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    Independence in the toilet activity in children and adolescents with myelomeningocele - managing clean intermittent catheterization in a hospital setting

    Access Status
    Fulltext not available
    Authors
    Donlau, M.
    Falkmer, Torbjorn
    Date
    2009
    Type
    Journal Article
    
    Metadata
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    Citation
    Donlau, Marie and Falkmer, Torbjorn. 2009. Independence in the toilet activity in children and adolescents with myelomeningocele - managing clean intermittent catheterization in a hospital setting. Acta Paediatrica. 98 (12): pp. 1972-1976.
    Source Title
    Acta Paediatrica
    DOI
    10.1111/j.1651-2227.2009.01426.x
    ISSN
    0803-5253
    Faculty
    Faculty of Health Sciences
    Occupational Therapy and Social Work
    Centre for Research into Disability and Society
    School
    School of Occupational Therapy and Social Work
    Remarks

    Copyright © 2010 John Wiley & Sons, Ltd.

    URI
    http://hdl.handle.net/20.500.11937/26682
    Collection
    • Curtin Research Publications
    Abstract

    Aim: The aim of this study was to identify and describe gross motor, fine motor, executive andtime-processing obstacles for independence in children with myelomeningocele who are treated with Clean Intermittent Catheterization and to relate their opinions about their performance in the toilet activity, and their medical records, to the observed outcome. Methods: In a hospital setting, 22 children with myelomeningocele were observed using a structured information form while performing their toilet activity, and tested for time processing ability with the Ka-Tid instrument. Results: Only five children were independent, despite the fact that 12 of 22 children were completely satisfied with their toilet activity. Neither the degree of motor impairment, nor sex or age had any significant impact on performing the toilet activity. The ability to remain focused on the toilet activity proved to have no relation to age or learning disabilities. The medical records for the children were only able to classify approximately three quarters correctly with respect to independence. The only measurement that could suggest anything in relation to a maintained focus was time processing ability.

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