There is no doubt that soon four-year Alwin Grip will be pleased to meet with Eva Stag Ling. She is a pediatric nurse and waiting for him at the entrance to the Folke Bernadotte Regional Habilitation in Uppsala, when he comes with his mom. He will play and train in the art of pee with catheter. To pee as usual, he can not.
First, he wants to show his new blue basketball shoes. Eva Stag Ling kneel down and talk to him and unfolds a little booklet with pictures wrapped. They show what is in store at today's visit. First, there's a picture of a doll that wets with hose, so a picture of the toys, a picture of a hand with a catheter tube, and finally another picture on toys.
- With the help of pictures, which are simple and clear, the child information and become involved in what is going to happen. They can also act as a diversion, says Eva Stag Ling.
Giving the doll water to drink and then insert the catheter tube into the doll's tiny dick is no problem for Alwin. Then put the doll on the potty and out of the hose will "pee".
Eva Stag Ling shows pictures again. Next in line is the one with the toys, so it will be a moment in the play room before it's time for the picture, which means that Alwin'll pee with catheter.
- I always take one step at a time and working out a moment until the child thinks it is okay to move on to the next. Confidence is everything, so I never do anything that I have not said that I should do. Children must be absolutely certain that what I say, I do.
Kiss Problem may be due to constipation
The reasons why children find it difficult to go to the bathroom can be both cognitive and physical.
Those who come to Eva Stag Lings "kissotek" may have some form of neurogenic bladder or bowel disorder in which the nerves to the bladder or bowel is not functioning properly.
- These children simply do not understand what it is about. They are not the KISS or poop nödiga she explains.
Often the children have both bladder and bowel disorders. Sometimes a kiss cause constipation problems. Then you need the corrected with medicine or enemas.
- When we practice enemas, I often use some form of entertainment. I have a small dvd player that I plug into the bathroom so the kids can watch movies. It wont work. In the beginning, they may not as much enema, so they do not have to sit so long.
Learning to take enemas tend to go a little faster than learning to pee with catheter think Eva Stag Ling.
Before the kids get a referral to a regional rehabilitation, they experienced a variety of KISS and poop training. It has tjatats and asked: "Are you pee", "Will any poo."
The children have been investigated and been in hospital where they might have been retained in order to get an enema or catheter inserted when bowel or bladder had to be emptied acute.
There are experiences that left their mark.
Puffs for more photos
The image support and the games children succeed eventually manage their peeing and pooping. And the parents get support and help to be able to handle the catheter and enema at home. For those with neurogenic disorders, it is about adapting to a life-long habit.
- How long it takes to learn is different. It can take three days or three months. Anything goes, the only question is how long you hold on, says Eva Rod Ling, who patiently easy to scroll with the methodology he developed over many years.
- More health care ought to make use of images that support when communicating with children. Talking becomes abstract and the idea quickly gets in the way. With photos see kids concretely what to expect. Sure it may take longer in the moment, but in time I think it saves time by being anxious that the children are involved, says Eva Stag Ling.
Alwin has been on regional habilitation many times and practiced a long time, so now Eve Stag Ling with no problems inserting the catheter on him so he can pee on the toilet.
Afterwards, they go out and blowing soap bubbles in spring sunshine.
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