There are eight  sensory systems in our bodies: Interoception is our ability to sense what is going on inside our bodies internally. Cannot feel that they have had an accident or that their clothes are soiled. It includes sensations such as thirst, hunger, fatigue, pain, breath, itchiness, nausea, temperature, etc. Your information will *never* be shared or sold to a 3rd party. The ability to complete the functional task of toilet training requires the biological ability/awareness to void in addition to fine motor skills, sensory processing skills and gross motor skills. If children are well positioned, relaxed and balanced in sitting, the abdominal muscles will relax helping the body to void (Lee, 2002). Use painter’s tape to make a line for boys to know where to stand, 6. Noble, Elena MPT. Setting short- and long- term goals depends on the type of disability. Goals vary based on the disability or the age of the child. Balance skills and postural control deficits could result in the child falling off the toilet or the potty seat when reaching for toilet paper or wiping. Occupational therapy terminology ... COT standard for SNOMED CT subset 4. If they go, Wahoo! Or, they may simply have changes in their wants or needs. This increase in independence requires even higher level gross motor skills. If they are under-responsive to touch, they may not realize that they aren’t covering their hand properly with the toilet paper, they aren’t wiping well enough to clean themselves, or that they’ve soiled their clothing. 15. A new motor plan is necessary every time a child uses a different potty, toilet or bathroom. Learn the appropriate developmental progression of handwriting skills with these FREE handouts! The child can hold on to the handles to assist with sitting balance. Visually distracted by details in the bathroom, including lines in the tile, dust on the floor, etc. (2015). Toileting and Sensory Processing Related to Sensory Defensiveness, 3. However, she still prefers the pull up. Time-related – specify when the result(s) can be achieved. The child cannot consistently process sensory information, so their responses will be inconsistent, too. Bathroom floors can be wet making it easy for children to slip. Occupational therapy is a type of therapy that works to help people with different types of disabilities live as “normal” a life as possible. Stop by to see what the other occupational therapists and physical therapists in the Functional Skills for Kids series have written. Measurable – quantify or at least suggest an indicator of progress. Abraham, M. C. (2002). Have the child dig and then rotate to place the dirt in the bucket. Dislikes the feeling of wiping or being wiped. Below, we provide examples of various occupational therapy goals, including short-term and long-term goals for both adult and pediatric therapy. When we have taking the pull up option away, she either poops in her pants and/or holds it in. It provides a stable base of support for the trunk to remain upright. Children have to understand how their body is feeling, learn how to release their bowel and bladder muscles in order to go, and feel that they have “finished” and their bowel or bladder is now empty. Try a  4 in 1 Stages Potty Seat which is closer to the ground and fits a smaller bottom. She fits the description of issues related to poor interception perfectly. Gross motor skills are needed to maintain balance and postural stability while the child uses his/her hands to unfasten the clothes. Assignable – specify who will do it. You have to have a good foundation before moving on. I’ve talked to her OTs, pediatrician, urologist, and GI and no one has been able to provide assistance on figuring out how to make those muscles work to release the urine. Common long-term goals include: Occupational therapy is a major benefit to those living with disabilities, both adults and children. Occupation – what is the meaningful and purposeful task But, while this plan is different for each person, the basic component questions needed to establish the plan remain the same. Time – how long will it take to get to the goal, We’re being taught in my MSOT program that goals need to be SMART: If I handed in any of these goals in an assignment I would fail. Can the child remove the proper clothing? Try using flushable wipes and a Wipes Warmer to make the experience of wiping more enjoyable. Occupational therapists also perform functional, psychosocial, vocational, home, and play life evaluations to help determine what treatments and equipment are necessary for the patient to reach their goals of living a “normal” or fulfilling life. Furano et al and Parks, S (2014). What Are the Components of an Occupational Therapy Plan? The previous steps include the gross motor skills necessary, but children also need a significant amount of motor planning and body awareness to carry out the entire routine. Eau Claire, WI: PESI Publishing & Media. Toileting and Sensory Processing Related to Poor Interoception, 2. Fearful of falling into a regular sized toilet. Can the child pull up his/her pants? Can the child get into the bathroom independently? Answered, 8 Free Work from Home Jobs (No Startup Cost) & How to Begin, Jobs That Allow Alternative Hair Styles (Colored Hair, etc), 35 Jobs That Give You a Car to Drive: Delivery Jobs, Field Techs, etc, Feeding one’s self in weeks or a few months, Being able to lift weighted objects again, from something as simple as a cup to heavier items, such as a gallon of milk, in a few weeks, Typing on a keyboard in a few weeks or a month, Increasing range of motion in an injured limb in a month, Caring for pets or a service animal in a few weeks or months, Making the bed or performing household chores, Using a gripper, clamp, or stick to get things down or pick things up, Learning to pilot a wheelchair or use a cane, Gaining back muscle use from long-term disability, Completing physical, mental, or emotional therapy, Becoming independent with a service animal, Gaining control over fear of being in crowded rooms or of being attacked, Sitting next to people in class or a multiple-person location, Putting a puzzle together or other coordination tasks like building with LEGOs, Learning to write and form words or complete sentences, Understanding what his or her name, address, and telephone number are, Standing in a school lunch line and picking out food, Learning the differences between right and wrong, Learning how to function without pitching a tantrum, Gaining competence in physical, mental, and motor skills, Growing into a functioning teenager or adult.

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