Title
Jeugdgezondheidszorgrichtlijn 'Zindelijkheid urine en feces' [Guideline 'Incontinence urine and feces' of the Dutch Preventive Youth Health Care]
Author
Beltman, M.
Deurloo, J.A.
van Leerdam, F.J.M.
Wierenga-van der Hoeven, C.J.
Bulk-Bunschoten, A.M.W.
Kamphuis, M.
Publication year
2012
Abstract
Continence problems can occur during childhood. This guideline is for the Dutch Youth Health Care (JGZ) and gives recommendations for the prevention, early detection and treatment of these problems. As a preventative measure advices for potty training should be started in children aged 18-24 months. If incontinence is present, it is important to take a history and carry out physical examination. In children over the age of 5 who are incontinent of urine the following are recommended: taking child out of bed, calendar with reward system, bedwetting alarm or voiding diary; children over the age of 8 can follow dry bed training. Faecal incontinence is often associated with constipation. Incontinent children with constipation are given advice about normal eating and exercise patterns. If this is not successful then laxatives are prescribed. The JGZ should refer further if there are indications of an underlying condition; if children over the age of 5 are wet during the day; if children are incontinent of faeces at night; if children are incontinent of faeces but not constipated; if children persistently wet the bed; if there is faecal incontinence despite counselling, and if medication needs to be prescribed.
Subject
Human
CH - Child Health
BSS - Behavioural and Societal Sciences
Healthy for Life
Health
Healthy Living
Age
Child rearing
Clinical practice
Kinesiotherapy
Medical society
Methodology
Practice guideline
Preschool child
Psychophysiology
Standard
Urine incontinence
Age Factors
Biofeedback, Psychology
Child
Child, Preschool
Constipation
Exercise Therapy
Fecal Incontinence
Humans
Infant
Pediatrics
Physician's Practice Patterns
Societies, Medical
Toilet Training
Urinary Incontinence
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http://resolver.tudelft.nl/uuid:a59d80e6-3ddc-4c47-ab31-24dfa38d4d7c
TNO identifier
464357
Source
Nederlands tijdschrift voor geneeskunde, 156, A4814
Document type
article