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hygiene

Issues concerning hygiene in children with hemiplegia can vary from the physical problems of trying to provide self care with one hand to the cognitive issues of remembering and comprehending certain aspects of personal care.

Physical - see In the Bathroom

Cognitive

Routine
Remembering a routine is important. Picture charts are simple and inexpensive. Reminder devices are available through adaptive living catalogues (like an alarm clock type pager with a recorded message - "It's 8:30, time for your shower" or motion activated recorded messages "Did you wash your hands after using the toilet?")

Stressing importance of hygiene
Many times children with cognitive impairments are unaware or don't care about social customs. Modeling behavior ("Oh look, I took my hat off and my hair's messy, I should go comb it") and praising when they are meeting expectations ("Look how nicely you matched your clothes today") are both tried and true methods. Award charts can also help.

Monthly issues
Keeping a calendar will help girls realize when they need to keep feminine products on hand.

Integrating these issues into IEP's as well as home
Remember that independent life skills are as important as reading and writing. Seek out assistance on integrating these into your child's school curriculum.

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The information contained in this Children's Hemiplegia and Stroke Association (CHASA) Web site is not a substitute for medical advice or treatment, and CHASA recommends consultation with your doctor or health care professional.