Non potty trained students.

Specialties School

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It seems that each year we are getting more and more students that are not fully potty trained. We have several this year that will be starting kindergarten in pull ups. These are not special needs kiddos, just haven't been fully trained. Is this an issue in anyone else's school? Is the nurse the one responsible for their care?

Specializes in Psych, Addictions, SOL (Student of Life).
Truly many of them don't seem like they care. I have been doing this gig for quite a few years and we get more each year that just come down and demand clean clothes then complain when we don't have styles they like. I wish it were a classroom management thing or an emotional thing we could pin down. Then it would be something we could begin to understand and work on to help the student. I'm at a loss. If one of you figure it out, let me know.

I am not a school nurse but my mom raised 5 kids back in the 60's. We were all fully potty trained by 18 months. There were no disposable diapers back then so getting kids potty trained was a priority if you didn't want to be washing diapers all the time. My own so was potty trained by age 2 using the method my mother taught me which included the use of cloth diapers until age 2. Yes it is much more inconvenient an dat cares absolutely hate them but my pediatrician stated that my son had skin allergies that contraindicated disposable diapers. When a child can feel they are wet it becomes uncomfortable and they naturally potty train quiet quickly.

Hppy

Specializes in Peds, Neuro, Orthopedics.

I've noticed it's a cultural thing where some moms are trying to keep them babies for as long as possible. I actually had a parent who wanted to come to help with every BM her kid had. Yup, you read that right. She wanted a phone call and expected the child to just sit on the toilet and wait for mom to get to school. The student was not special needs. We had to have a discussion about how that was not in his best interest. I can't believe I had to explain that...

You are correct! It has become a cultural issue. My stepdaughter refuses to potty train our granddaughter and she turns 4 in a few months. My husband has jumped on her several times and asked her how she is going to go to school wearing diapers and she just replied that she would be potty trained before then. How? On her own? It is LAZY parents!!! All 3 of my children started potty training when they turned 2 and was fully trained in a few weeks. L-A-Z-Y parents and then they produce lazy children.

Nope, nope, nope. Potty issues are not our job. That would be a parent job to change their child unless it was medically necessary.

I've noticed it's a cultural thing where some moms are trying to keep them babies for as long as possible. I actually had a parent who wanted to come to help with every BM her kid had. Yup, you read that right. She wanted a phone call and expected the child to just sit on the toilet and wait for mom to get to school. The student was not special needs. We had to have a discussion about how that was not in his best interest. I can't believe I had to explain that...

I cannot believe that. People have no idea the things we do.

I agree with every bodies response. But my now 12 year old grandson...well he had frequent accidents during the day and night from age 3 - 5. His mom insisted to his pediatrician that something was wrong. His pediatrician (and I) thought he would grow out of it. (Needed a good whipping, ha ha.or wear his dirty underpants over his head. Just joking).

Finally he got referred to a Urology Pediatric Nurse Practitioner. He has had a few scans, MRI's, other tests, but no special physical problem was found. But the NP just says this is something kids have...maybe something about the nervous system not developing fully. So he has been on miralax, then lactulose, for 3 - 4 years. (There is a big relationship between constipation, full of poop, and not being able to hold your urine.) Oxybutin, even finally got DDAVP. He hasn't had an accident during the day or wet his bed for several years but remains on this regimen.

He never seemed to care if he was wet at school???????? (Drove me crazy.) His mom puts a change of clothes in his backpack, honestly I don't know if he has ever used them or just comes home wet!

I blame all the antibiotics newborns, kids, are still getting! He had a difficult birth (nothing to dramatic or traumatic) and was on antibiotics in the NICU. His pediatrician seems to jump right to antibiotics for fevers/colds, etc. This is a purely anecdotal bias on my part!

A family member of mine had a similar problem of wetting the bed and during the day til a certain age. Nothing could explain it. Honestly we all thought the same thing, didn't want to be bothered while playing. Eventually They grew out of it.

My Nieces on the other hand both had to be potty trained before they got to their Pre-K class. I think it was by the time they were 3-4yo. Granted on the other hand I do have friends who their children are of Kinder age and still in pull-ups, come to find out it has been a generational issue.

Specializes in School Nurse.

Things have changed over the years. Back when I started, you'd never see a non-special ed student in diapers. Now it's not uncommon. Our district insists that the child either be toilet trianed, or be capable of dealing with his diapers himself. For the special ed students we have paras/aides. I had a few older kids who I allowed to keep there diapers in my office and change in my bathroom on occasion. I don't change diapers either. On the odd "accident," I just give them wipes and clean clothes/UW (I did keep these).

Less of an issue now that I've moved to high school but I do have a couple regular ed kids in diapers but they deal with it themselves. This is notwithstanding those on lavatory restriction which I don't have ot deal with at all except in the most extreme case.

Well if you are a working mother/father and don't put the time in and the daycare provider doesn't follow through with doing it, this situation can occur.

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