Continence NZ- Free Incontinence Help - HEALTHY BLADDER … Kit_SECURE.pdf · 2012-09-19 · •...
Transcript of Continence NZ- Free Incontinence Help - HEALTHY BLADDER … Kit_SECURE.pdf · 2012-09-19 · •...
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Toilet Tactics KitHEALTHY BLADDER AND BOWEL HABITS IN SCHOOLS
This kit has been designed for New Zealand primary schools to raise awareness of healthy bladder and bowel habits
Continence Helpline 0800 650 659 www.continence.org.nz
Continence Helpline 0800 650 659 www.continence.org.nz
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AcknowledgementsThe Continence Foundation of Australia would like to gratefully acknowledge:
• Continence Foundation of Australia Paediatric Advisory Sub Committee
• Healthy Bladder and Bowel Habits in Schools Working Party
• Allenby Gardens Primary School
• Brinkworth Primary School
• Glen Waverley South Primary School
• North Melbourne Primary School
• Templestowe Heights Primary School
• Templestowe Valley Primary School
The Continence Foundation of Australia would also like to acknowledge the in-kind support of the Victorian Department of Education and Early Childhood Development and the SA Department for Education and Child Development to the research informing this publication.
© Continence Foundation of Australia, 2012
This resource is copyright. Apart from any fair dealing for the purpose of private study, research and review and education, no part may be reproduced by any process without written permission from the National Office of the Continence Foundation of Australia.
For additional copies contact:
New Zealand Continence Association PO Box 270, Drury 2247 Ph: 0800 650 659 www.continence.org.nz
This book is intended as a general introduction only and is no substitute for professional assessment and care.
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Toilet Tactics
dearPrincipal,
theaimoftoilettacticsistoraiseawarenessofhealthybladderandbowelhabitsinschoolsand toimprovethestandardofschooltoiletsacrossnewZealand.thiskitprovidesusefulinformationthatteacherscanincorporateintoclassroomactivitiesforhealtheducation.
Take up the challenge!
• Incontinencecanhaveanegativeimpactonachild’sself-esteem.5
• ItisnowtimefornewZealandschoolstotakeupthechallengetoimprovetheirschooltoiletsor maintainthehighstandardoftheirexistingtoiletingfacilities.
• toilettacticshasthepotentialtoimprovethebladderandbowelhealthofyourstudentsandprovidesthemwithauniquelearningopportunity.
• thetoilettacticsKitprovidesaguideforimprovingormaintainingschooltoiletsandcanbemodifiedtosuityourindividualschoolneeds.
• toilettacticsisaprojectthatseniorstudentgroupsoragroupofstudentscanlead,tohelpmakeadifferencetotheirschoolcommunity.
• thestudentswillneedthesupportofateacherorstaffmemberandmayalsoneedtoconsultwiththeschoolprincipalandseniorstudentgroup.
• Involvingstudentsalsomeansthatschoolmanagementwillbeinabetterpositiontotakestudents'concernsseriouslyanddealwiththeseastheyarise.
• Yourschooltoiletscanbeimprovedjustbyimplementingafewbasicstepsanditneednotcostmoney.
• Beforecommencingtoilettacticsweadviseyoutoseeksupportfromyourschoolcommunity.
• Weencourageyoutotakeupthechallenge!
Yourssincerely
ProfessorMarkWeatherallPresidentofnewZealandContinenceAssociation
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InsideyourtoilettacticsKityouwillfind:
1. Let’sgetstArted! 5
Howtousethiskit 5 tipsonhowtoimproveandmaintaintoiletstandards 6
2. sCHooLtoILetCHeCKLIst 7
Whatisaschooltoiletchecklist? 7 schooltoiletchecklist 8
3. studentsurveY 9
4. sCHooLtoILetCHArter 10
WhatisaschooltoiletCharter? 10 theschooltoiletCharter(poster) 11
5. forstudents(redseCtIon) 12
HealthyHabits(poster) 13 Brochuresforprimaryschoolchildren:(alsoavailablefromwww.continence.org.nz) 14 Howdoesmybladder(wee)work? 14 Howdoesmybowel(poo)work? 15 Learningactivities: 16 Howtositonthetoiletcorrectly 16 spotthedifference 17 Healthybladdersandbowelswordsearch 18 Healthybladdersandbowelscrossword 19
6. forteACHers(BLueseCtIon) 20
understandingtheimpactpoorbladderandbowelhabitshaveonstudents 21 Keymessagesforteachers 23
7. forPArents/guArdIAns(YeLLoWseCtIon) 24
Brochuresforprimaryschoolchildren(alsoavailablefromwww.continence.org.nz) 24 Whatistoilettacticsandwhydoesyourschoolneedit? 25
8. APPendIx(greenseCtIon) 26
samplenewsletterarticle:Whatistoilettactics? 27 Howtorunyourtoilettacticscampaign 28 studentsurvey 29 Collatingstudentsurveyresults 31 toilettacticsstudentsurveyconsentformtemplate 34 ContinenceCarePlan 35 findoutmore 36 references 37 Wordsearchanswers 38
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Let’sgetstarted!
How to use this kit
Herearesomesimplestepstohelpgetyoustarted.
steP1: Identifyateacherorstaffmemberfromyourschooltochampionthisprogram.
steP2: Identifyagroupofstudentstohelpleadtheproject.thiscouldbeagroupofseniorstudentswhowanttoimprovetheyschool.Itcouldformpartofahealthpromotionprogramforstudents.
steP3: Letyourwholeschoolcommunityknowaboutthetoilettacticsprogram.thiscouldbedonethroughregularupdatesinyourschoolnewsletterandannouncementsatschoolassemblies.Werecommendusingthesamplenewsletterarticleonpage27asastartingpointandyoucanprovideinformationtoyourstaffusingtheinformationintheteachers'section.Youcanthenchoosesectionsfromthekitthatyoufeelarerelevanttoyourschool.
steP4: CheckyourschooltoiletsusingtheschooltoiletChecklistonpages7–8.thiswillhelpyoudecideifyourschooltoiletsrequireanyimprovements.theschooltoiletChecklistshouldbetickedoffatleastonceatermtomakesureyourschoolstaysontrackandmeetsyourschooltoiletcharterobligations.
steP5: Werecommendthatyouaskyourstudentstocompletethestudentsurvey(page9).thiswillgiveyouasenseofwhatthestudentsthinkabouttheschooltoilets.
steP6: WiththeresultsoftheschooltoiletChecklistandthestudentsurvey,identify anyareasofyourschooltoiletsthatneedimproving.seeour“tipsonhowtoimproveandmaintaintoiletstandards”(page6).
steP7: developyourschooltoiletCharter(page10).Asamplecharterhasbeenprovidedto getyoustarted(page11).
forideasastohowtorunyourtoilettacticscampaignseepage28.
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Involve the whole school community
• Involvethewholeschool,includingparents/guardians,indevelopingandintroducinga schooltoiletmanagementandaccesspolicy.
• Involvetheschoolcleanersastheyunderstandwhatneedstobedonetohelp keeptheschooltoiletsclean.
• Introduceatoiletcomments/complaintsprocedureforstudentsanddealpromptlywithany issuesidentified.
• Havetheschoolcommunitycompletethesurveyincludedinthiskittofindoutwhattheyreallythinkabouttheirschooltoilets.
• ensureparents/guardiansareinformedabouttheprogram.thiscouldbedoneviayourschoolnewsletter.
Educate students
• educatestudents;ideallystartwhentheyareyoung.Provideopportunitiestofocusonbehaviourintoiletssuchasrespectingprivacy,leavingthetoiletscleanandtidyandnothangingaroundinthem.
• Workwiththestudentsonimprovements,behaviourandrespect.takealeapoffaithandencourageawholeschoolpolicyonunrestrictedtoiletvisits.
Keep toilets clean and well maintained
• toiletsthatareclean,odourfreeandwellmaintainedwithworkingfixtures,fittingsandsuppliesareessentialtoensureschooltoiletsarevaluedandlookedafter.
• It’simportantforschoolstokeepontopofmaintenance.Peopletendtodroplesslitterincleanplaces.Makebudgetallocationapriorityfortoiletmaintenance,cleaningandrepairs.
• Cleanlinessandsuppliesshouldbecheckedregularlythroughoutthedayandcheckscould berecorded.
Encourage good toilet habits
• recognisethattoiletingneedsarehighlyindividualanddonotconformtoschooltimetables.
• restrictingtoiletaccesscanhaveanegativeimpactonchildrens'bladderandbowelhealth.Consistent"holdingon"behaviourcanleadtoconstipationandincompletebladderandbowelemptying.
fortoiletchecklistsandfurtherinformationongoodtoiletdesign,hygieneandinfectioncontrolgotowww.bog-standard.org.uk
AdaptedfromtheBog Standard – Toilet Checklists for Schools
How to improve and maintain toilet standards – encouraging healthy bladder and bowel habits
tipsonhowtoimproveandmaintaintoiletstandards
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schooltoiletChecklist
What is a school toilet checklist?
• theschooltoiletChecklistwillhelpyoutoidentifyareasthatyoumayneedtoworkontoimprovethestandardofyourschooltoilets.
• thechecklistcanbeusedtoreviewyourschooltoiletsatleastonceatermtomakesureyouaremeetingthestandardssetoutinyourschooltoiletCharter(pages10–11).
• studentsshouldbeallowedtogotothetoiletwhentheyneedtogotopromotehealthybladderandbowelhabits.
– studentsarenottoexploitthisrightandshouldideallygotothetoiletduringtheirbreaks,thoughthisisnotalwayspossible.
– Ifastudentisaskingtogotothetoiletexcessivelyduringclasstime,thisshouldbediscussedbytheteacherwiththeparent/guardian.thestudentmayneedtoseeahealthprofessionaltoidentifyifthereisanunderlyingmedicalcondition.
• thetoiletareashouldbefreeofbullyingsoallstudentsfeelcomfortableandsafetousethetoiletswhentheyneedto.
• thereshouldbesufficientclean,workingtoiletsforallboysandgirls,withdoorsthatlock.
• Ifatoiletisnotworkingitshouldbeapriorityfortheschooltogetitinworkingorderassoonaspossible.
• Itisimportantthatthewashbasinshavewater,soapdispensersandhanddryingfacilitiestoencouragegoodhandwashingpracticesforallstudents.thisisimportanttohelpmaintainstudentandteacherhealthbyhelpingtopreventthespreadofinfectioninthe classroom.
At the bottom of the checklist there are blank boxes for you to add individual checks you believe are important for your school.
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Does your school . . . YES NO
Allowstudentstousethetoiletswhenevertheyneedto,includingduringlessons?
Providesuitabletoiletsforstudentswithspecialneeds,whichtheycanaccessanduse?
ensuretoiletsareprivateandhaveworkinglocksonalltoiletdoors?
Cleanthetoiletsregularly?
Maintainthetoiletsingoodworkingorder?(notbroken)
Provideabsorbenttoiletpaperinalltoilets?
Providewater,soapdispensersandhanddryingfacilities?
Provideenoughbinsinthefemaletoiletstodiscretelydisposeofsanitarypadsandincontinenceproducts?
Provideenoughbinsinthemaletoiletstodiscretelydisposeofincontinence products?
Workwithstudentstopreventthemfromhangingaroundthetoilets?
School Toilet Checklist
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toilettacticsstudentsurvey
Find out what students think about the school toilets
• thestudentsurveycanbecompletedathomewithparents/guardians,oratschoolwiththeteacherorbuddy.
• Ifyoudecidetosendthesurveyhome,youmaywishtoaskparents/guardianstohelptheirchildfillinthesurvey.Bydoingthisitwillhelpparentsbecomeawareofthetoilettacticsprogram.Itmayalsohelpparentstobecomemoreawareoftheirchild’stoiletinghabitsatschoolandprovideanopportunityforthemtodiscussbladderandbowelhealthwiththeirchild.
• theveryfirsttimeyouusethekititmaybeworthgivingallstudentstheopportunitytotellyouwhattheythinkabouttheschooltoilets.
• Itisrecommendedthatyousurveythewholeschooloragroupofrandomlyselectedstudentsatleastonceayeartohelpkeepyouontrack.
• newZealandContinenceAssociationhasprovidedatoilettacticsstudentsurveyConsentformtemplateshouldschoolschoosetogaintheconsentofparents/guardiansinlinewithindividualschoolpolicyfortheirchildrentocompletethestudentsurvey.
• Itishopedthatthesurveyresultswillassisttheschooltoidentifyissuesthattheschoolcommunitycanworkon asagrouptoimprovetheschooltoilets.
IntheAppendix(greensection)youwillfind:• thestudentsurvey(pages29–30)• atoolforcollatingthestudentsurveyresults(pages31–33)• astudentsurveyconsentformtemplate(page34)• anautomatedexcelspreadsheettoassistwithanalysisofsurveyresults
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WhatisaschooltoiletCharter?
The School Toilet Charter is a formal statement that outlines the expected standard of your school toilets and promotes healthy bladder and bowel habits.
• onthefollowingpageisanexampleofaschooltoiletCharter,whichyoucanuse,or youcanwriteyourown.
• thebasisofaschooltoiletCharterisrespectforeachotherandschoolproperty.
• AschooltoiletCharteralsodemonstratesthatyourschoolcommunitytakesbladderandbowelhealthseriouslyandvaluestheimportanceofyourschooltoilets.
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Principal
Toilet Tactics Poster
School Toilet Charter
At our school. . .…
Weareallowedtousethetoiletwheneverweneedto
Wehaveenoughtoiletsforgirlsand boys
Wehavetoiletsthatareprivateand havedoorsthatlock
Wehavesuitabletoiletsforstudentswith specialneeds
Wehavewater,soapdispensersandhanddryingfacilities
Wehaveenoughabsorbenttoiletpaperinalltoilets
Wedon’thavebullyinginourtoilets
Weleavethetoiletcleanafteruse
Wehaveapolicytokeepschooltoiletscleanandingoodcondition
Welookafterourtoiletsbycleaningthemregularlyandtheydonot smell
Wehavestudentsinvolvedinmanagingandimprovingthetoilets
Wetakeallcomplaintsabouttoiletsseriouslyandactonthemassoonas possible
Weareallresponsibletohelplookaftertheschooltoiletsandwereportany problemsto:
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Toilet Tactics
For Students
thestudentsectioncanbeintegratedintoclassroomlearning.understandinggood
bladderandbowelhabitsisimportantforoverallhealthandwellbeing.
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Exercise every day
Always wash your hands after going to the toilet
How to sit on the toilet:
- Girls should always sit properly on the toilet
- Boys can stand or sit to do a wee
Always flush the toilet and leave the toilet clean
when you have finished
Healthy HabitsLook after your insides by following these easy tips when it comes to your wees and poos. …
Toilet Tactics Poster
Drink water with your meals and when you are thirsty
Make sure you fully empty your wee and poo
Do not push, squeeze or strain when you wee, and
you should only push a little bit for a poo
Wee and poo when you feel like you need to go,
even when you are at school
Try to eat 2 serves of fruit and 5 serves of vegetables a day
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How does my bladder (wee) work?
How do I look after my bladder?• Whenyoufeelyouneedtodoaweeyoushould
stoPwhatyouaredoingandgotothetoilet.
• don’tholdonuntilyouarebusting.• don’thurryorpushtomakeyourweecomeout,
justwaitandrelaxuntilitisready.
Tell a grown-up you know if...• Ithurtsorburnstodoawee.Itcanbehelped
andwillgetbetter.
• Yourweesneaksoutwhenyoudon’twantitto.
What else can I do to look after my bladder?• drinkwaterwithyourmealsandwhenyou
arethirsty.
• Yourdietshouldincludefreshfruitandvegetableseveryday.
Your kidneys make wee (urine)
Your bladder acts like a water tank and
stores the wee
When it is time to go to the toilet your bladder tells your brain
When you are ready to go to the toilet
the bladder squeezes, the gate (sphincter)
opens, and the wee comes out by itself
Remember: don’t make fun of people who have trouble with their bladder.
Be kind and help them to tell a grown-up they know - so they can get better.
thisinformationisalsoavailableasahardcopybrochurefromwww.continence.org.nz orphonetheContinence Helpline on 0800 650 659.
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How does my bowel (poo) work?
How should I go to the toilet?• Whenyourboweltellsyourbraintogoto
thetoiletstoPwhatyouaredoingandgo.don’tholdontoolong.
• Ifyouneedtodoapoo,sitonthetoilet.• Whenyouthinkyouhavefinished,waita
littlelongerandseeifyoucandosomemore.
• Alwayswipeyourbottomfromthefronttotheback,andwipeuntilallthepooisgone.
Tell a grown-up you know if...• Ithurtstodoapoo,orifitishard,andyouhave
topushalottogetitout.Itcanbehelpedandwillgetbetter.
• Youfeelsomepoostuckinside• Yourbottomissore• Youfindpooinyourundies• Yourpooisalwaysrunny• Youfeelyouhavetorushtothetoiletoften
What else can I do to look after my bowel?• drinkwaterwithyourmealsandwhenyou
arethirsty.
• Yourdietshouldincludefreshfruitandvegetableseveryday.
Your body uses food to grow big and strong and what is not needed comes out as poo
When it is time to do a poo, your bowel tells your brain
When you are sitting on the toilet, the poo comes out by itself
Your bowel makes poo (faeces)
Remember: don’t make fun of people who have trouble with their bowel.
Be kind and help them to tell a grown-up
they know - so they can get better.
thisinformationisalsoavailableasahardcopybrochurefromwww.continence.org.nz orphonetheContinence Helpline on 0800 650 659.
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How to sit on the toilet correctly
• elbowsorhandsonknees• straightback• Leanforward(bendfromthehips)• feetwellsupported• somechildrenbenefitfromusingafootstool• don’trush
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Spot the difference
What differences can you spot between these two pictures? Tip: there are ten differences.You can also colour in these pictures.
Answers:
1.extraspikeyhair2.singleflushbutton3.logoontoilet4.toiletseatisup5.cheekygrin6.watch7.pocket8.toiletrollonground9.missingundies10.missingfootstool/feetdangling
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Healthy bladders and bowels wordsearch
Tip: words may be diagonal, back to front, across or down
Word list
A t J s t u C K L e v u r I n e
x o r B u s t I n g Z C e K o v
Q I P L d r A e L C Y o L I s e
u L C A t n M I o f W n A J P r
s e e d r I n K H s I s x L g Y
e t r d u v A f L Y P t K A C d
L P I e W A t e r f e I s Z L A
B A n r A J o A s u d P o o e Y
A P W v s t A r g C I A K e A x
t e d t H I r s t Y Y t A J n P
e r I K H B B o W e L I Y I A s
g t e s A e r v Y s t o r e s Z
e Q t o n n A e L P K n d C f I
v f A K d f I B r e P W L A e M
e d o A s v n L e P K I u o s A
f I n I s H x H e A L t H Y I f
K I d n e Y s d n t o I L e t M
Answers:
seepage38
bladderbowelbrainbustingcleanclearconstipationdiet
drinkeverydayfibrefinishfruithealthykidneysmeal
poorelaxsitsoapstoresstuckthirstytoilet
toiletpaperurinevegetableswashhandswaterwipe
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Healthy bladders and bowels crossword
Down
1. Ifyourpooishardyoumaybe______
2. Itisimportantthat___________helplookaftertheschooltoiletsandreportanyproblems
3. studentsshouldnothangaroundthe______
5. Youshould_____whenyougotothetoilet
8. Anothernameforpoo
10. Pootravelsthroughthistubeinyourbody
Across
2. Itisgoodtositonthetoiletwithyourfeetwell_________
4. Itisimportantto__tothetoiletwhenyouneedto
6. Whereyourwee(urine)ismade
7. Anothernameforwee
8. Youshouldalways____thetoilet
9. Weshouldalldrinkthiseveryday
10. Weeisstoredhere
11. Wemustall____ourhandsaftergoingtothetoilet
12. Itisimportanttoeatfruitand_______everyday
1
2P
3D
4
T5
6S
7
8S
9A
10D
11
12L
Tip: most answers can be found on pages 14–15
Answers:
Down1.constipated2.students3.toilets5.relax8.faeces10.bowel
Across2.supported4.go6.kidneys7.urine8.flush9.water10.bladder11.wash12.vegetables
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For Teachers
teachersmayalsowanttorefertothestudentsectionasitcontains
resourcesthatteacherscanintegrateintohealtheducationactivities.
Toilet Tactics
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Did you know?
• Incontinencecanhaveanegativeimpactonachild’sself-esteem.5
• Childrenwhosoilaresignificantlymorelikelytoreportbeingvictimsorperpetratorsofovertbullyingbehaviour.9
• Manychildreninfluencedbynegativeperceptionsofschooltoiletshaveadoptedunhealthytoilethabitsduringschooltime.14
• Ifachildisnotallowedtogotothetoiletwhentheyhavetheurgetheycouldpotentiallywetorsoiltheirpants.
• thepsychologicalimpactofwettingorsoilingonachildcanoftenbeunderestimatedandmanyhealthprofessionalswhoseechildrenforbladderandbowelissuesknowthatschooltoiletscanhaveanegativeimpactonachild’sbladderandbowelhealth.
• Adequatetoiletingfacilitiesandgoodhandwashingpracticescanhelptoreducetheoutbreaksofinfectiousdiseases(gastroenteritis,coldsandinfluenza).
Why is it when you ask a child to wait for a break to use the toilet, when they return from the break they suddenly need to go to the toilet again?
• Whenthebladderisfillingupwithurine,apersongetsadesiretovoid,whichtheycanconsciouslysuppress.
• Ifachildsuppressestheurgetovoidbecausehe/sheisnotallowedtogotothetoilet,theymayforgetthattheyneededtogountiltheynextgettheurge,whichmaybewhentheyreturntotheclassroom.thistimetheurgetovoidbecomesstronger,mayevenbepainfuland itbecomesmoredifficulttoholdon.
• Ifachildisnotallowedtogotothetoiletwhentheyneedto,theymayendupwettingtheirpants.thiscanbeembarrassingandhumiliatingforthechild.
Did you know that restricting fluids can have a negative impact on a child’s overall health and wellbeing?
• Achild’scognitiveperformancehasbeenshowntoimprovebyhavingadrinkofwater.7
• researchhasshownthatfreeaccesstowaterintheclassroomisnotassociatedwithchildrenneedingtovisitthetoiletmorefrequentlyduringclasstimeanditalsodecreasesflavoureddrinkconsumption.12
• Ifachildrestrictstheirfluidintakeatschool,theymaythendrinkanexcessiveamountwhentheygethomefromschool,whichhasthepotentialtoleadtonight-timewetting.
• Allowingchildrentodrinkwaterthroughoutthedayisnotonlybeneficialfortheiroverallhealthandwellbeing,butcanalsopromotehealthybladderandbowelhabitsforlife.
understandingtheimpactpoorbladderandbowelhabitshaveonstudents
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Why is it important to let children go to the toilet if they need to?
• Itisimportanttorememberthatthekidneysare alwaysmakingurine,sothebladderisalways fillingup.Wecanonlysuppresstheurgetovoidforacertainamountoftimeuntiltheurinehastocomeout–whetherweareonthetoiletor not.
• Ifchildrenignoretheurgetodefecate,orarenotallowedtoleavetheclassroomtogo,thismayleadtoconstipationandfaecalsoiling.
• Byignoringtheneedtogotothetoilet,thefaecesstaysinthebowelforalongerperiodandmorewaterisabsorbedfromthefaeces,makingitharderanddrier,andmoredifficulttopass.thisleadstoconstipation.
• Ifachildbecomesseverelyconstipatedthebowelcanoverdistend(stretch)andliquidfaecescanescapearoundthehardfaeces,resultinginfaecalsoiling.thiscanhappenwithoutthechildbeingawareofit.oftenthechildwillnotbeabletosmellthemselves.
• Achildwithfaecalsoilingorday-timewettingneedstobereferredtoahealthprofessionalasit isamedicalcondition.
What can cause a child to have bladder or bowel problems?
• therearearangeofmedicalconditionsthatcanleadachildtohavingbladderandbowelproblems,suchasdiabetes,spinabifida,coeliacdiseaseandCrohn’sdisease,justtonameafew.
formoreinformationaboutbladderandbowelhealthphonethe
ContinenceHelplineon0800 650 659forotherhealthconditionsrefertowww.health.govt.nz www.everybody.co.nz
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forteA
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Keymessagesforteachers
1. studentsshouldbeallowedtogotothetoiletwhentheyneedtogo.thiswillhelp instilhealthybladderandbowelhabitsforlife.
2. Ifastudentisaskingtogotothetoiletexcessivelyduringclasstime,theteacherneedstodiscussthiswiththeparentorguardianwhomaychoosetoinvolveahealthprofessionaltodeterminethecause.Ifitisamedicalreason,itisadvisablethatahealthcareplanbe developed.
3. studentsneedaccesstocleantoiletsthatareadequatelyequippedwithabsorbenttoiletpaper,soapdispensers,water,handdryingfacilitiesandworkinglocks–thiscanhaveapositiveimpactonstudentsandencouragepositivetoiletinghabits.
4. studentshavearighttoprivacyandtoiletsthatarefreefrombullying.
5. studentswithbladderorbowelissuesrequirequickandeasyaccesstoatoilet,andshouldbeprovidedtheprivacy,supplies(inthecaseofanaccident)andsupporttheyrequire.
6. Byunderstandingandsupportingtheneedsofchildrenwithbladderorbowelissues,youcanhelptoimprovetheirself-esteemandhelptopreventfurtherhealth problems.
7. Itisimportanttorememberthatstudentswithbladderand/orbowelissuesarenotbeingnaughtyordisruptiveintheclassroomoratschoolonpurpose.faecalsoilingandurinaryincontinenceareinvoluntaryanddistressingevents,thatneedtobemanagedandtreatedbyahealthprofessional.thesechildrenneedtobesupportedwhentheyareatschool.
8. Itisimportantthatstudentsfeelsafeandcomfortabletouseschooltoilets,whichiswhytoilettacticsissoimportant.Wouldyoubehappytouseyourstudents'toilets?
9. forinformationaboutchildrenwithspecialneedsrefertoOne Step at a Time,whichis availableatwww.continencevictoria.org.au
10.formoreinformationontoilettactics,basiccontinencecareplans(seepage35)andbladderandbowelhealth,gotowww.continence.org.nz orphonethe
ContinenceHelplineon0800 650 659 forfreeinformationandreferraltoyourlocalcontinenceadvisor.
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For Parents /Guardians
Yourschoolhasdecidedtotakeupthetoilettacticschallenge.
Toilet Tactics
forafullrangeofbrochuresforchildrengotowww.continence.org.nzorphonetheContinenceHelplineon0800 650 659
toilettrainingInformationforteachers-Childrenwhowetandsoil
faecalIncontinence(soiling)-ChildrenBedwettinginChildren(nocturnalenuresis)
toilettrainingforChildrenwithAutism,spectrumdisordersandlearningdisabilitiesenuresis-daytimewetting
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Why do Toilet Tactics?
• toilettacticswillhelpraiseawarenessandunderstandingofchildhoodbladderandbowelhealthamongparents,teachersandchildren.ItwillalsohelptoimproveormaintainthestandardofschooltoiletsacrossnewZealand.
• Withbetterunderstandingitisalsohopedthatchildrenwilladopthealthierbladderandbowelhabitsforlife.thisisbuiltonthepremisethatmanylifelongattitudes,behavioursandbeliefsbegininchildhood.
• Adequatetoiletingfacilitiesalsohelptoreduceoutbreaksofinfectiousdiseases(gastroenteritis,coldsandinfluenza)bypromotinggoodhandwashinghabits.
• evidenceshowsthatschooltoiletscanhaveanegativeimpactonachild’sphysicalandpsychologicalhealth,whichiswhytoilettacticsissoimportant.
• Ifchildrenareawareofthetoilettacticsprogramandareinvolved,itisanticipatedthattheywilllookaftertheirschooltoiletsandrespecttheschooltoiletCharter.
How will it work?
• Itisanticipatedthattoilettacticsisaprogramthatagroupofstudents,suchasthestudentschoolcouncil,couldleadwiththesupportof a leading teacher.
• Itisalsoimportantthatifstudentsidentifyanyconcernsabouttheschooltoiletsthatschoolmanagementtakethemseriouslyandhelptoresolvetheconcernsidentified.
• Itisimportanttorealisethattoilettacticsneednotcostmoney.
• Aspartoftoilettacticsyourschoolmaydecidetosendastudentsurveyhomeorcompleteitinclasstimetohelpidentifyanyissuesassociatedwiththeschooltoilets.Ifitissenthome,wehopeyouwillbeabletoassistyourchildtofillinthissurveyandreturnittoschoolbythesetdate.thesurveywillalsogiveyouanopportunitytotalktoyourchildabouttheirbladderandbowelhealth.
• Yourschoolmayconsiderdevelopingaschooltoiletcharter.theschooltoiletCharterisaformalstatementthatoutlinestheexpectedstandardofyourschooltoiletsandpromoteshealthybladderand bowelhabits.
What can I do if my child has a bladder or bowel issue at school?
Youshoulddiscussyourchild’sconditionwithyourchild’steacherand/orschoolprincipalsoyourchildiswellsupportedatschool.Ifyourchildhasabladderorbowelissueatschoolitisimportanttosee ahealthprofessionalandhaveacontinencecareplandevelopedifnecessary.
formoreinformationontoilettactics,continencecareplansandbladderandbowelhealth,gotowww.continence.org.nzorphonethe
ContinenceHelplineon0800 650 659.therearearangeoffreebrochuresavailabletodownloadand/ororderthatcanassistyouintalkingtoyourchildaboutthisimportanthealthtopic.theContinenceHelplineisafreeconfidential service.
Whatistoilettacticsandwhydoesyourschoolneedit?
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Toilet Tactics
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Our school has decided to take up the Toilet Tactics challenge.
toilettacticsisanexcitingnationalinitiativetoraiseawarenessofbladderandbowelhealthandtoimproveormaintainthestandardofschooltoiletsinnewZealandprimaryschools.
toilettacticshasbeendesignedtoalsohelpschoolswithgreattoiletskeepthemthatway.
• Bytakingupthechallengewewillbewritingaschooltoiletcharterthatoutlinestheexpectedstandardofourschooltoiletsandwillhelppromotehealthybladderandbowelhabitsamongourstudents.
• Yourchildmaybeaskedtofillinasurveyabouttheschooltoilets,whichyoumaybeabletohelpthemwith.thiswillhelpusfindoutwhatourstudentsthinkaboutthetoiletsandidentifyifanythingneedsimproving.
• toilettacticsisbeingledbyagroupofstudentsandMs/Mr___________________istheleadingteacher,whoyoucancontactifyouhaveanyquestions.forinformationaboutthetoilettacticsKitgotowww.continence.org.nz
Whatistoilettactics?
Toilet tips
didyouknowthereisacorrectwaytositonthetoilet?(seepicturebelow)
• elbowsorhandsonknees
• straightback
• Leanforward(bendfromthehips)
• feetwellsupported
• somechildrenbenefitfromusingafootstool
• don’trush
gotothetoiletwhenyoufeeltheurge.
Youshouldonlysitonthetoiletforamaximumoffiveminutes.
foranycontinenceissuesgotowww.continence.org.nzorphonethe
ContinenceHelplineon0800 650 659forfreeinformationandreferraltoyourlocalcontinenceadvisor.
Toilet Tactics
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Hereisanexampleofhowyoucouldrunyourtoilettacticscampaignoveraneightweekperiodusingtheinformationprovidedinthekit.
Allpagesofthekitcanbedownloadedfrom theenclosedCd–sotheycanbeeasilyaddedtoyourschoolnewsletter.
Week 1: Provideinformationtoparents/guardiansabouttoilettacticsviaanarticleintheschoolnewsletter(seethesamplenewsletterarticleonpage27).Provideinformationtotheteachersatastaffmeeting(pages20–23).
Week 2: Askstudentstocompletethesurvey(pages29–30).thiscouldbesenthome asanattachmentwiththeschoolnewsletterorasaclassroomactivity(page 9).Youcouldsetupadropboxinacommunalareaforstudentstoreturnthe survey.
Week 3: Placethe"HealthyHabits”poster(page13)intheschoolnewsletterandintheschool toilets.teacherscouldalsoincorporatethissectionintohealtheducation(see pages12–19foractivityideas).
Week 4: Placethecrossword,wordsearchorspotthedifferenceintheschoolnewsletter.
Week 6: Provideresultsofthestudentsurveytotheschoolcommunity.
Week 8: Commencedevelopmentofyourschooltoiletcharterandconsiderplacingthisinthenewsletteranddisplayingitinyourschool(refertopage11).
Howtorunyourtoilettacticscampaign
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1. Are you(pleasetick):
agirl
aboy
2. How old are you?_________
3. Do your school toilets have(pleasetick):
Yes no sometimes
toiletpaper
doorsthatlock
toiletsthatflush
tapsthatworkproperly
toiletseats
soapdispensers
Papertowelorhanddryers
Bins
Privacy
4. Are your school toilets:
Yes no sometimes
dirty
smelly
Clean
Lockedatcertaintimesoftheday
Survey continues…
Information for teachersAllinformationonthisformisanonymous.studentsmayneedassistancetofilloutthesurvey.seepage9forideas.theyshoulddiscussthesurveywiththeirparent/guardian.
toilettacticsstudentsurvey
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Pleasetickyouranswersbelow:
Yes no sometimes
5. Areyouallowedtogotothetoiletduringclasstime?
6. Areyouscaredtoasktogotothetoiletduringclasstime?
7. doyouleavethetoiletcleanafteryouuseit?
8. Haveyoueveravoideddrinkingatschoolsoyoudon’thavetousethetoilet?
9. Haveyoueverbeenscaredtousetheschooltoilets?
Ifyouanswered"Yes"toquestion9abovepleaseexplainwhy:
10. Is there anything else you would like to say that could make your school toilets better?
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1. Number of students who answered the survey:
total
totalnumberofgirls
totalnumberofboys
totalnumberofstudents
2. Age of students who answered the survey:
Age total
4–6yearsold
7–8yearsold
8–10yearsold
11+yearsold
3. Do your school toilets have:
Yes:total no:total sometimes:total
toiletpaper
doorsthatlock
toiletsthatflush
tapsthatworkproperly
toiletseats
soapdispensers
Papertowelorhanddryers
Bins
Privacy
• Ateacherwillneedtosupportthestudentgrouptocollectandunderstandthesurveyresults sothatareasthatneedimprovingcanbeclearlyidentifiedandaplanofactioncanbedeveloped.
• Youneedtoadduphowmanystudentscompletedthesurveyandhowmanystudentstickedeachboxorhowtheyratedeachquestionontheformbelow.
• thesurveyresultsshouldhelptoidentifyareasthatstudentsthinkneedimprovingand you willnowhaveagoodunderstandingofwhatthestudentsthinkaboutthetoiletsin yourschool.
• Anautomatedexcelspreadsheetisavailabletoassistwithanalysisofsurveyresults.
Collatingstudentsurveyresults
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What do the results from question 3 mean?
• Ifmoststudentsanswered"Yes"tothesequestions,that’sfantasticandyou’redoingagreat job!
• Iftherearealotof"no"answersinanysection,thisisanareayouneedtoworkon.You willneedtothinkaboutwhattheproblemisandhowitcouldbefixed.
• forexample,ifallthedoorsdonotlockthismaybesomethingthatcouldbefixedatthenextworkingbee,orifthereisn’tenoughtoiletpapertheremayneedtobeapersonresponsibletoreplacetheemptyrolls.
• onceyouhavecomeupwithsolutionstotheproblems,youneedtotalktoyoursupportingteacherandhe/shewillbeabletohelpyoudecidethebestwaytoapproachtheproblem.thismaymeanyouneedtochoosearepresentativetomeetwithyourschoolprincipalandevenseniorstudentgroupsotheproblemsyouhavefoundcanbefixed.
4. Are your school toilets:
Yes:total no:total sometimes:total
dirty
smelly
Clean
Lockedatcertaintimesoftheday
What do the results from question 4 mean?
• Ifthetoiletsaredirty,smellyorlockedatcertaintimesoftheday,thisneedstobediscussedtoworkoutwhyandhowtheproblemcanbesolved.
• forexample,ifthetoiletsaredirty,dotheyneedtobecleanedmoreoften,orisitbecause studentsarenotrespectingeachotherandnotflushingtoiletsproperlyorarenot leavingtoiletsclean?
• Ifyourtoiletsarecleanandneverlockedduringschooltime,that’sfantasticandyou'redoingagreatjob!
Questions 5–9
Yes:total no:total sometimes:total
5. Areyouallowedtogotothetoiletduringclasstime?
6. Areyouscaredtoasktogotothetoilet?
7. doyouleavethetoiletcleanafteryouuseit?
8. Haveyoueveravoideddrinkingatschoolsoyoudon’thavetousethetoilet?
9. Haveyoueverbeenscaredtousetheschooltoilets?
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What do the results for questions 5–9 mean?
• Ifstudentsarenotallowedtogotothetoiletwhentheyneedtogo,iftheyfeelscaredtoaskforpermissionorareavoidingusingthetoiletwhileatschool,theseareimportantissuesthatcanbesolvedbytalkingtoyoursupportingteacherandtheprincipal.
• Ifstudentsanswer"no"toquestion7,thenstudentsmayneedtobeencouragedtoflushthetoiletproperlyorwipethetoiletseatafteruse.girlsshouldbeencouragedtositonthetoiletproperlybecauseithelpsthebladdertoemptyfullyandstopstheseatfromgettingwet.Youcouldputstickersordotsforboystoaimatintheurinals.
• Ifstudentsstatethattheyavoiddrinkingatschoolitidentifiestheneedtoeducatethemaboutdrinkingmorewateratschool.
• Listallcommentstoquestion9toidentifywhystudentsarescaredtousetheschooltoilets.thiswillhelpyoutoworkoutwaystomakeyourtoiletslessscary.
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toilettacticsstudentsurveyconsentform template
toilettacticsisanationalcampaignthataimstoraiseawarenessofhealthybladderandbowelhabitsamongschool communitiesandmaintainorhelpimprovethestandardofschooltoiletsacrossnewZealand.
thetoilettacticsKithasbeenreproducedforuseinnewZealandwiththepermissionoftheContinencefoundationofAustralia©2012.
Aspartoftoilettactics,yourschoolhasdecidedtoconductananonymousstudentsurveytohelpidentifyanyissuesassociatedwiththeschooltoilets.de-identifiedsurveydatamaybeprovidedtothenewZealandContinenceAssociationaspartoftheevaluationoftoilettacticsifyourschoolprovidespermission.
formoreinformationandtoviewthetoilettacticsKit(includingthesurvey)gotowww.continence.org.nz
I am willing for my child to become involved in the student survey, as described above.
nAMeofCHILd
nAMeofPArent/guArdIAn
sIgnAtureofPArent/guArdIAn dAte//
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thisformisnotintendedforchildrenwhohavecomplexcontinenceissues,requireurinarycatheterisationorhaveacolostomy,ortoreplaceeducationdepartmentcareplans.
nAMeofstudent doB
CLAss/HoMegrouP dAteofnextrevIeW
nextofKIn reLAtIonsHIPtostudent
PHone MoBILe
Childrenwithbladderand/orbowelcontrolissuesneedsupportandunderstanding.theyhaveamedicalconditionthatcausesthemtowetand/orsoiltheirpants.Itisimportantforteachersandcarerstounderstandthatchildrenarenotbeingnaughtyorseekingattention.
Continence issue: (tick appropriate boxes) urinaryincontinence
faecalincontinence/faecalsoiling
needstobeallowedtousethetoiletwhenhe/sheasks
needstobepromptedtogothetoiletevery________________________________________________________
needstobeabletousethetoiletclosesttohis/herclassroom
needstobeabletohaveeasyaccesstotheirbagtoassistwithcleanupafterincontinentepisode
Mayrequireassistancetohelpwithcleanup
Willask/begivenassistancefrom_________________________________________________________________(thispersontobenominatedbyschoolinconsultationwithparentorguardian)
other________________________________________________________________________________________
(nAMe)_____________________________________________willsupplythenecessaryequipmenttoassistwithcleanupsincludingwipes,gloves,asnaplockplasticbagforwetorsoiledclothesandhaveachangeofclothesavailableatschool.
Ifthestudentappearstobeusingthetoiletexcessivelyduringclassroomtimepleasecontacthis/herparentorguardiansoissuescanbediscussedwiththeirsupportinghealthprofessional.
PArent/guArdIAnnAMe sIgnAture dAte
teACHer/PrInCIPALnAMe sIgnAture dAte
HeALtHProfessIonALnAMe sIgnAture dAte
studentnAMe sIgnAture dAte
© Continence Foundation of Australia 2012
Continence Helpline 0800 650 659 www.continence.org.nz
ContinenceCarePlanTo support children within the education system
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findoutmore
New Zealand Continence AssociationthenewZealandContinenceAssociation(nZCA)isthenationalpeakbodypromotingbladderandbowelhealth.thenZCAprovidesfreeresources,informationandeducationaboutbladderandbowelhealthandrunsnationalawarenessraisingcampaignssuchasWorldContinenceWeek.
forfurtherinformationabouttheContinenceAssociationgotowww.continence.org.nz
forinformationaboutchallengingbehaviourorifyourchildhasaspecialneed,refertoOne Step at a Time whichisavailableatwww.continencevictoria.org.au
Continence Helpline 0800 650 659
forfreeinformationandreferraltoyourlocalcontinenceadvisor.
Bladder & Bowel Website
forinformationandadviceonthepreventionandmanagementofbladdercontrolandbowelproblemsgotowww.bladderbowel.gov.au
National Public Toilet Map
thenationalPublictoiletMapshowsthelocationofover1000publictoiletsacrossnewZealand.thisisausefultoolforpeoplewithincontinenceandconvenientforpeoplewithyoungfamilies.
tofindyourlocalpublictoiletsgotowww.toiletmap.co.nz
Education and Resources for Improving Childhood Continence (ERIC)
erICisanationalchildren’shealthcharitybasedintheunitedKingdom.erICdealswithbedwetting,daytimewetting,constipationandsoilingandpottytrainingandprovidesawiderangeofinformation,supportandresourcestofamiliesandhealthprofessionals.the BogstandardisakeyinitiativeoferIC,whichaimstopromotebettertoiletsforstudents.theBogstandardhaslaidthefoundationformuchoftheworkoutlinedinthiskit.
forfurtherinformationabouterICgotowww.eric.org.uk
forfurtherinformationabouttheBogstandardgotowww.bog-standard.org
PromoCon: Promoting continence and product awareness (UK)
forinformationonchildhoodcontinenceissuesincludingpromotingcontinenceinschoolsandpublicationswhichcanbedownloaded,gotowww.disabledliving.co.uk/PromoCon
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1. Brown,J2011,‘ParentsdescribeexperiencesinKeeAsurvey’,Australian and New Zealand Continence Journal,vol.17,no.1,pp.24.
2. Cooper,C,Abousally,C,Austin,C,Boyt,M&Hawtrey,C2003,‘doPublicschoolsteachvoidingdysfunction?resultsofanelementaryschoolteachersurvey’,The Journal of Urology,vol.170,pp.956-958.
3. Croghan,e2002,‘Asurveyofdrinkingandtoiletfacilitiesinlocalstateschools’,British Journal of Community Nursing,vol.7,no.2,pp.76-79.
4. d’Anci,K,Constant,f&rosenberg,I2006,‘HydrationandCognitivefunctioninChildren’,Nutrition Review,vol.64,no.10,pp.457-464.
5. deshpande,A,Craig,J,smith,g&Caldwell,P2011,‘factorsInfluencingQualityofLifeinChildrenWithurinaryIncontinence’,The Journal of Urology,vol.186,pp.1048-1052.
6. edmonds,CJandJeffes,B2009,‘doeshavingadrinkhelpyouthink?6-7yearoldchildrenshowimprovementsincognitiveperformancefrombaselinetotestafterhavingadrinkofwater’,Appetite,vol.53,pp.469-472.
7. educationandresourcesforImprovingChildhoodContinence2008,‘WaterisCoolinschoolsfAQ’,retrieved10february2010,.
8. fereday,J,Kimpton,L,&oster,C2011,'Parent'sexperiencesofmanagingtheirchild'sincontinenceatschool'.Australian and New Zealand Continence Journal,vol.17,no.2,pp.51-56.
9. Joinson,C,Herron,J,Butler,u,vongontard,A,&theAvonLongitudinalstudyofParentsandChildrenstudyteam2006.'PsychologicaldifferencesBetweenChildrenWithandWithoutsoilingProblems',Pediatrics officialJournaloftheAmericanAcademyofPediatrics,vol.117,1575-1584.
10. Joinson,C,Herron,J,vongontard,A&ALsPACstudyteam2006,‘PsychologicalProblemsinChildrenWith daytimeWetting’,Pediatrics,vol.118,no.5,pp.1985-1993.
11. Joinson,C,Heron,J,vongontard,A,Butler,u,golding,J&emond,A2008,‘earlyChildhoodriskfactorsAssoicatedwithdaytimeWettingandsoilinginschool-ageChildren’,Journal of Pediatric Psychology,vol.33,no.7,pp.739-750.
12. Kaushik,A,Mullee,MA,Bryant,tn&Hill,CM2007,‘A studyoftheassociationbetweenchildren’saccesstodrinkingwaterinprimaryschoolsandtheirfluidintake:canwaterbe‘cool’inschool?’,Child: care, health and development,vol.33,no.4,pp.409-415.
13. Kodman-Jones,C,Hawkins,L&schulman,sL2001,‘Behaviouralcharacteristicsofchildrenwithdaytimewetting’,Journal of Urology,vol.166,no.6,pp.2392-2395.
14. Lundbald,BandHellstrom,AL2005,‘PerceptionsofschooltoiletsasaCauseforIrregulartoiletHabitsAmongschoolchildrenAged6-16yrs’,Journal of School Health,vol.75,no.4,pp.125-128.
15. Lundbald,B,Hellstrom,AL&Berg,M2010,‘Children’sexperiencesofattitudesandrulesforgoingtothetoiletinschool’,Scandinavian Journal of Caring Sciences,vol.24,pp.219-223.
16. Marsden,J2010,‘forgoodschools,forgetthenet,trythetoilets’,The Sydney Morning Herald,16 february.
17. Perez,J2010,‘Minimumstandardsforschooltoiletsareneededtoimprovechildhealth’,Nursing Times,vol.106,no.24,pp.30.
18. sureshkumar,PC,roy,J&Knight,J2000,‘daytimeurinaryincontinenceinprimaryschoolchildren:A population-basedsurvey’,The Journal of Pediatrics,vol.137,no.6,pp.814-818.
19. upadhyay,v,Mathai,J&reed,P2008,‘Primaryschoolchildren:accesstotoilets’,Acta Paediatrica.vol.97,pp.1546-1549.
20. vernon,s,Lundblad,B&Hellstrom,A2003,‘Children’sexperiencesofschooltoiletspresentarisktotheirphysicalandpsychologicalhabits’,Child: care, health and development,vol.29,no.1,pp.47-53.
21. vernon,s2003,‘toiletfacilitiesinschools’,Nursing Times,vol.99,no.19,pp.50.
22. victorianContinenceresourceCentre2010,One Step at a Time,booklet,victorianContinenceresourceCentre,Melbourne.
references
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Wordsearchanswers
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K I d n e Y s d n t o I L e t M
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Toilet Tactics KitHEALTHY BLADDER AND BOWEL HABITS IN SCHOOLS
This kit has been designed for New Zealand primary schools to raise awareness of healthy bladder and bowel habits
Continence Helpline 0800 650 659 www.continence.org.nz
Continence Helpline 0800 650 659 www.continence.org.nz