This manual was developed to aid practitioners in the treatment of the pediatric dysfunctional voiding, reflux and incontinent/enuresis population
Manual includes evaluation forms, urinary diary, anatomy for children, pelvic floor exercises and simply described behavioral techniques with sticker charts
for this patient population.
This is the expanded 2nd edition of the pediatric incontinence and pelvic floor manual, updated in 2016.
Titles of manual forms and documents:
Practitioner Forms
- Pediatric Consent for Evaluation & Treatment
- Pediatric Screening & Symptom Questionnaire
- Pediatric Evaluation
- Pediatric Evaluation Template
- Pathways for Dysfunctional Elimination
- Pediatric Letter of Medical Necessity
Patient Education Handouts
- The Pelvic Floor Muscles
- Finding your Bladder
- How the Bladder Works
- Your Bladder Cares about the Food you Eat and Drink - About Constipation
- Constipation and Fiber Facts
- Help for Constipation
- ILU Massage
- Your Bladder Log (Instructions)
- Daily Bladder Log (blank)
- I'm the Bladder Boss Sticker Chart
- I'm the Bowel Boss Sticker Chart
- Your Home Exercise Program - Lying Down
- Your Home Exercise Program - Child's Pose
- Your Home Exercise Program - Sitting
- Your Home Exercise Program - Standing
- Everyday Pelvic Muscle Exercises
- Urge Control
- Bladder Emptying Exercises
- Double Voiding
- One Big Void
- Staying the Boss
- Pediatric Diaphragmatic Breathing
- Diaphragmatic Breathing with Pelvic Floor Muscle Contraction
Dry Morning Program
- Dry Days/Potty Schedule
- The Dry Morning Program Phase I
- Nighttime Wetness Chart
- The Dry Morning Program Phase 2
- Dry Morning Time Chart
Note: This product is emailed in Word format so that you can instantly access these files and distribute them to patients with your own clinic's logo.
Are you interested in learning more about pediatric care? Check out Herman & Wallace's
Pediatric Incontinence & Pelvic Floor Dysfunction