Kindergarteners Soiling Themselves

[njschoolnurse]

I have 2 kindergarten girls who continually soil themselves.  They are not related and are in 2 different kindergarten classes.  Their parents say they have always been resistent to toileting.  (The parents knew of the problem when registering for and bringing their children to kindergarten, but neither one advised us of the problem.)  Both have sought medical opinion and both children have no physical reason for continually soiling themselves.  Neither one seems to mind comments by the other children and urgency is not the problem.  Negative consequences have not helped.  One child has a single dad as a parent, the other has a single mother.  Both girls smile when spoken to about their toileting, as if it is funny.  I can't allow them to clean themselves because neither one would do a job well enough to be able to sit alongside other children in the class.  What can be done?  

NJSchoolNurse


This discussion is related to Toilet-Training Resistance - Encopresis.

[babygirl6152]

if it happens after snack or meal, it looks as if the school gets to potty train them-?/

which is not right of course but make them stay on toilet as long as they can -is there not a noticeable regularity. So sorry you are having to deal with this. Toilet problems and negative reinforcement always makes me nervous.

The most logical consequence is that the parents have to do the dirty work.I would call the parent every time from work or home to come give them a bath. When parents get sick of it- they will train them on weekends maybe? Suggest coming back and trying again in 6 weeks? We can do that in preK but not sure about kindergarten. Can they wear pull ups? Are they mentally challenged? If they are, the school is stuck with it probably for that reason alone- a child has to be in their least restrictive environment etc. If the diagnostician would consider putting them in Special Ed for a year in life skills classes, they may get out by first grade or sooner. That could be their only goal in the Special Ed room. Don't even know if it is legal, just brainstorming along with you.