Educate parents about |
High prevalence of enuresis |
Reduce their guilt |
Relatively high spontaneous cure rate |
Encourage hope |
Non-volitional nature of the symptom |
Avoid a punitive response or the development of a control struggle |
Encourage child |
Keeping of a journal |
Raises awareness in the child |
Keeping a dry bed chart |
Changing the wet bed |
Maintain voiding diary record |
Daytime diary used to: Measurement of maximum voiding volume (excluding the first morning void); over a minimum of 3-4 d for accuracy; measurement on weekends or school holidays are ideal |
Assess the child’s bladder capacity |
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Bedwetting diary completed for seven consecutive days/nights |
Assess for the presence of nocturnal polyuria |
Fluid intake regulation |
Decrease fluids especially caffeinated beverages, before bedtime. Ensuring adequate fluid consumption in the morning and afternoon and avoiding excessive fluid during evening |
Decrease nocturnal urine production |