ABSTRACT

Children become ready for toilet training at different times. For a child with severe sight impairment it is likely that the absence of incidental learning — being able to see others using a potty or toilet — will further delay their readiness. By contrast, some may be so distressed by soiling themselves that they push for early training. Toileting programmes change with fashion and greater scientific knowledge, but the most important thing is that it works for the child. If the child cannot maintain a good posture or has other physical needs, a referral to occupational therapy or physiotherapy may help. Children with sensory issues may find toothbrushes invasive and toothpaste flavours rather strong, so alternative strategies may need to be employed. Soft brushes are best to start with. Bathtime is an opportunity for fun and relaxation and strengthens the bond between parent and child.