Self Care
Toilet Training Plan
Child’s Name: DoB:
Plan Discussed by: Date:
Present Toileting Actions
Home:
What does he/she wear during the day? Pants/pull ups/nappy
What does he/she wear during the night? Pants/pull ups/nappy
What does he/she wear during non school days?
When is he/she taken to the toilet?
How often is he/she changed?
School:
What does he/she wear during the day? Pants/pull ups/nappy
When is he/she taken to the toilet?
How often is he/she changed?
Home/School:
During the day will he/she inform an adult that he/she has wet his pants/nappy?
During the day will he/she inform an adult that he/she has soiled his pants/nappy?
At night does he/she wake due to pants/nappy being wet/ soiled?
Additional Information:
Plan / NotesStep 1: setting the scene
This involves getting into a regime for nappy changing
- It involves establishing healthy habits with eating and drinking and sitting on the potty or toilet at regular intervals during the day.
- Always changing nappy in the bathroom [this helps makes the connection between wees and poos and the toilet]
- If possible change him/her whilst standing [this gets them involved in the process- this may include learning about wiping their own bottom ]
- Learning about ‘wet’ & ‘dry’ – putting cotton pants on before the nappy
Step 2: developing the skills needed
This step focuses on the skills required to use the toilet including sitting on the toilet,
pulling pants up and down and knowing what the toilet is for including flushing and washing and drying hands
Toilet toys can help encourage the child to sit and stay on the toilet such as a bubbles or squeeze / tactile toys
At the end of this step the child should be happily sitting on the toilet for up to 2
minutes or so (long enough to do a wee/poo) although at this stage we are not really expecting the child to use the toilet as that will hopefully be achieved in step 4
Step 3: raising awareness
This step involves identifying the child’s habits-such as how long they can stay dry for and if there is a regular time when they have their bowels opened.
Putting folded pieces of kitchen roll in the nappy – starting with the first nappy change of the day and checking and keeping a note hourly will help give an idea of how often the child wees and how long they can stay dry for.
Before the child can move on to that next step we would suggest they need to be able to stay dry for at least 1 ½ hours if not longer and have no underlying problem with their bowels such as constipation. / Complete a Toileting Chart
Step 4: using the toilet
At this stage we have identified the child is able to stay dry for increasing periods we would be looking at moving towards the child coming out of disposable products into normal washable underwear or trainer pants.
The skills introduced and developed at this stage include using the toilet to wee and poo, bottom wiping and using unfamiliar toilets.
The toileting chart will help when deciding the best times to sit the child on the potty/toilet.
Toileting Chart
Due to the super absorbency of disposable nappies to make it easier to know exactly how many times your child passes urine and when place a folded kitchen towel in his/her nappy.
Completing the chart
- At the first nappy change of the day, put the kitchen roll liner inside the nappy. Check the nappy every hour and record on the chart in the ‘nappy’ column - W = wet, D=dry, S=soiled
- If the kitchen roll is wet change it but the nappy can stay on until when you would normally change it.
- If he/she uses the toilet at any time complete the toilet column stating what happened eg wee or poo.
- Every time he/she has a drink put a tick [ ]in the drinks column
Day 1 / Day 2 / Day 3Date
Time / Nappy / Toilet / Drink / Nappy / Toilet / Drink / Nappy / Toilet / Drink
7.00
8.00
9.00
10.00
11.00
12.00
1.00
2.00
3.00
4.00
5.00
6.00
7.00
Toileting Plan for: child’s name______DoB______
Date:
Agreed Action:
Agreed by:
To be reviewed [date] ______
2
SEN EIT Aug 2014