| Autor: |
Stadtler AC; Children's Hospital, Medical Diagnostic Clinics, Boston, MA 02115, USA., Burke P |
| Jazyk: |
angličtina |
| Zdroj: |
Clinical excellence for nurse practitioners : the international journal of NPACE [Clin Excell Nurse Pract] 1998 Mar; Vol. 2 (2), pp. 83-7. |
| Abstrakt: |
Toilet training is a major developmental milestone for children and parents. Accurate statistics on the prevalence of toilet-training failure do not exist; however, it is estimated that approximately 4% of 4-year-olds are not bowel trained. A number of biopsychosocial and developmental factors can interfere with toilet training. Frequently, a cycle of withholding and constipation with painful bowel movements and/or overflow incontinence ensues. A case study of a 4-year-old boy with encopresis and pervasive developmental disorder will highlight an interdisciplinary team's approach to helping children (4-6 years old) toilet train. Along with individual patient care management, parents and children attended (separately) a six-session medical and psychoeducational group called "Toilet School." This group model employs the principles of behavior modification, the concepts of children's preoperational thinking, and a philosophy of care that values collaborative relationships between caregivers and families. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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