Friday, October 12, 2012

Delicate Question...



Now that Ashlea has gotten bigger I have run into a tricky problem.  I need advice from other parents 'in the know' about how you manage the delicate situation of toileting or changing your older child when out in public.

Often we change Ashlea by lying her down in the back of the van - but that isn't always practical - say for example if you are in the middle of the zoo and there is a near blow-out in a nappy. Yes there are disabled toilets at most places - but what about for nappy changes?  Some disabled toilets have those pull-down change tables but Ashlea is too big for them now.  Even if it could safely hold her I don't think I could easily lift her onto it - and I worry that she might fall off it.

For the close call at the zoo we did a standing nappy change with her holding on to the wheelchair.  It was tricky let me tell you!  I have never been more thankful for Ashlea's ability to weight-bare and it made me realise that disabled toilets are really for the quite 'able-disabled'.

So - what do you all do???

12 comments:

Debbie said...

We are at the same stage with William. I've decided to opt for a wheelchair that can recline, so I can lay him in that. For the standing nappy changes, pull ups are easier..... Good luck!

Melissa said...

We opted for the stand up change. Pull- ups are good for that because of the velcro sides. It's not easy is it!

Big brother, Little sister. said...

Alison, there is a huge need obviously not being met. Within our council area we have one accessible bathroom with adult change area hoist etc, all the rest have no change facility just supportive toilets as such. I think the wheelchair option is what most do or try and toilet time etc, really hard! Good luck x

Kath said...

We usually do stand up nappy changes now but we also give B powder on his cereal each morning to keep him "firm" which makes the changes easier. Less blowouts. Can often just drop it in the toilet & keep using the nappy. Can you give something extra through the tube feed to help with that?

Alison said...

Kath - what is this magic powder of which you speak???

Alice said...

We're thinking of getting something like a yoga mat that we can take with us in case we need to change Mikey out and about. Stand up changes are just too tricky! There are some special changing mats which are large and portable available here, but I have no idea what is on offer in Australia. x

Anonymous said...

My daughter is now 14 and we have had this problem for some time. It is ridiculous that standard disabled toilets don't have anything suitable - even in major city hospitals. My solution is - I have a piece good quality vinyl covered fabric which I keep in her change bag and lay it down on the floor to change her on. It folds up smaller than a yoga mat and can be easily wiped clean and even washed in the machine - mine was an upholstery off cut. Sometime also I just pull her forward in her wheelchair and sort of manage that way - ok for a no.1's not suitable for no.2's. I found that as she has gotten older she seems to have developed a more regular bowel motion time which is usually evenings - that helps.I was considering the reclining chair but it limited my options on other things so I opted out of that - but it would be a good option. We now have an old Toyota Hiace wheelchair accessible vehicle and I can put the vinyl sheet on the back bench seat and lie her down and I can stand outside at perfect change table height - works well if you have a private location - alternatively I put her on the floor in the van. We also stop at Mac Donalds on our travel visits as they always seem to have the cleanest floors and a nice large space in their disabled toilets - even if I can only eat the toasted sandwiches - it is a convenient place to do a change.

Melissa said...

LOL Alison I also want to know more about the 'magic powder' sound like the secret solution!

T said...

Hi Alison;

When I take the children out I care for, we do one of 3 options:
- Take a mat or picnic blanket to lay them on
- Standing change
- Use the toilet to sit them on, undo the tabs, stand them up to take nappy out/slip a nappy under and sit them on it to do up

Hope that helps?

T x

ferfischer said...

No real advice. We always go back to the van, or lay blanket on the floor in the bathroom. But, we have the opposite problem - she is more "firm" than needed, and is set up to go at night, so that helps.

Lacey said...

Im going to have to store this away for future reference, since Jax is getting close to being too big. One big plus for us is Jax doesnt poop on his own,so i dont have to worry about a blowout. Unless he's sick of course!

Marie said...

Jack at 7 still does not consistently have his bowel movements in the toilet so we, like so many others, do the standing change with a pull up. Since she can bear weight, the standing change sounds like a good option. You're gonna need hand sanitizing wipes in addition to your regular wipes if she needs to lean against something. When Jack needs to lean I try to have him lean against the toilet paper dispenser or the wall. I just really don't want him to touch the toilet. I also carry a gallon size ziploc bag to put the dirty pull up (after flushing the bowel movement) and wipes in. There are not usually big enough trash receptacles in the stall and zipping it keeps other bathroom users from having to smell it until the bathroom is cleaned again. And of course we wash our hands after dumping the ziploc in the big trash.