First decide if needs to be treated since spontaneous recovery is high and incidence in adulthood is low. Generally, some researchers recommend that parents refrain from any attempts at nocturnal enuresis until child is at least 7 years and wants it treated. Reason to may include sanitation problems leading to bladder and kidney infections, family and parent-child conflict, and social consequences which may decrease after successfully treated thus beneficial effect on self-esteem. Should caution families that many children have difficulty succeeding in treatment and relapses are frequent.
Describe urine alarm. $45 and up… Application for 5 to 12 weeks results in 75 to 90% success rate initially. Equal or superior effectiveness to meds and other treatments. Theory is that bell (and maybe light or vibration) are mildly annoying stimulus because awakes child. As a result, child learns to awaken in time to go to bathroom or retains urine to avoid aversive stimulus. 40% relapse rate so additional course of treatment often needed.
When alarm rings wake child, turn off alarm, have child finish urinating in toilet, have child change own bedding and clean herself up, and have child return to bed.
Although behavioral treatment of nocturnal enuresis is well established, no large studies or clinical trials currently exist on treatment for diurnal or combined enuresis.
For Guidelines for using alarm and Prices see Exhibit 6.3 and Table 6.1 in Treatments that work
First decide if needs to be treated since spontaneous recovery is high and incidence in adulthood is low. Generally, some researchers recommend that parents refrain from any attempts at nocturnal enuresis until child is at least 7 years and wants it treated. Reason to may include sanitation problems leading to bladder and kidney infections, family and parent-child conflict, and social consequences which may decrease after successfully treated thus beneficial effect on self-esteem. Should caution families that many children have difficulty succeeding in treatment and relapses are frequent. Describe urine alarm. $45 and up… Application for 5 to 12 weeks results in 75 to 90% success rate initially. Equal or superior effectiveness to meds and other treatments. Theory is that bell (and maybe light or vibration) are mildly annoying stimulus because awakes child. As a result, child learns to awaken in time to go to bathroom or retains urine to avoid aversive stimulus. 40% relapse rate so additional course of treatment often needed. When alarm rings wake child, turn off alarm, have child finish urinating in toilet, have child change own bedding and clean herself up, and have child return to bed. Although behavioral treatment of nocturnal enuresis is well established, no large studies or clinical trials currently exist on treatment for diurnal or combined enuresis. For Guidelines for using alarm and Prices see Exhibit 6.3 and Table 6.1 in Treatments that work
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