Case study - bed wetting 8 yr old

8 yr old child is a very deep sleeper and needs to wear a nappy.

• Wears pull-ups and wets every night between 11pm-3am

• used to soil occasionally a couple of years ago

• Currently passes a large formed bowel motion every couple of days

• Currently dry and independent during the day

Treatment

• Seen 3x in therapy

• Parents made arrangements to get suitable bell and pad alarm

• Commenced laxatives to ensure bowel motions would be soft and regular on a daily basis

• Nappy removed at night and parents advised not to take her for a “dream wee”

• Suitable reward system implemented

• Education provided to the child and parents regarding the urinary/digestive systems

Outcome

• Immediately showed signs of improvement and quickly had many dry nights with occasional wet beds that reduced in size over a couple of weeks

• Child was regularly waking to wee during the night initially and progressed to sleeping through each night to remain dry

• Discontinued alarm after 6 weeks successfully