Just looking for a general consensus of opinion, from those of you whose DC are still in nappies over the age of 4, and have ASD, GDD etc (not physical disabilities like CP which may obviously require the child to be layed down) do you change them standing up, or laying down?
I am a support worker with children with disabilties and was wondering what parents prefer.
Laying down with a pillow behind his head. In nursery he used to have a hissy fit every time they changed him as they had a pull down from the wall changing unit and he hated heights and the feeling of being mid air terrified him and it was hard. Once placed on floor with the pillow he was fine.
I'm a support worker, and have never (babies excepted) changed a pad lying down - afaik, it's considered more dignified to dress a person age-appropriately (and it's easier to dodge hair-pulls etc when they're standing up )
My experience is all teenagers and upwards, though.
oops, sorry, typed all that then realised you wanted parents' opinions
If you where changing my ds, there is no way you could do it standing up. I do think some of his ta's do though, the problem is that he is in nappies with tabs and the nappy ends up being twisted so badly it isn't covering his bottom and you can guess what result that has.
Tomorrow, it'll all be in the person's Whatevertheycallit Plan, it really does depend on the person who's pad is being changed.
Keeping, that's just ridiculous - it's perfectly easy to put a pad on someone standing up and not twist it. It took me all of... erm... one try to get it right, and I'd never changed a nappy in my life till I worked with teens with SLD!! That sounds to me like they can't be bothered, not that they just can't, I'm afraid
I find that DD1 is easier to change lying down - because standing up she will just wander about with her trousers around her ankles and fall over. Plus you can get a better fit on the nappy that way. She doesn't have a very defined waist so it's important to get the fit absolutely right or the thing will leak.
It's also quite challenging changing a pad when the person being changed has flung your glasses across the room and is pulling your hair so they can head butt you It's still possible to get the pad on straight!
It really really depends on the person being changed - as I said, my experience is the occasionaly tiny baby to help a mate, then teens and adults!
After changing my DS (15) standing up for years, I've gone back to lying him down on his back. He attacks me and rips his nappy off when he is standing and it is - just about - easier to do it lying down. If I had another pair of hands, I'd do it standing up. It depends. I don't much care about his dignity when my hair is being ripped out of my head and I'm being smothered in shit
I don't mind which way others change DS. I tend to do a wet nappy standing, as it's quite easy with pull-ups, and he can't follow an instruction like 'lie down please'. For a soiled nappy I tend to lie him down as it's easier to contain the mess. However we are imminently to receive our free nhs nappies, but they only supply nappies not pull-ups, so my back will be taking a hammering lying him down each time.
My DS3 is 4 - and will need to be changed at school. My advice to them will be dependent on the contents. Wet standing - soiled solid standing - diarrhoea lying down. If the nappy is leaky or it's right up the back, you need to be able to move clothes out the way, and being on their back stops clothes rolling back down. Agree with the ask the parent comment - continuity is always the better approach.