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Staying Dry At School
By Jude Roberts, Staff Writer
When children begin going to school,
most people assume that they will have very little
problem with the issue of going to the bathroom.
However, some children may have trouble with the ability
to control when and where they need to go, either due to
a physical challenge or because of a disease or illness
that doesn’t allow for regular control over their
bladder or bowel functions.
Incontinence can be very stressful, embarrassing, and frightening to the
child. Hope can be found through several steps that
parents and other caregivers can take in order to help
an incontinent child feel well-adjusted, happy, and
secure throughout their school day.
The most obvious place to begin is with what type of
under garments are best for your child’s particular
situation. If your child is too large for regular,
disposable diapers, you may want to consider contoured
or fitted diapers. They tend to vary in style, from
those which have a slight hour glass shape to those that
are fully-fitted panties with elastic legs and waist.
When researching these types of undergarments, it’s
important to be aware that some of the fully contoured
briefs and diapers can’t be bleached, a fact which may
help to narrow down the choices. Waterproof pants are
usually worn with other reusable products, however, they
can also be used with disposables products. When used
with disposables they can provide an added margin of
safety, provide some noise reduction and sometimes offer
a little camouflage. Waterproof pants are most commonly
made from vinyl plastic, available in various
thicknesses, with a choice of colored or white. Then
there is the all-in-one incontinent pant which is also
reusable. This product combines an absorbent pad or
diaper with a waterproof shell and function like adult
disposable diapers. The only draw back for the
all-in-one pant is that it tends to be one of the
incontinence products most difficult to design well. A
related product, known as protective underpants, are
designed to protect against moderate to light leakage.
The advantage of wearing protective underpants is that
they can look and feel like normal underwear while
providing protection for at least moderate incontinence,
and there are also some all-in-ones which are designed
for heavy incontinence. To a child, a cloth panty is
“real” underwear, and this will help them to feel more
like their peers.
Another area that may also provide security for
incontinent, school-aged children is adaptive clothing.
Many incontinent children have other medical conditions
that may complicate their incontinence care and
management, especially at school. Adaptive clothing can
provide ease of care that is not always available with
standard clothing. This is particularly true for
clothing designed to help parents care for a child with
special needs. Clothing can make it easier to dress
someone who has limited flexibility, and also make it
easier to access catheters or diapers. Specialized
clothing can also help hide incontinence products better
than standard clothing. For example, a T-shirt that
snaps under the crotch can’t pull out of the waist band
and allow for the protective under garments to be shown.
Specialized clothing can be both attractive and
protective, such as slips that have waterproof panels
which can be worn under dresses and skirts. There are
also other special garments, like swim suites, that are
made especially for children with bowel incontinence.
Parents are encouraged to work with their child’s
healthcare team. These professionals will usually be
able to help the family and child develop an emotionally
healthy way of dealing with incontinence, especially
when at school. You can also speak with your child’s
teacher, principal and school nurse to make sure they
understand your child with regards to their bathroom
needs, and if necessary, make sure the school and the
child’s healthcare team have an open dialogue regarding
the obstacles and solutions that may be experienced
throughout the school year. Remaining involved and
informed will help you to continue to provide your child
with a wonderful, stable, and happy educational
experience.
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