Tuesday, 27 September 2016

Milk monitor

I'm still struggling with getting back into the school routine.  Mornings particularly are a hectic and stressful time of day for me - as they probably are in most houses where school age children live.  

Ian leaves for work at 7am so most days I am left to get everyone else fed, dressed, organised and out the door for school at 8.30am.  The clock seems to go at superspeed during that hour and a half in the morning.

Once again, this morning 8.30 came around quicker than I was expecting.  Ella was wondering round chewing her toothbrush I'd given her a good 15 minutes earlier and Lucy was taking off the shoes and socks I had just put on her feet...  

A few minutes later as the three of us bundled out of the front door, I heard a 'mummy look, its the milk.' from Ella.  As I turned from shutting the front door - there she was clutching the mornings milk delivery from the step (2 pints of semi-skimmed in case you were wondering).

Me: 'Just put it down on the step Ella, I'll sort it when I get home'
Ella: 'No, Ella do it'
Me: 'Ella we are going to be late, put the milk down'
Ella (raised voice): No Mummy, Ella in the kitchen please' accompanied by irate tone and pointed finger towards the door

So, I fumbled about to find my house key, re-opened the door and told Ella to take the milk and put it on the side in the kitchen.  I then got Lucy into the car and belted up while Ella disappeared, all the while wondering where the milk would actually be left and where I would find it when I got home.  

Ella soon returned, got in the car and off to school we went.  And I completely forgot all about the milk.

But here is what greeted me when I got home...



Sorry, to those of you expecting a more amusing or dramatic end to this tale but the vision of finding the milk sat on the side in the kitchen has kept me smiling all day.  Just a simple example of not only following a two word level instruction (which Ella is fairly good at now) but most importantly, not getting distracted while doing it.

Good work Ella x

Thursday, 22 September 2016

Visit from the Tooth Fairy

When Ella was a baby, one of many things we were told (that subsequently turned out not to be the case), was that as she had Down's Syndrome she would teeth later than other babies and when they did start appearing, they would take longer and come through in the wrong order.  

I didn't get any teeth until I was 15 months so had visions of Ella being toothless well into toddler-hood.  In reality, she cut her first tooth at about 6.5 months old and then continued to get all her teeth by the age of about 2.5/3years old.  We were also told that she may be late to lose her baby teeth and that her adult teeth may take more time to appear.

Just after her 5th birthday last year, we noticed that her two front bottom adult teeth had cut through the gum and were sat neatly behind her baby teeth (which were wobbly).  After a quick call to the dentist, I was assured that this was all very common and that we could wait until the following week when our regular check-ups were due anyway.  At the check-up, the dentist reassured us that as the baby teeth fell out, the new adult teeth would work their way forward into the space they left behind.  We just had to keep wobbling the baby teeth to encourage them on their way (definitely a 'blue job' in our house - I can't stomach wobbly teeth!). It took another couple of weeks but finally, her first tooth fell out followed a week or so later by the second one.  


And then, there was of course the excitement of the Tooth Fairy visiting.  

After watching the episode of Peppa Pig where the Tooth Fairy comes, Ella had really got on board with it...  So much so, that we went through a period of time where if something was lost and you couldn't find it (car keys, daddy's ID badge for work and various teddies, books, jigsaw pieces and a spoon) then it was most probably stashed safely away under Ella's pillow with the expectation that the Tooth Fairy would visit.  

She definitely knew the connection between wobbly teeth and the Tooth Fairy and when it eventually came out, she proudly put it into a little envelope and left it under her pillow...


She did pay Ella a visit leaving her a shiny pound coin, which Ella bought herself a chocolate babyccino with on our next visit to the coffee shop (lesson in asking for things and giving money over in shops thrown in there too #lifeskills!).

There was more Tooth Fairy excitement last week when the first of her top front teeth came out.  Luckily for me it came out at school, although she couldn't tell them where it came out which sparked a major 'tooth hunt' around the playground and classroom.  Tooth was eventually found and she came out of school clutching it proudly, asking for a shiny coin.


Now she looks all gappy and even more grown up than she did already - I'm just hoping the new teeth are as straight as her baby teeth were, although with my wonky teeth and history of over crowding, I'm crossing my fingers! 






Sunday, 4 September 2016

Potty Training a child with Down's Syndrome - our journey

Potty training is a rite of passage and a skill that most children conquer between the ages of 2 and 4 years of age.  And, just like every other life skill children have to master, some get the hang of the potty straight away and for others, like us (and for lots of different reasons) it takes a little more time, perseverance, patience and understanding (and a lot more floor cleaning, wet washing and 'never mind' moments!).

Our potty training journey began around 2.5 years ago when Ella was around 3.  With Lucy arriving a few months before and life beginning to settle down again, we decided to give it a try.  Having never potty trained a child before, the task of potty training a child with additional needs suddenly seemed very daunting to me. I had no idea where to start but decided giving her some no nappy time to see how she did and to introduce the potty were both good places to start. Things didn't go well, Ella didn't 'get it' and I decided to wait a while before having another go.  I was a little disappointed but knew that there was no point continuing if she wasn't ready.

We kept the potty around and I would sit her on it at bath time.  We had a couple of fluke wee's on the potty (cue lots of praise, clapping, singing and dancing from us!) but mostly she would sit there for ages then wee as soon as we put her in the bath.  I didn't push it any further during this time as knew she wasn't aware enough of her bodily functions and wasn't ready to try again.

When she was almost 4, she started pre-school and they were great with her.  They took her to the toilet at specific points in the day and when they changed her pull-up.  She became much more confident with the toileting process during this time.  She was able to put her own pull-up on (high five for independence!) and could follow the toileting trip with independently washing and drying her hands.  Looking back, I see I could have been better at following their lead and implementing a better toileting routine at home but for one reason and another, it never happened.

By now, Ella was in size 6 pull ups but was rapidly becoming too big for them.  I consulted our Health Visitor (HV), wanting some advice on how to approach potty training and also to find out if she could be referred to the local continence team.  She gave me a toileting diary to complete and said Ella could only be referred to the continence team based on what the diary showed or when she was 5 (free continence products in our area are only available to children 5 and over - it was 4 and over when we moved to the area but this has since changed to age 5 due to funding cuts). My mum (who is also a HV and has also had 3 children herself) was also a big source of advice and support for me too. 

It was also becoming more difficult to change Ella out and about. Changing tables in public toilets were now much too small for her and having to take shoes and trousers off to change a pull-up standing on a public toilet floor is neither hygienic or nice.  I'm a great fan of the 'changing places' toilets that provide space, bigger areas to change older children and adults and also provide hoist facilities for those that need it.  These toilets are becoming more common but are still few and far between - the one I used at children's museum Eureka was fab, clean and had lots of space. I stood Ella on the big changing table to get her changed rather than the floor (which although it looked spotless was still a toilet floor).  

Picture courtesy of Eureka website

You can search for your nearest Changing Places toilet here, before you head out and about - I am sure there will be many more of them about in the near future.  Such a much needed and cost effective resource that more companies should be providing these facilities for their customers.

My biggest issue was the pull-ups - Ella was soon too big for the size 6 supermarket bought products.  The only place to find a bigger size was online from a continence product manufacturer.  And they weren't cheap - tesco were around £4 for a pack of 34 pull ups and the size 7 packs of 16 pull ups came in at £5.90 each.  A big price difference!  We had no choice at that point than to buy the size 7 pull-ups as that was all that was available to us. You can see why there is pressure being put upon the major supermarket chains to produce nappies and pull-ups in bigger sizes at a more affordable price point. 

I was told by the HV that even once referred to our continence team, they only provide nappies and do not provide pull-ups any longer, again due to budget cuts. As Ella had outgrown the nappies, the options that would be available to us as a free product from them would be a size XS adult pull-up (which I could almost squeeze into so way too big for Ella) or net knickers with pads.  Whichever product you got free from the service you would only be provided with 4 per day.  

I had several issues with this:
  •  4 products a day is not enough when you want your child to be clean and dry (Ella had poor bladder control and was just constantly wet so I could change her 6-7+ times a day depending on how wet she was).  We were also battling with constant nappy rash due to her being wet all the time so I had to keep her as dry as possible.
  • Ella was able to put on her own pull-up and that had taken a lot of hard work - input from myself and her teachers at pre-school and also a lot of determination from Ella, who is very fiercely independent.  To then be told our option was a pad in a pair of net knickers was just not good enough - there was no way Ella would be able to do that by herself and all that hard work would be undone.  This was something the continence nurse just didn't 'get' when I eventually spoke to her when Ella was referred prior to starting school (and that conversation led me to get so frustrated that I haven't felt able to contact the service since).
  • I'm a nurse and have used net knickers and pads professionally with patients and know that they are not comfortable to wear, they are cumbersome (I wanted Ella to fit in with her peers as much as possible - wearing a pull-up is not ideal but having a bulging gusset just would not do). 
  • And in all this, I want to protect and uphold my daughters dignity.  There is nothing dignified about net knickers and a pad for an adult let alone for a child and definitely not for long term use.
In the end, I felt quite unsupported by our local service and our HV and wondered how on earth I was ever going to get Ella out of pull-ups.  My goal of having her potty trained before she started reception didn't happen although we had another try during the summer holidays of 2015.  I could see she was beginning to understand what the toilet/potty was for and she was able to tell us when she had done a poo (but not before).  All good signs that gave me hope she would one day be nappy free.

In February 2016 at half term, Lucy was 2 and 9 months and I decided it was time to try potty training her.  And at the same time I thought I could try Ella again - school had been keeping up the toileting process at specific points in the day.  She knew the process really well, we just needed to crack the control aspect and waiting until she was on the toilet/potty to do things. 

Lucy was more than ready and with just two accidents on the first day was dry day and night from then on. Ella still wasn't ready and obviously just didn't have an idea of bladder control although she was much more aware of doing a poo and doing them on the potty.

School (who have been amazing and have never put any pressure on myself or Ella for her to be continent) continued their input with taking her at various times during the day and then during the summer term, Ella suddenly started asking to go and became drier for longer. The reports at the end of the day that she had asked to go or had done something when they took her to the toilet were becoming more frequent.  

And now, at age 5 the size 7 pull-ups were getting too small - our only available option was the size 9 night time pull-up from the online supplier (they don't do a size 8 pull-up product and couldn't tell me why).  The size 9's also come in a pack of 4 but are £10 more expensive than the size 7 4-pack.  There are also 16 less products per 4 pack (size 9's come in packs of 14 and size 7's packs of 18).  The cost of buying them was becoming ridiculous.

So, with it being the summer holidays again, I had had it in my head for a while to give things another go.  And I don't know what made me choose this particular day but on a Thursday morning I got Ella dressed into knickers and told her 'no more pull-ups'.  I didn't know what to expect - to be honest I wasn't expecting to get any further than our previous attempts but knew we had the time to try again.  I was also feeling much more confident about the whole situation having now potty trained Lucy, although I know we were lucky with how well she picked it all up.  

Ella did really well with just a couple of accidents during the first day.  I could see she was beginning to understand the sensation of needing to have a wee and was having a fuller bladder as her control was better.  There were lots of chocolate buttons to keep things going but they had now turned into a reward rather than a bribe. I was better placed to know the signs of when she needed to go to help her as well.

I put her in a pull-up for bedtime but was astonished when she woke up the next morning completely dry and she did a big wee on the toilet (more chocolate buttons and a few happy tears from me).  We went to her cooking class the next morning (none of this staying in the house for a week malarkey!) and I did put her in a 'dry like me' pad just in case.  She was fine for the whole class but then had an accident at the end.  I subsequently found if she was wearing the absorbent pads she would wee instead of using the toilet so I ended up not using them again, although they were great during Lucy's early post potty training days.  I just took plenty of spare clothes everywhere with us along with the potty and had plenty of toilet trips when out and about.  There were, of course plenty of days where she wasn't as good and we had lots of accidents but on the whole she's got the hang of it all very well this time. 


She has now been dry day and night for 3 weeks.  So super proud of her and I am excited that she can go into Year 1 wearing knickers.  

I'm pleased we didn't rush things and although its taken 2.5 years from starting our potty training journey, she has got there in the end. As she always does.

I'll hopefully get around to writing some hints and tips for potty training that have helped us along the way soon. For now, I'm off to iron and label next weeks school uniforms!
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