Changing a toddler is one thing. Changing an 8-year-old who doesn't stand, wears AFOs and needs to be transferred out of a wheelchair is a whole different job. Here's what helps.
Set up your space once, use it every day
- Height matters. A height-adjustable change table or bed means you're not bending over a low surface ten times a day.
- Keep a caddy within arm's reach: products, wipes, barrier cream, gloves, disposal bags, a spare set of clothes.
- Slide sheets and hoists make transfers safer for both of you. Ask your OT what equipment suits your child and home. These can often be funded through the NDIS.
Protect your back
You're going to be doing this for a long time. Keep your child close to your body, avoid twisting, and use equipment instead of lifting where you can. If changes are hurting you, that's a sign to get an OT review, not to push through.
Why tabs make it easier
With a tab-style product, you don't need to take off shoes, AFOs or pants all the way. Roll your child to one side, undo the tabs, roll the old product in, place the new one, roll back and fasten. Fewer steps, less handling, faster changes.
Use change time for a quick skin check
Kids who sit for long periods are at higher risk of skin irritation and pressure areas. While you change:
- Look at the bottom, hips and backs of the thighs
- Watch for redness that doesn't fade after a few minutes
- Pat skin dry rather than rubbing
- Use a thin layer of barrier cream if recommended
Tell your GP or nurse about any broken skin or redness that doesn't settle.
Getting back in the chair
Before you transfer back, smooth out the product so there are no folds or creases under your child. Wrinkles can cause discomfort and pressure. Once seated, check that the waistband isn't rolled and clothes aren't bunched.
Talk them through it
Every step is easier when your child knows what's coming. Use their communication system, a consistent phrase, or a countdown before rolls and transfers.
Out and about
- Look for Changing Places toilets, which have an adult-sized change table and ceiling hoist. You can find them on the Changing Places map.
- Pack a portable change mat in case you need to use a car boot or private room.
- Change right before you leave home to buy yourself time.
A note from Maya
[Maya: one or two tips from your own changing routine.]
Middlemates size 8 tabs are made for bigger kids who change lying down. [Link]
This information is general in nature and isn't a substitute for advice from your GP, continence nurse or occupational therapist. For free, confidential advice, call the National Continence Helpline on 1800 33 00 66.
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