Nappy changing

[Boyonce]

I'm looking for some advice re changing my DS.

He's 10 and has GDD and ASD, he's doubly incontinent and a long way off toilet training.

The difficulty is is that he's a very tall and strong 10 year old who detests being changed and we're at the point where it's a physical battle that I'm starting to lose.

Does anyone have any tips to keep him calmer, make my life a bit easier or know of any equipment designed to help with these situations?

TIA

Hi Boyonce sorry no tips, watching with interest to see if anyone else has. My ds age 11 same as yours GDD and severe autism too still in nappies and faecal smears etc so i know how difficult it is. As you say the bigger he gets the more difficult. Same goes for showering him getting to be a nitemare! No tips but lots of sympathy x

Just a suggestion, my DS hates clothes was a long way off toileting, however when he removed himself from school and I had a naked boy sitting around all day, rather than struggle to keep nappies and clothes on, I let him be naked, I put pictures for the toilet all over the place so he could see it. I done timed visits to the toilet, gradually getting longer. I then introduced underwear. Eventually he wore them (on occasions) I also gave plenty praise and treats (which I know don't work with DS) Then again I gradually withdrew the praise. I also done body brushing with emphasis in the groin area a few times a day. There was loads of accidents to begin with but a year later he was able to go to the toilet.

We still encounter problems, with infrequent accidents, wetting for attention or demand. Won't wipe, fights to wash hands. Still won't keep clothes on but no battles with the nappy. I realize I had all the time in the world to do this but it's worth a go, just get school on board.

sorry we don't shower lol

I work at a special school.
Some of the things we try are:

• changing child in standing position- lots of children resist lying down to change and facing child away from you to decrease anxiety about encroachment of personal space
• use rubber gloves with long sleeves to protect your skin from scratches

-special (wipeable/washable) flappy/noisy toy only for toilet (keeps hands busy, is reward for coming to bathroom and out of pad area/scratching out at your face and hair!) -facing away from you with mirror/toys/even iPad! on a changing bench at waist level in front of child for distraction -using wash foam (google Gompels - they stock it) - dissolves poo very quickly and much easier to clean quickly than wet wipes - child can have some on hands for sensory play - means clean hands too!

Mini-moan

I wonder what sort of pads you are using? Our continence team supply a stick on pad for daytime - ds wears it in a normal pair of boxers which need to be snug (we just get a smaller size). THe advantage is that we can change fairly quickly as it can just be removed and replaced without stripping his clothes off.

It is Abri San Premium from Abena, ds has size 4 (bigger sizes don't have the stick on strip) - he is in 9-10yo clothes

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