

e su

cces

ses.

Ch

ildre

n w

ill o

ften

sit

on

th

e p

ott

y w

ith

ou

t d

oin

g a

wee

an

d t

hen

fi

ve m

inu

tes

late

r ar

e w

et. T

his

is q

uit

e n

orm

al a

nd

imp

rove

s in

tim

e. D

eal w

ith

ac

cid

ents

wit

ho

ut

com

men

tin

g. L

ots

of

pan

ts m

ay b

e n

eed

ed.

Ple

ase

do

no

t h

esi

tate

to

co

nta

ct y

ou

r Pu

bli

c H

ealt

h N

urs

e(H

ealt

h V

isit

or)

if

yo

u n

eed

fu

rth

er

ad

vic

e o

r su

pp

ort

.

401

Toile

t tra

inin

g (2

).ind

d S

prea

d 2

of 4

- Pa

ges(

2, 7

)40

1 To

ilet t

rain

ing

(2).i

ndd

Spr

ead

2 of

4 -

Page

s(2,

7)

13/1

0/20

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16:1

1:21

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16:1

1:21

Page 3: Toilet trainingg - Health Under 5s

6The

fi rs

t d

ay•

Wh

en y

ou

r ch

ild w

akes

in t

he

mo

rnin

g t

ake

thei

r n

app

y o

ff -

sit

them

on

th

e to

ilet

or

po

tty

for

1-5

min

ute

s an

d s

it w

ith

th

em.

• R

ead

a b

oo

k, s

ing

a s

on

g a

nd

mak

e it

fu

n!

• En

cou

rag

e th

em b

y te

llin

g t

hem

ho

w w

ell t

hey

are

do

ing

si

ttin

g o

n t

he

po

tty

- g

et s

iblin

gs

to p

rais

e th

em a

s w

ell.

• Pu

t o

n t

hei

r p

ants

.•

Was

h h

and

s af

terw

ard

s.

NEV

ER

fo

rce y

ou

r ch

ild

to

sit

on

th

e p

ott

y b

eca

use

on

e

bad

exp

eri

en

ce c

an

un

do

all

th

ey h

ave l

earn

t!

Try

agai

n a

bo

ut

20 m

inu

tes

afte

r m

ain

mea

ls a

s th

is is

th

e m

ost

lik

ely

tim

e fo

r yo

ur

child

to

hav

e a

succ

ess.

Rem

emb

er y

ou

r ch

ild w

ill n

eed

ple

nty

of

clea

r d

rin

ks s

o t

hei

r b

lad

der

lear

ns

to w

ork

pro

per

ly. A

im f

or

7-8

cup

s o

f 15

0mls

(5fl

oz)

eac

h.

Enco

ura

ge

you

r ch

ild t

o t

ry e

very

2-3

ho

urs

du

rin

g t

he

day

or

if y

ou

th

ink

you

r ch

ild m

ay n

eed

to

go

. Wh

en t

akin

g t

hem

use

la

ng

uag

e lik

e ‘It

’s t

ime

to g

o’ r

ath

er t

han

ask

ing

th

em ‘D

o y

ou

w

ant

to g

o’.

Kee

p g

oin

g!

Do

n’t

be

dis

app

oin

ted

or

sho

w y

ou

r ch

ild y

ou

are

get

tin

g

fru

stra

ted

if n

oth

ing

hap

pen

s st

raig

hta

way

.

Lear

nin

g t

o s

it o

n t

he

po

tty/

toile

t is

th

e fi

rst

step

of

lear

nin

g -

p

rais

e th

em f

or

it. P

ract

ise

mak

es p

erfe

ct!

Be

awar

e yo

ur

child

mig

ht

be

fear

ful o

f th

ing

s su

ch a

s fa

llin

g

do

wn

th

e to

ilet

or

the

sou

nd

of

it fl

ush

ing

.

The

fi rs

t ti

me

you

r ch

ild s

ucc

essf

ully

use

s th

e p

ott

y, p

rais

e,

pra

ise,

pra

ise!

Giv

e th

em a

hu

g a

nd

a s

tick

er t

o s

ho

w t

hem

ho

w p

rou

d y

ou

are

an

d t

ell e

very

on

e th

at w

ants

to

hea

r!

• Ta

lk t

o y

ou

r ch

ild a

bo

ut

toile

t tr

ain

ing

an

d s

har

e a

bo

ok-

so

me

exam

ple

s ar

e:• “O

n Y

ou

r Po

tty”

by

Vir

gin

ia M

iller

• “P

ott

y Ti

me”

by

Fio

na

Wat

t• “I

Wan

t M

y Po

tty”

by

Ton

y R

oss

• Le

t yo

ur

frie

nd

s an

d f

amily

kn

ow

yo

u w

ill b

e to

ilet

trai

nin

g s

o t

hey

can

hel

p-

it w

ill b

e ea

sier

fo

r yo

ur

child

to

un

der

stan

d if

eve

ryb

od

y u

ses

the

sam

e w

ord

s an

d/o

r si

gn

s.

How

do

I kn

ow m

y ch

ild is

rea

dy?

• Yo

ur

child

mig

ht

wak

e w

ith

a d

ry/a

lmo

st d

ry n

app

y af

ter

a n

ap.

• Yo

ur

child

mig

ht

try

to le

t yo

u k

no

w w

hen

th

eir

nap

py

nee

ds

chan

gin

g. T

hey

may

tu

g a

t th

eir

nap

py,

ch

ang

e th

eir

faci

al e

xpre

ssio

n o

r fi

dg

et a

nd

jig

gle

.

• Yo

ur

child

mig

ht

kno

w w

hen

th

ey n

eed

to

fi l

l th

eir

nap

py

and

go

so

mew

her

e q

uie

t to

do

so

.

• Yo

ur

child

mig

ht

actu

ally

tel

l yo

u t

hey

h

ave

had

a p

oo

or

wee

.

• If

yo

ur

child

po

os

at r

ou

gh

ly t

he

sam

e ti

me

ever

y d

ay, y

ou

can

ch

art

wh

en t

his

is a

nd

tr

y to

ileti

ng

aro

un

d t

hes

e ti

mes

.

• So

me

child

ren

may

exp

erie

nce

co

nst

ipat

ion

dif

fi cu

lty

in d

oin

g a

po

o. T

he

po

o is

usu

ally

h

ard

an

d lo

oks

like

peb

ble

s o

r ca

n b

e ve

ry

run

ny

and

loo

ks li

ke d

iarr

ho

ea. C

on

stip

atio

n

can

aff

ect

toile

t tr

ain

ing

– p

leas

e co

nta

ct y

ou

r Pu

blic

Hea

lth

Nu

rse

for

advi

ce.

Do

n’t

feel

pre

ssu

rise

d i

nto

sta

rtin

g

if y

ou

do

n’t

th

ink y

ou

r ch

ild

is

read

y.

3

401

Toile

t tra

inin

g (2

).ind

d S

prea

d 3

of 4

- Pa

ges(

6, 3

)40

1 To

ilet t

rain

ing

(2).i

ndd

Spr

ead

3 of

4 -

Page

s(6,

3)

13/1

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Page 4: Toilet trainingg - Health Under 5s

444444444444444444444444444444444444444444444444444444444444444444444444444444444444444444Wh

at w

ill I

nee

d?

To g

et s

tart

ed, y

ou

will

nee

d:

• lo

ose

clo

thin

g

• p

ants

(at

leas

t ei

gh

t p

airs

)

• to

ilet

seat

or

po

tty

• d

isin

fect

ant

• to

ilet

roll

or

wip

es

• a

sto

ol o

r st

ep s

o y

ou

r ch

ild s

its

on

th

e to

ilet

wit

h f

eet

fl at

. Th

is w

ill h

elp

yo

ur

child

fee

l saf

e an

d r

elax

ed s

o it

is e

asie

r to

d

o a

wee

an

d p

oo

. Th

e st

oo

l als

o c

om

es in

use

ful f

or

was

hin

g

han

ds

afte

r!It

ems

of

clo

thin

g t

o a

void

:

• ve

sts

wit

h p

op

per

s

• d

un

gar

ees

• tr

ou

sers

wit

h b

utt

on

s/b

race

s o

r a

bel

t

Mak

e it

fu

n!

Wh

en y

ou

go

sh

op

pin

g a

llow

yo

ur

child

to

ch

oo

se:

• th

e p

ott

y o

r to

ilet

seat

• p

ants

- t

hei

r fa

vou

rite

co

lou

r o

r ch

arac

ter

• a

bo

ok

or

toy

to s

it w

ith

on

th

e p

ott

y/

toile

t -m

ake

sure

it c

an b

e cl

ean

ed.

Use

rew

ard

sSt

ar c

har

ts w

ork

wel

l - o

ne

for

each

att

emp

t!

You

may

like

to

use

th

e o

ne

op

po

site

.

45

Potty training chart

Sat on potty

Wee’d in potty

Poo’d in potty

Pulled pants up and/or down

Flushed toilet

Washed hands 5

401

Toile

t tra

inin

g (2

).ind

d S

prea

d 4

of 4

- Pa

ges(

4, 5

)40

1 To

ilet t

rain

ing

(2).i

ndd

Spr

ead

4 of

4 -

Page

s(4,

5)

13/1

0/20

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16:1

1:22

13/1

0/20

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16:1

1:22