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Special Needs Children and Bedwetting
How to Talk to Your Doctor About It
By Shel Franco
Should your child be present for the conversation? According to Renee Mercer, MSN, certified pediatric nurse practitioner at Enuresis Associates in Maryland, you're child will eventually need to be involved. Although, "a little bit of background information from the parent – privately – would be advantageous," she explains.
When you talk with your doctor(s), be prepared to answer general questions about toilet training, family medical history and your expectations. The general information gleaned from this interview about your child's toileting habits will be weighed along with your child's physical and/or mental health medical record.
In situations where you child's bedwetting is surrounded by special needs from psychological diagnosis, attention deficit disorder, history of sexual or physical abuse, history of disturbed family dynamics, or other stressful events, Dr. London explains that more specific and detailed questioning will be a part of this visit.
Be prepared to discuss concerns that you may have with your doctor. It might help to make a list prior to the meeting. Mercer urges parents to discuss "reasonable goals" with their healthcare provider. The bottom line is that there is such a broad range of special needs. "Some kids will never be dry," Mercer says. She adds that no matter what, it's important to relay an encouraging message to the child. "Tell the child, 'We'll work on the things that can happen.'"