Toileting Care and Learning - Department of Education and ...



624205-277495Toileting Care and Learning Plan 00Toileting Care and Learning Plan Schools may choose to use this plan as a suggestion, to maximise opportunities for students to self-manage components of their personal care support, as far as possible, in relation to toileting, and to acknowledge the learning that has occurred when success is achieved.Name of student: FORMTEXT ?????____________________Date: FORMTEXT ?????____Date for next review: FORMTEXT ?????___Tasks for care and learningIndependentLearning target athomeLearning target at schoolDependent(at this time)CommentsAwarenessKnows when toilet is needed FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Indicates when toilet is needed FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Needs to be asked/reminded FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Needs to be reminded to go to the toilet at set times FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Needs to be taken to the toilet at set times FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Clothing needs to be changed FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Accessing toiletIndicate which toilet(s) will be usedGoes unaccompanied FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX HandwashingRemembers FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Uses soap (or other handrub) FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Uses taps FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Washes hands adequately FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Dries hands on towel/hand-drier FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX ToiletingLocks/shuts cubicle door FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Pulls down pants FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Gets on toilet FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Urinates FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Empties bowel FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Sits for a nominated time FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Wipes self using paper FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Gets off toilet FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Knows when wet/soiled FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Knows that pad needs to be changed FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Removes wet/soiled clothing FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Cleans skin FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Puts on clean clothing (as needed) FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Finishes getting dressed FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Other Personal Hygiene FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????TerminologyParent/carer and/or student/ preferenceUrineUrethraBladderVaginaFaecesAnusBowelPadOther issuesAction required FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Principal’s (or delegate’s) name: FORMTEXT ?????______________________Signature: FORMTEXT ?????________________________Date___________ Parent/carer’s name: FORMTEXT ?????_______________________________Signature: FORMTEXT ?????________________________Date___________Student’s (where relevant) name: FORMTEXT ?????______________________Signature: FORMTEXT ?????________________________Date____________ ................
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