fbpx

Author: J Keenan

Potty Accidents

Potty Accidents

Why is my child having potty accidents?

Potty accidents aren’t fun for anyone. It can impact a child’s relationships with their family and friends.  Here are 5 common reasons children have accidents

Constipation 

Chronic constipation is the main cause of pee and poop accidents in children that have been potty trained. This is a great handout to see if your child has any of the main signs of constipation. Did you know that pooping every day doesn’t mean they aren’t constipated? “The Poo in You” is a video with a great explanation of what happens inside the body. 

Lack of Awareness 

Many kids may not have any idea that they have to go. They may not realize that they have to use the bathroom until it’s too late, or until they’ve already gone. Knowing what is happening inside the body can be a hard concept for kids with difficulty with sensory awareness. 

Poor Potty Posture 

Poor potty posture makes it hard to clear out the bladder and bowels. The Squatty Potty  or other step stool helps support the feet which lets the pelvic floor muscles relax. Therapists can also help with postural awareness and strength to help with the proper potty posture for successful toileting.

Scary Bathrooms

The bathroom can be a scary place for kids! Sitting with dangling feet, the noise, and the smell can all make kids avoid the potty. Many children avoid public bathrooms because of these fears. 

Medical Reasons

There could be a medical reason your child is having accidents. If you have concerns about your child’s accidents talk to your pediatrician. They can help decide if a referral to gastroenterology or urology is needed.

 

Who can help my child?

If you think your child might have constipation or is struggling with accidents, please reach out for a free screening! Sometimes, you may need the help of a physical, speech, or occupational therapist to help identify the reasons for your child’s accidents and/or constipation. 

Pediatric Therapists

Therapists trained in pediatric incontinence can provide treatment with:

    • Core strengthening
    • Biofeedback
    • Bladder re-training
    • Behavior and diet strategies
    • Body awareness to help realize the urge to go 
    • Posture training
    • Increasing fiber rich food intake 
    • Increasing variety of foods
Halloween

Halloween Activity

Happy Halloween month! At BDI, the therapists have been incorporating Halloween vocabulary throughout their sessions!  This simple activity of stickers and real image vocabulary card can be used to target all different areas of communication, fine motor skills, and visual processing.  Targeting holiday specific vocabulary can help your child communicate in their community.  Why?  Because our kiddos are seeing Halloween items everywhere (i.e pumpkins on walks in their neighborhood to spooky spider displays at the grocery store)!   The following are examples of ways to achieve different developmental goals by using the same activity.

Halloween Bingo

Matching

Starting out, simply matching the animated sticker to the real image is a perfect way to help teach reality vs. fantasy and to make sure the child isn’t just memorizing one specific image!

Imitation

The child imitates the vocabulary word and receives the sticker to mark as “complete”.

Independent labeling

The child labels the Halloween card or sticker independently

Receptive identification

If your child is a great talker but needs to work on his/her listening skills, you can ask your child questions!  For example, you can ask your child “where is the cat?” or “which one is round and orange?”.  Columns or rows can be covered to reduce the amount of items he or she is scanning.

Image description

After basic labeling is mastered, you can have your child be more descriptive with their request.  The child can request the “black cat” sticker, “scary spider”, “two bats”, “silly pumpkin” etc.

Simple requesting

“I want + vocabulary word” or “Can I have + vocabulary word”

Complex requesting

“I want the purple hat”; “I want the scary ghost”

Articulation

Try finding all the final /t/ sounds in these fun Halloween words!

Are you looking for more ideas on how to make every day activities a little more festive?  Join our Talk and Groove class to learn about more ways to help your child develop their language and fine motor skills at home!

Introducing foods to baby

Introducing Foods to Babies

Introducing foods to your baby is an exciting time!  You have your highchair and your pediatrician’s green light to introduce solids.  As you start out on this food filled adventure, here are a few ideas to keep in mind!   

Expression is Everything 

  • When you are introducing foods to your baby, make sure you share the same facial expression/excitement for each food, no matter how YOU feel about that food.  Your baby is extremely observant and will notice your dislike before it even hits his/her lips!  

 

Not for Nutrition 

  • Whether you choose to go the BLW or puree route, your purpose should be about exposure and experiences with food, not quantity or nutrition.  This is the time your baby is learning how to eat and experiencing new tastes and textures.  If, after a few bites, your baby indicates he/she doesn’t want anymore, let your baby be done!  You want your baby to ENJOY this experience so he/she will want to do it again and again!

 

Messy Mayhem

  • Put down the towel!  The messier your baby gets now, the less likely they will become overly sensitive to food spills (on his/her body or surroundings).  As your child’s feeding skills progress, the messes will naturally decrease!
  • Did you know that the sippy cup is the same oral motor pattern as drinking from a bottle/breast?  It was invented with the sole purpose of reducing spills.  When introducing the “next step” to an infant, we should be introducing the straw and open cup!   

If your baby is having difficulty transitioning to solids, BDI Playhouse Children’s Therapy offers free screenings to give you the tools to help your baby “eat” their way to a healthy toddlerhood.

Written by: Jessica Keenan, MA, CCC-SLP/L, CLC

Infant Massage

Infant Massage

Benefits of Infant Massage

Massage has benefits at any age, but for babies it can be extra helpful! The best time to massage your baby is when they are awake, but alert. It doesn’t have to last long to get these benefits. You don’t need much, a comfortable room, something soft to place baby on, and some oil (here are some suggestions to pick out what works for you)!

Improved development 

Massage can improve circulation, improve muscle tone, and provide increased awareness of a baby’s body parts. It’s also a great time to talk to your baby which will help their speech and language.

Improved sleep

Daily massage can help babies build tolerance to handling and different input. This can help them learn to calm and relax their bodies on their own which can help them The relaxation linked to massage can help baby fall asleep on their own. 

Improved digestion

Babies occasionally experience difficulties with pooping or have increased gas. There are specific massage techniques that can help move gas bubbles and poop along. 

Parent and child bonding

Massage is a great way for parents, caregivers, and grandparents to bond with their baby. Babies respond differently to different strokes. It’s a great way for parents to pick up on the babies cues. It’s also a great excuse to get some 1:1 quiet time with baby. What a great way to break up that witching hour!

Improved body awareness

Body awareness helps babies start interacting with their environment. They get input when they recieve massage. This can help improve their awareness of where their body is in their environment. If your baby has a preference for using one side more than the other it can be a great way to help them be more aware of the side they don’t use as much

 

If you would like to learn how to massage your baby , BDI Playhouse offers Infant Massage classes in clinic and virtually. Trained therapists will help you find the best way to ready your baby’s unique cues to get the most out of massage! 

 

 Written By: Andrea Turnell, PT, DPT

 

w sit example

W Sitting Alternatives

W Sitting.  Why do children W sit? Simply, because it’s easy! Kids like W sitting because it creates a large base of support like a pyramid. 

Why do we want to correct the W sitting? 

  • W sitting allows kids to sit and play by using very little core muscles.
  • It prevents trunk rotation. Trunk rotation strengthens the muscles necessary for typical movement. 
  • This posture discourages the use of midline hand crossing with play.  Movements that cross our midline improves communication with both sides of the brain and eventually help develop a dominant hand. 
  • If your child has a diagnosis that causes high or low tone it is important to discourage W sitting to improve their postural control and prevent muscle inbalances.  

5 alternative ways to sit on the floor!

criss cross sitting

  1. Criss Cross. Sometimes referred to criss cross applesauce.  While W sitting discourages trunk rotation and midline crossing, criss cross legs do just the opposite! The legs are crossed through midline and does not restrict trunk rotation. 
  2. Side SittingEncourage side sitting on both the left and right side to stretch and strengthen their core muscles. 
  3. Kneeling and Tall kneeling.  Children who kneel will also move in and out of tall kneeling or standing on their knees. Try putting legos on the floor next to a coffee table to encourage kneeling to tall kneeling to improve leg, hip and core strength!
  4. Tummy Time.  Tummy time is not just for infants. We should always encourage our kids and to get back to our bellies to improve our back strength and head posture. 
  5. Wiggle seats.  Balance pads are great for kids to sit on for added cushion and improve trunk stability. It also helps with our sensory kids who love to move. https://www.amazon.com/s?k=child%27s+wiggle+seat&i=sporting&ref=nb_sb_noss

 

Sitting in a variety of positions is helpful to strengthen different muscles that support our child’s whole body. Poor posture can limit our child’s attention, dexterity, vision, digestion, participation, and so much more! So fix those legs!

If you notice your child is resistant to moving out of W sitting or has other postural deficits that you are concerned about, BDI Playhouse offers free screenings https://bdiplayhouse.com/physical-therapy/ and we can help with strategies for core strength, postural alignment and trunk stability.  

 

Written by Dana Bukala, PTA

 

School set up

Successful Classroom Set-up

Classroom setup is more important than ever. A properly set-up room can increase focus, increase a student’s ability to sit still, and even decrease problem behaviors.

1. Less is best

The first step to a successful classroom is embracing “less is best”.  A crowded classroom can cause over stimulation. This can cause challenges with attention or following directions. When too many visuals are placed on the walls of a classroom, students can become easily distracted. Start by simplifying the classroom. Use uniform colors.  Place limited posters on the wall. If educational posters are a must, it is important to keep those areas defined by placing similar visuals together towards the back of the room.

 

2. Dynamic seating

Noticing students having challenges with sitting still? Alternative seating options provide an opportunity to increase self-regulation, attention, and productivity within the classroom. Offering flexible seating choices, allows teachers to enhance their learning environment while providing control and comfort for students.  Here are a few dynamic seating options:

Besides utilizing dynamic seating options, it is important to make sure their current desk and chair fit. Make sure both feet can touch the ground.  The desk height needs to allow their arms and hands to rest on top. 

 

3. Organization

Another tip is maximizing organization.  Organization is key within a classroom learning environment. Messy desks or a cluttered space  causes difficulty focusing or turning work in on time. Desks should hold limited supplies and should be cleaned out regularly. Color coded folders for certain assignments or subjects can be utilized as a visual to increase task engagement, participation, and attention. Organizing the room in a way where students know where items are, by utilizing labels is a great way to assist with independence in the classroom.

 

4. Lighting

The next step to consider is utilizing natural lighting.  Natural lighting has benefits for attention and task engagement. Bright fluorescent lights can cause distractibility, discomfort, and decreased regulation. If natural lighting is not an option, utilize a cozy shade or fluorescent light filters during classroom set up is a great way to enhance regulation within the learning environment.

 

5. Visual boundaries

Finally, the last recommendation is using visual boundaries within the classroom. Doing so can provide order and success within the learning environment.  They are helpful for students who have difficulty with spatial awareness, eloping, or other difficult behaviors.  Utilizing painters tape on the floor to set the boundaries for a play area or a reading space is a great way to help with task engagement and to decrease roaming around the room during center time. 

If you notice a student or child who still has challenges with attention, self-regulation, or organization within the classroom even after implementing these strategies, BDI Playhouse offers free screenings and can help improve executive functioning skills, task engagement, and participation.

 

 

 Written By: Kiersten Robertson, MOT, OTR/L

 

hitting

My Kid Keeps Hitting

Does your child keep hitting others when he wants what they are playing with? Grab toys away from other children? Kick over other’s toys? These are all considered undesirable behaviors and can be frustrating to watch your child do at home, in their community, or at school.  Here are some strategies to help your child with undesired behaviors. 

Step 1- Hands are not for hitting

Remind your child what their hands are for. Hands are for waving, washing, clapping, counting, drawing, doodling, holding, hugging and eating. Hands are not for hitting. Hitting hurts!

Step 2- Use these words

Teach your child the words to use when wanting something from someone else. Can I please have a turn? Could I see that toy? Let your child know they have to wait for the answer. This may be the hardest part. If a child will not share a toy provide suggestions for another toy to play with.

Kids Fighting

Step 3- Hitting hurts

If a child does hit, have the injured child tell that child,” I don’t like that, that hurts!” 

Step 4- Don’t force apologies

Do not make your child apologize for undesired behaviors. Making a child apologize has no meaning behind it if they are just saying it because you told them too. Some children may use this to their advantage and think, “It’s OK to hit if I apologize afterwards.” Remind your child that it hurts others and our hands are not for hitting. We must use our words to ask for what we want.

If hitting persists or your child is unable to utilize the strategies, call to schedule a free screening with one of our pediatric therapists.  Sometimes, hitting occurs when a child does not have an ample vocabulary or language to make requests or negotiate.  It can also occur when a child excites easily or seeks input.  Our trained therapists will be able to give additional recommendations unique to your child’s needs!

Written by: Jessica Frederick, COTA/L

Engorgement

Breast Engorgement

What is the best way to prevent engorgement while breastfeeding?  Frequent feedings!  Feeding your baby 10-12 times per 24 hours and making sure your breasts are emptied each feed should reduce your risk of experiencing engorgement.  However, if you are experiencing that painful fullness here are a few tips

Strategies to reduce engorgement

Before Breastfeeding

  1. Hand express or pump the breast for 1-3 minutes prior to feeding
  2. If you can get milk to flow use moist warm compresses to increase milk flowing
  3. If you cannot get milk to flow use cold pack on breasts
  4. Warm shower with back to water, taking a “breast bath” in warm water, and/or applying wash cloths that are moist and warm

While Nursing

  1. If the breasts or areola are too swollen for baby to latch pump or and express for 1-3 minutes to soften breast before feeding. 
  2. Apply light to moderate pressure (REVERSE PRESSURE SOFTENING) to move fluid around nipple and to make it more latchable.

Between Feedings

  1. Use cold compresses, over a protective layer of fabric, on your breasts, chest, and under arms to help decrease swelling.
  2. Wear bras that are not too loose and not too tight.

Engorged breasts can make your breastfeeding experience tough.  The best way to treat engorgement is to prevent it!  However, if you are experiencing persistent engorgement and would like additional help, schedule a free screening with one of our lactation counselors.

Written by Jessica Keenan, MA, CCC-SLP/L, CLC

Mom's breastfeeding

Benefits of Breastfeeding

What are the benefits of breastfeeding babies?  Many moms are faced with familial and societal pressure of deciding whether they want to breastfeed or formula feed.   Before making the decision based on others experiences or the latest baby marketing trends, read on to find out how breastfeeding benefits baby, mom and your community!

Benefits of Breastfeeding

Baby

  • Decreases risk of mortality 
  • Reduces risk for asthma, upper respiratory infections, allergies, ear infections
  • Less risk for colic, reflux, gas, diarrhea, constipation, GI pain
  • Decreases risk for obesity, type 1 diabetes, Autism, ADHD
  • Increases intelligence scores
  • Reduces risk for narrow facial development

Mom

  • decreases risk of unwanted shorter pregnancy intervals
  • Satisfies baby’s emotional needs and increases bonding between mother and baby
  • reduces risk of PPD
  • Helps mom to lose ‘baby weight’
  • reduces risk for high blood pressure
  • decreases risk for ovarian and breast cancers
  • increases work attendance due to healthier baby

Community

  • More bonding opportunities for parents/children
  • Higher IQ subgroups
  • Do not have to worry about dangers of manufacturing errors/formula recall
  • Reduced financial strain without costs of formula
  • decreased waste production to make formula
  • reduced health care costs
  • decreased work absenteeism of parents due to infant/toddler illness

When making the decision between breastfeeding and formula feeding, it’s important to consider how it will effect mom, partner, baby, and your community!  Research shows that breastfeeding comes with increased health benefits for both mom and baby, mentally and physically.  Exclusively breastfeeding reduces the workload and financial burden on your partner.  Finally, it reduces the carbon footprint in your community!  Want to learn more?  Join us at our Breastfeeding Basics class!  Already in the thick-of-it and needing some support?  Reach out and schedule a free screen with one of our certified lactation counselors and infant feeding specialists!

Written by: Jessica Keenan, MA, CCC-SLP/L, CLC

play games

Learning to Play Games

Does your child struggle to play simple games, take turns, or is a sore loser? I often work with children who hate losing games or do not have the attention to wait for their turn. This blog will highlight some strategies I use to help children learn to play a board game with the whole family. I’ll break down the steps in how to take turns, select an appropriate game, and dealing with sore losers. 

Taking Turns

The first skill that is important for any type of game is taking turns. While some kids might have the patience to wait their turn, others may think it is life-shattering to watch their sibling move a game piece. Here are some ideas you can use to help your child understand to wait their turn: 

    1. Carpet Squares: have your child sit on something like a piece of carpet, towel, or piece of paper. This is their spot to keep their body for the game. 
    2. Sit at the Table: if your child has trouble sitting still on the floor, then move to the table. Have a firm chair that allows their feet to rest on the floor or footrest.
    3. Take a Break: playing a 5-minute game may be too long for your child to handle at first. Simply take play 1 or 2 rounds of turn-taking then take a break! Then go back to the game where you left off or end the game. If your child successfully takes a couple turns without becoming upset or distracted, then you can always end the game. 
    4. Use your Words: To help a child understand turn-taking, use your voice to label “my turn” and “your turn”. At the beginning of each turn, the child can say whose turn it is. This will help them understand that there are times when they have to wait. 
    5. Change the Rules: Some games involve stealing pieces, losing a turn, or more complex rules. Make the rules easier by eliminating complex rules or make up your own rules to allow for simple turn-taking.  
  • Work in Teams: Use the buddy system to have your child play with an adult or an older sibling who can help them follow the rules.

Selecting a Game

Choose a game appropriate for your child’s physical and cognitive level. If you find that age level games are too difficult, then move to easier games! This is not a one size fits all. First, start with a simple cause and effect game that your child is motivated to play. As you read down the list the games will become harder. 

Cause and Effect Games (Pop Up Pirate)

If you are just starting out teaching your child to play a game, choose simple cause and effect games. Cause and effect games offer quick responses to the child’s action and often do not require a lot of skill. There are simple games that involve quick turn-taking and moving pieces.

Simple Games (Candy Land, Pete the Cat Groovy Button Game, Sneaky Snacky Squirrel)

Now that your child has mastered taking turns, can count 1-10, and knows their colors, you can start with simple board games. 

Medium Difficulty Games (Guess Who, Don’t Break the Ice, Spot It

Here your child is learning to use strategy skills to win a game. The games may involve more rules to follow than before.

Strategy Games (Connect 4, Uno)

Finally, you are ready to play games with complex strategies or require more time to complete. 

Card Games (Phase 10, Go Fish, Games for Standard Deck of Cards)  

There are several varieties of card games available that range in difficulty from easy to complex. Card games are a great way to work on matching, fine motor manipulation skills to move the cards, and executive functioning skills to use strategy to win.

Sore Losers

One major barrier to family game night is that no one wants to play with a sore loser. We’ve all played a game with a child, or even an adult, who is a sore loser- it’s not fun for anyone! Here are some ideas: 

  • Practice What to Say: Before the game even starts, role-play what everyone would say if they lost or won a game. “Good game!” “Better luck next time!” “Maybe next time I will win!” “That’s ok, I tried my best”. You also need to practice letting your child lose! Do not let them win every game. 
  • Be the Role Model: If you win against a sore loser, so those phrases above that you practiced during the game. Do not have the winner have a big party. The winner can be excited but does not need to be over the top to hurt other’s feelings. 
  • Team Games: Play in teams so a child that has trouble playing a game can win every once in a while. 
  • Stop: If your child is becoming out of hand- stop the game and start later when they are calm. 

If you find that your child continues to have difficulty with fine motor skills to operate pieces, understand steps and sequencing to play games, or continue to have tantrums over losing, then we invite you to request a free consultation to discuss how occupational therapy, speech therapy, or physical therapy may help your child want to play games. 

Written by: Megan Wilkison, Occupational Therapist