WOODLAND HEIGHTS SCHOOL HEALTH OFFICE
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​POTTY TRAINING

The poo in you!

Watch this short 5 minute video to understand bowel movements and what happens with constipation/stool holding. 
TOILETING – READINESS SKILLS - BY ABOUT 24 MONTHS
___ Responds to reinforcement 
___ Follows simple directions 
___ Seems uncomfortable in soiled diapers 
___ Remains dry for 2 hours at a time
___ Bowel movements are predictable and regular 
___ Pulls pants down
___ Pulls pants up (with assistance)
___ Can sit still for 2 minutes at a time 

TOILETING – DEVELOPING SKILLS -  BY ABOUT 36 MONTHS 
___ Has learned a word, sign, or PECS for toilet (e.g., potty, pee, sign for toilet)

___ Asks to use the toilet 
___ Unbuttons, unsnaps, or unzips pants 
___ Sits on toilet
___ Urinates on toilet 
___ Wipes after urinating (girls) 
___ Defecates on toilet
 ___ Wipes after defecating (with assistance)
 ___ Pulls underwear up
 ___ Pulls pants up
 ___ Zips, snaps, or buttons pants (with assistance) 
___ Flushes toilet 
___ Washes hands (with assistance)
 ___ Dries hands 

TOILETING – MASTERY SKILLS -  BY ABOUT 48 MONTHS 
___ Aims into the toilet while standing (boys)
___ Wipes self (girls wipe from front to back)
___ Zips front zippers
___ Buttons front buttons 
___ Snaps front snaps 
___ Washes and dries hands - as part of the toileting routine 
___ Night-time trained (may still have accidents) 

 Adapted from Advanced Training Solutions “Toilet Training Toolkit”  www.avbpress.com ​

There’s a big range of normal when it comes to how often children have a bowel movement (BM). Some children go 2-3 times a day, and other children go twice a week.

​The normal ups and downs
The course of toilet learning is not always smooth.  Accidents and setbacks can happen.  Accidents are very common and are a normal part of learning process. Children may be interested in the toilet one day, and not the next. Your child may be ready at a different time than brother, sister, friends' children or other children in preschool. May be ready at home but not at school.

Common reasons for setbacks: 
Often, children are afraid of change.  Try to respect the child's timing and let him/her take time off from the hard work of learning to use the toilet.  Sometimes, fear is at the root of a child's refusal to use the toilet.  Children may be fearful that their bodies might be giving up something important, or simply afraid of the loud flush of the toilet. Sometimes just putting the feelings into words for the child can help: "You seem afraid of using the toilet." or "That toilet sounds very loud, doesn't it?"  Some children have trouble with constipation and do not want to use the toilet.  Toileting can also become a power struggle between parent and child.  Parents and teachers do not always have the control they would like to have--while you can make a child sit on the potty, you cannot make him use it.  Setbacks are also normal when children are under stress. We try to handle accidents in a matter-of-fact way. ​


Health problems:
It’s worth keeping an eye out for possible problems connected with toilet training. Signs to look for include:
  • A big increase or decrease in the number of bowel movement or voiding pattern.
  • Bowel movements that are very hard to pass (constipation).
  • Unformed or very watery bowel movements.
  • Blood in the bowel movement or urine (sometimes appears as cloudy urine).
  • Pain when your child goes to the toilet.
  • Fecal smearing or soiling in underwear (encopresis)

Tips and Tricks if Your Child Won't Release their Pee:  
​http://hello.jamieglowacki.com/the-kid-who-just-cant-release-the-pee/
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  • Home
  • Illness guidelines
    • Fevers- What are they?
    • School Exclusion
    • Handwashing and Germs
  • Health Resources
    • Allergies
    • Asthma
    • Bicycle Helmets
    • Bulletin Boards
    • Community Assistance
    • COVID-19
    • Diabetes
    • Head Injury
    • Immunizations
    • Influenza
    • Laws
    • Lice
    • Medications at school
    • Potty Training Success and Complications >
      • Constipation
      • Encopresis
    • Puberty Education
    • Sun Safety
    • Vision Resources
  • Contact