If using an adult size toilet, the child may prefer to use a child’s toilet insert, so he/she feels more stable when sitting. Mothercare® sell a “2-in-1 Toilet Trainer Seat” which has an inner seat as well as a traditional sized seat.
If the child’s feet don’t reach the floor try placing a box or step under their feet for support. Then when they bring themselves forward to wipe, their balance is maintained.
Your child could also support themselves by holding onto the basin or a fixed rail, if these are close to the toilet and it is safe to do so.
Try using wet-wipes instead of toilet paper, as these can help with cleansing and are often easier to wipe. Some of these are now specifically marketed for children.
Give the child a small packet of wet-wipes to go to school. Teach the child to wipe 5 times and check; they may not be able to feel when they are clean so it may help to have a specific number of times to wipe.
Practise the movement needed for bottom wiping. For example, passing a ball or balloon around the body when standing or sitting; or playing tunnel ball where a ball is rolled between the legs. In the bath, play games such as putting shaving foam “blobs” at different places on the child’s back for them to wipe off.
If the child cannot remember the sequence of actions to be done, provide a visual reminder of these for him or her to follow. Pictures for this can be downloaded free from do2learn.com.
Encourage the child to go to the toilet regularly after meals to encourage a regular bowel habit.
If the child has soiled his/her pants and he/she is older, encourage putting the soiled pants in the washing machine and washing them. Try to praise effort even if they are still making some mistakes.