Diaper Remediation Initiative is a management and motivational system whereby a chronic bedwetter is returned to diapers using techniques of mild creative shaming. It should be undertaken only after other methods have failed.
It is assumed that medical interventions have been attempted have proved unsuccessful.
It is understood that a certain loss of independence, privacy and dignity is Diaper spank plastic on the part of the enuretic child or youth, but there are usually commensurate gains in terms of practical management of the problem and in the eventual achievement of dryness. Types of Diapers For the parent or guardian contemplating returning a chronically bedwetting child or youth to diapers using the D.
Youth sized plastic and rubber pants are also easily obtainable, both in snap-on and pull-on styles. Both are recommended, in plain white or translucent in the case of plastic.
Nursery prints are also available, but are not recommended, for reasons stated below. Four to six pairs of waterproof pants are ideal. Although disposable diapers may be considered more convenient, for the purposes of the D. They allow the enuretic youth to feel wetness after urination; The bulk between the legs and against the body serves as a constant reminder to the wearer that he is in diapers; Cloth diapers necessitate the use of accessories such as diaper pins, and plastic or rubber pants; Diaper spank plastic the purposes of DRI, more is better.
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Thus four of the five senses are acutely engaged in the process. Breaking the News By the time the enuretic child or youth is informed of the decision to return him to diapers for the sake of simplicity we will refer to the male gender, as most bedwetters are malediapering supplies should already be on hand.
These should include, at the least, diapers, pins, waterproof pants and baby powder. Diaper spank plastic him to examine the products beforehand will reinforce the fact that the decision is firm and final; and while Diaper spank plastic can be discussed, it should be emphasized to the youth that the decision is final and not negotiable. Allowing the enuretic at least a few hours to contemplate the inevitable return to diapers can ease the transition.
If Diaper spank plastic, he should be informed that resistance will involve serious sanctions. Obviously, to prevent wet beds and odor; To improve sleep by eliminating the necessity to change sheets during the night; To lessen disruption to sibling Diaper spank plastic where applicable and household; To reduce volume of laundry; To emphasize practical consequences of bedwetting; To supply incentive to attain dryness.
The Routine The enuretic should be informed that he will be expected to cooperate in the following regime: At a specific time each evening, 7 pm recommended he will make himself available in his room for diapering.
It will be emphasized that there are absolutely no exceptions to this new regimen; not visitors, not travel, nor any other excuse. More on terminology below. It will be emphasized that the purpose of the program is Diaper spank plastic help, not to treat him or make him feel like a baby. Hence plain diapers and waterproof pants should be employed, never nursery prints. Likewise items of clothing such as youth-sized onesies should be avoided.
Diapering Supplies While basic supplies will consist of items mentioned Diaper spank plastic, other useful additions will include a change pad, a diaper pail, diaper rash ointment, baby wipes, and medical gloves for changing wet diapers.
A shelf can easily be added to run below Diaper spank plastic the legs, and can hold diapers and other supplies. If discretion is desired, a long enough blanket can conceal the diapering supplies; however, it is recommended that they remain in plain sight.
On the other hand, euphemisms should be avoided. His diapers should be straightforwardly referred to as such, and other equipment should be referred to by name, i.
Diapering At the appointed time, the enuretic youth will position himself upon the change table. At this point he will be wearing just a tee-shirt. A diaper will have been prepared by combining a youth diaper and one or more triple folded lengthwise cloth baby diapers.
Powder will be applied to his frontal diaper area, and then the diaper will be raised between his legs and tightly secured back to front with one diaper pin on either side. Then plastic or rubber pants will be applied, taking care to ensure that the diapers are fully covered.
He will then be free to remove himself from the change table and rejoin the family. Caregivers Who does the diapering in the family is Diaper spank plastic matter for parents to decide. However, as an aim of the program is to make the task as easy as possible on the caregivers, it is recommended that diapering be a shared function among family members and their designates.
Older or younger siblings can easily handle the task, and extended family members or friends can also be called upon at times.
Disciplinary authority can be accorded to each caregiver, or they can report to a central figure. Post Diapering The diapered youth will be expected to carry on as normally as possible prior to bedtime. He will be expected to answer any questions posed by visitors in a truthful and straightforward manner. This is to be discouraged, but some inevitable minor teasing might serve as a Diaper spank plastic to become dry.
Babysitting Once diapered, the youth needs to be supervised by a family member or other caregiver. It Diaper spank plastic permissible, in some instances, to ask family friends to undertake the task, or even someone unknown to the diapered youth, as long as professionalism is involved. Sanctions Even before being returned to diapers, the enuretic youth must understand that his cooperation is required and expected, and that failure on his part to submit to the process will bring severe sanctions, along with forced compliance.
These can consist of anything from lost privileges, to threats of, or actual spankings. The youth quickly learns that he is in Diaper spank plastic double no-win situation—spanked, then diapered.
Severe sanctions should be reserved for only the most serious infractions—non-cooperation in the diapering process, and unauthorized removal of diapers. Frequency of Wetting While each case is different, studies have shown that once returned to diapers, the average youth will initially wet more often. Thus thrice weekly wet beds might translate to five or even seven nights of wet diapers.
The phenomenon is not completely understood perhaps shame, perhaps securitybut it is known that after approximately three months, the dryness achievement rate approaches that of untreated enuretics, then quickly overtakes it. The program is suspended when a youth has been Diaper spank plastic for thirty consecutive nights. The plastic sheet is retained for some time longer. Diapering supplies may be donated or requested at the address below. Retrieved from " https: Namespaces User page Discussion.
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