GET HELP! It is the policy of the Enuresis Advisory Service to recommend that patients find and accept help from a Professional Health Carer. It has been our experience, and that of others, that patients who accept help and informed guidance from a Health Care Professional have a much higher success rate in managing an enuretic problem than those who do not seek support. Give The Enuresis Advisory Service a ring on the Free Call number - 1800 803 756. We have a national database of Health Care Advisers and Professionals who manage and treat enuresis. Do have your child examined by your G.P for possible physical problems and have the urine examined and checked in a lab for infections. WHAT THE EXPERTS SAY... "Reward Systems in Behaviour Management" An article by Paediatrician Dr David Cutting of Lilydale in Victoria Achievement of dryness and appraisal from loved ones are the greatest reward. More tangible rewards are a useful part of management programs for enuresis. They act as enhancements rather than sole strategies. Principles: -
Start Simply: - Do not set the child up to fail by making it too hard to achieve soon (eg. dryness every night when wet every night may be too distant a target). Examples of good targets:
As the parent is the judge it should always be possible to find a positive outcome. Simple Rewards-
Rewards might be:
Rewards can be combined with progress/star charts where several stars are needed to "cash in" to achieve a particular award, eg. if 5 stars are achieved for following instructions an extra TV program is allowed. Beware (things NOT to do or to allow): - Bribery "if you do this I will...". Blackmail "if you don’t give me a reward I will....". Stagnation (so continually change the award type). Sibling grumbles "he gets rewards for being dry, I am dry and get nothing". Secrets "I know it is difficult but if you help I will slip you something on the side". Rewards
provide valuable additions to behaviour management and to alarms.
They must be achievable. They must not replace the focus of the
program, ie. achieving dryness. Rewards should provide fun and enjoyment
for both child and parents. Dr David Cutting, Lilydale, Victoria HELP FOR DEEP SLEEPERS Recent research suggests that some children really do need extra help to wake up. There are a number of strategies to help the heavy sleeper including delaying urination until later in the night - when the child is more likely to wake to a loud noise. The use of Minirin® (Desmopressin®) in a dose less than results in complete dryness, can be a valuable ally in delaying urination. Minirin® combined with an alarm may move wetting to a time when the child will be responsive enough to respond.Some children need more daytime drinks to increase bladder emptying volume, and some need medication to delay bladder emptying. Another strategy that may be tried is to use the Malem® Bed Mat alarm with three Malem® Alarms attached. This
is noisy enough to wake most heavy sleepers - and the rest of the
household too! For details telephone: 1800 803 756. June Jenion of the Enuresis Advisory Service compiled Dry News, with the invaluable assistance of contributors and comments from other experienced staff who check the Newsletter prior to publication and circulation. Please pass this Website/Newsletter on to interested Family or Friends Malem®/Medstat®
and Enuresis Advisory Service
Quotes from the British Navy’s official work evaluations....
Radio transcript released by the Chief of Naval Operations 10/10/95 Station #1: Please divert your course 15 degrees to the North to avoid a collision. Station #2: Recommend you divert YOUR course 15 degrees South to avoid collision. Station #1: This is the Captain of a US Navy ship. I say again, divert YOUR course. Station #2: No, I say again, you divert YOUR course. Station #1: THIS IS THE AIRCRAFT CARRIER ENTERPRISE, WE ARE A LARGE WARSHIP OF THE US NAVY. DIVERT YOUR COURSE NOW! Station #2: This is the Puget Sound LIGHTHOUSE. It’s your move!! |
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