It is likely that most teachers will, at some time, have at least one child in their class who has a

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(No Transcript)
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• It is likely that most teachers will, at some
  time, have at least one child in their class who
  has a wetting or soiling issue.

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• Children with continence issues may experience
  more emotional problems and have lower
  self-esteem than children without continence
  problems
• Children who wet or soil may be at an increased
  risk of bullying
• When parents and carers do not receive
  appropriate treatment or support they can feel
  isolated, stressed and guilty. There is often a
  negative impact on family life and relationships

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• Learn more about how to support these children
  and young people with
• resource has been produced with the support
  of the Big Lottery Fund

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Supporting CDP and ITT

• Understand how children and young people develop
  and progress
• Know how to make effective personalised provision
  for those they teach
• Be aware of current legal requirements, national
  policies and guidance
• Know when to draw on / refer to the expertise of
  colleagues
• Know how to identify and support children and
  young people whose progress, development or
  well-being is affected by changes or difficulties
  in their personal circumstances

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Session Objectives

• Find out about continence problems in children
  and young people
• Understand how continence problems can affect the
  well-being of children and young people
• Understand how to support children and young
  people with continence problems

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Words for Urine or Urinate

• Wee
• Wee-wee
• Pass water
• Piddle
• Piss
• Take a leak

• Spend a penny
• Whiz
• Slash
• Pee
• Use the bathroom
• Micky Bliss and Jimmy Riddle (Cockney rhyming
  slang)

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True or False?

• When we begin our lives we are all incontinent
• By the age of 4, all children are dry at night
• Bedwetting is a problem for very young children
  only
• Children have continence problems because they
  have not been toilet trained properly
• Most children and adults find wetting and soiling
  problems hard to talk about
• Wetting and soiling problems can affect children
  from all ethnic backgrounds
• Bedwetting usually affects boys only
• One in 12 five to 16 years olds in the UK
  experience continence problems
• Wetting and soiling problems can improve through
  treatment
• Drinking plenty of water is important (6-8
  glasses of water-based drinks spread throughout
  the day)

TRUE FALSE FALSE FALSE TRUE TRUE FALSE TRUE TRU
E TRUE
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Jack and Paddys story

• Link http//www.eric.org.uk/

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Continence - The Facts

• Continence is the ability to consciously control
  the discharge of urine or a bowel movement
• One in 12 (about 750,000) five to 16 year olds in
  the UK experience continence problems
  bedwetting, daytime wetting, constipation or
  soiling
• Most children gain night-time and daytime bowel
  control and night-time dryness by 3-4 years of
  age
• Children with special needs often take longer

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Continence - The Facts

• Bedwetting Nocturnal Enuresis
• Bedwetting (nocturnal enuresis) is generally
  defined by health professionals as an involuntary
  voiding of urine during sleep, with a severity of
  at least twice a week, in children over 5 years
  of age
• 3 main reasons
• Child unable to wake
• Child makes a lot of urine
• Child has an overactive bladder

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Continence - The Facts

• Daytime Wetting
• Daytime wetting is the term used for children
  over the age of five who regularly (more than
  once a week) wet their pants during the day.
• Possible causes
• In younger children it may be linked to change in
  routine
• For all ages, overactive bladder or UTI (urinary
  tract infection)
• Caffeinated drinks can stimulate the kidneys to
  produce more urine or irritate the bladder

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Continence - The Facts

• Soiling and Constipation
• Soiling is involuntarily doing a poo (fluid,
  semi-solid or a solid stool) into clothing rather
  than the toilet. It is more common in boys than
  girls.
• Reasons
• Chronic constipation (most common)
• Blocked bowel
• The child is not yet toilet trained for stools
  (most often when the child has a specific problem
  for example a learning difficulty)

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The Impact

• Missing out on things such as trips and
  sleepovers
• Worries that friends and classmates might find
  out
• Not knowing where to get help and support
• Worries about being bullied or ridiculed by other
  young people
• Tension at home with parents, carers and family
• Feeling different from young people
• Feeling isolated and alone
• Feeling angry and frustrated
• Low confidence and self-esteem

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Supporting these children

• We should ensure that all children feel included,
  secure and valued
• We should be aware of childrens diverse needs in
  our school or setting
• All pupils need to develop knowledge and skills
  for a healthy lifestyle
• We aim to promote the Every Child Matters
  outcomes to all children
• We consider ourselves a healthy school
• Its important to reduce factors that make some
  children vulnerable to bullying
• We want children to have good relationships with
  each other and respect differences
• Its our responsibility to promote all aspects of
  childrens well-being
• We have a role in providing support to parents
  and making sure they get the help they need
• We should be building good links with other
  services that support children and families
• What are the three most important factors in your
  setting?

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Supporting these children

• Help and advice
• ERIC www.eric.org.uk
• Effective, policy planning and management
  strategies
• Health and social care professionals
• Health visitor
• GP
• School nurse
• Social Services

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Supporting these children

• Childhood Wetting and Soiling Information for
  parents and carers
• A booklet with information on bedwetting, daytime
  wetting and soiling, and the treatments that can
  help.
• Nights away no worries
• A short leaflet to help children who wet the bed
  and their parents prepare for sleepovers and
  trips away.
• Childrens Continence Matters
• Published by Airedale PCT Continence Service
• A DVD and video that gives an insight into the
  difficulties that bladder and bowel problems can
  cause children and families, and shows how
  professionals can help.

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• Why me? resource and DVD had been produced with
  the support of the Big Lottery Funding
• For more information about supporting children
  with continence problems in your school or
  setting, management advice and topic curriculum
  integration visit see www.eric.org.uk/whyme/index.
  html?