Self-catheterization training of a child with myelomeningocele (toileting independence, incontinent children).
This paper describes how the occupational therapist, following a urologists' orders, teaches clean intermittent self-catheterization as a self-care skill to handicapped school children when no trained enterostomal therapist is available. It contains a review of the literature, a definition of neurogenic bladder types, a description of intermittent catheterization, and the steps involved in teaching the technique to children. A case study is given that shows the training of a child with myelomeningocele to catheterize herself, and the therapist's interaction with the school nurse and other members of the team.
D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008591:Meningomyelocele / Q000534:rehabilitation*; D009788:Occupational Therapy / Q000379:methods; D012648:Self Care / Q000193:education / Q000379:methods*; D001750:Urinary Bladder, Neurogenic / Q000534:rehabilitation*; D014546:Urinary Catheterization / Q000193:education / Q000379:methods*; D014549:Urinary Incontinence / Q000534:rehabilitation*