(0-3yrs)
Toddlers are starting to be able to manipulate their environment and can learn through simple play. Now is an excellent time to have a doll handy with an ostomy to assist the child with simple things about their ostomy pouch.
You can also involve them by asking them to hold supplies for you, such as the wafer or paper backing. Because Toddlers are able to manipulate their environment, they may begin to pull off their appliance out of curiosity and learning. Teach them with positive reinforcement about leaving the pouch in place. Use of onesies and layers of clothing will reduce the likelihood of the child pulling the pouches off. Ostomy support belts and pouch covers can be helpful as well.
Toilet Training
Successful toilet training is a landmark milestone in this age group. Children with ostomies should undergo routine toilet training strategies. If your child has an ostomy for stool, they should be toilet training for urine; if your child has an ostomy for urine, they should be toilet training for stool. A good strategy for a toddler with an ostomy who is potty training is to empty their ostomy pouch while sitting on the potty. This way your child can associate “potty time” with emptying the pouch, since it is a toileting behavior. It is important that your child develop good toileting habits at an early age. This helps them listen and respond to their body functions. Always remember to perform hand hygiene after these tasks, and–as always–give praise and positive feedback during the process. Once the ostomy has been reversed, toilet training can then be started for either urine or stool.
Preparing your child for day care/preschool
Meet with day care providers ahead of time to let them know about your child’s ostomy and what to expect.
Put together extra supplies for a pouch change.
Have pouches/ wafers all cut to appropriate size.
Include plastic bags to throw away old pouches.
Provide written step by step instructions for childcare providers and offer to show them prior to child attending. Include a section on emptying the pouch and another on changing the pouch. Using photos can be very helpful for providers.
Consider making a video on a phone that could be shared with providers.
Add an extra set of clothes.
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