Posted on 02/06/2023 9:54:51 PM PST by ConservativeMind
Success of enuresis alarm can be ID'd after two weeks of therapy Children with a likelihood of enuresis alarm treatment success can be identified from two weeks of treatment, according to a study.
Jens Larsson, R.N. and colleagues examined predictors of enuresis alarm response in a setting reflecting clinical reality. Children with enuresis managed at pediatric outpatient wards were provided with an alarm linked to a smartphone app. Therapy was given for eight to 12 weeks or until achievement of 14 consecutive dry nights.
Of the 196 recruited children, 18.4 percent were full responders, 20.4 percent were partial responders, 22.4 percent were nonresponders, and 38.8 percent were dropouts.
The researchers found that among baseline data, there were no clear predictors of response or adherence. As treatment progressed, there was a significant reduction in the frequency of enuresis for responders versus nonresponders at week 2 and at week 3 and onward. Already from the second week, children unable to complete the full treatment had more nonregistered nights.
"After one month of therapy, the children who were later to either become dry or drop out of therapy could be discerned with reasonable certainty," the authors write. "We propose that the continuation or interruption of enuresis alarm therapy should be reassessed after one test month."
(Excerpt) Read more at medicalxpress.com ...
Apparently, the sweet spot for alarm bells ringing was at the two week mark.
Children who have small bladders are more prone to bedwetting.
They could have an infection or underlying medical issue. Kids who have been sexually molested may also start wetting the bed.
Also, kids who suffer from night terrors can sometimes urinate in fear.
Did you explore all those before treating them like a lab rat?
Further, you can limit their fluid intake after 6 PM, adjust their diet, and encourage urinating before bedtime. Try to make going to the bathroom a soothing experience or something fun.
Little boys can play sink the Cheerio. Put a Cheerio in the middle of toilet and see if they can hit it with their urine stream. Put the training potty near the toilet and have little girls teach their stuffed animals how to go potty while they go potty.
Also, try to make bedtime soothing, as well. Don’t hyperfocus on the bedwetting; it will stress them out and make them more prone to accidents. Make it part of the nighttime routine checklist. “Did we scrub in the bath? Did we brush our teeth? Did we go potty and wash our hands? Time to say our prayers and book before bed.”
Rule things out before putting them through something like this. There are a ton of other steps before going draconian.
Lazy parenting.
Well said.
It can prevent enuromysitisis poisoning.
Alarm training has been going on for over 50 years
Having known of a family who had this issue multi-generationally, I believe the child should receive a full allergy workup if they exhibit prolonged bedwetting.
When the recent, third generation of bedwetters received allergy treatments that had been unknown to the previous two generations, the bedwetting stopped—it had been a symptom of an underlying problem.
Extinguishing the symptom through operant conditioning as the OP suggests could prevent diagnosis of allergies as the underlying cause. Perhaps those were some of the children or families who dropped out, or who weren’t helped.
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