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AU Pebbles Parent/Carer/Guardian Referral Form 2015-2025 free printable template

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Continence management service for children with disabilities Parent/Carer/Guardian Referral Form PEBBLES Continence Management Service for Children with Disabilities PEBBLES is a state-wide program that provides support and management for children with toilet training and continence issues. It is funded by the Disability Services Commission of Western Australia and is managed by Therapy Focus in partnership with the Continence Advisory Service. Separate referral forms are available for...
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How to fill out pebbles toileting form

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How to fill out AU Pebbles Parent/Carer/Guardian Referral Form

01
Gather personal information: Include the child's name, date of birth, and contact details.
02
Provide guardian information: Fill in details for the parent/carer/guardian including names and contact numbers.
03
Complete health details: Include any relevant health information or concerns about the child.
04
Specify service needs: Indicate the type of support or services needed from AU Pebbles.
05
Attach additional documents: Include any necessary documents or reports that support the referral.
06
Review the form: Check for any errors or missing information.
07
Submit the form: Send the completed form to the designated AU Pebbles contact.

Who needs AU Pebbles Parent/Carer/Guardian Referral Form?

01
Parents or guardians of children requiring support services from AU Pebbles.
02
Carers who manage or oversee children with specific needs or challenges.
03
Professionals referring children for additional support or intervention.
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A hospital specialist such as an urologist, gynaecologist or geriatrician may carry out bladder tests and specialist treatments. A physiotherapist can teach pelvic floor exercises, if appropriate, and help to improve the person's mobility.
OTs are well qualified to assist patients with modifying their environment to help reduce episodes of incontinence. OTs can assist patients with setting up their bathroom environment with proper hygiene products, pads, diapers, etc.
A number of aids and types of equipment can support the management of continence and assist individuals in having a normal life. These include: Incontinence pads (enuresis pads) - Disposable, available in supermarkets and pharmacies, come in different sizes. Pull up pants with built in pads.
There are four types of urinary incontinence: urgency, stress, functional and overflow incontinence. Behavioral therapies, medications, nerve stimulation and surgery are some of the treatments available for managing urinary incontinence.
Encourage your loved one to follow through with treatment recommendations: Incontinence care, such as behavioral therapy, may require a senior to focus on altering their habits by instituting scheduled bathroom breaks, pelvic floor exercises, and managing fluid intake.
The continence nurse provides expert care to patients with urinary and/or fecal incontinence by conducting a focused assessment, performing a limited physical examination, synthesizing data, developing a plan of care, and evaluating interventions.
Management and treatment for incontinence increased fluid intake of up to two litres a day. high-fibre diet. pelvic floor exercises. bladder training. training in good toilet habits. medications, such as a short-term course of laxatives to treat constipation. aids such as incontinence pads.
A community nurse can help with access to NHS-funded continence products and give advice on managing the problem, hygiene and how to protect the skin. An occupational therapist can give advice on adaptations and equipment. A physiotherapist can give advice if the person has difficulties with co-ordination or movement.
Continence care relates to helping an individual achieve and maintain this control of their bladder or bowel functions, through tips on how to keep the bladder healthy, continence assessment, identifying a suitable course of treatment if necessary and emotional support and advice.
For many people with urinary incontinence, the following self-help tips and lifestyle changes are enough to relieve symptoms. Do daily pelvic floor exercises. Stop smoking. Do the right exercises. Avoid lifting. Lose excess weight. Treat constipation promptly. Cut down on caffeine. Cut down on alcohol.

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The AU Pebbles Parent/Carer/Guardian Referral Form is a document used by parents, carers, or guardians to refer a child for support services available through the AU Pebbles program.
Parents, carers, or guardians of children who need support services or interventions provided by the AU Pebbles program are required to file this form.
To fill out the AU Pebbles Parent/Carer/Guardian Referral Form, individuals should provide accurate personal information, detail the specific needs of the child, and submit the completed form to the appropriate AU Pebbles contact.
The purpose of the AU Pebbles Parent/Carer/Guardian Referral Form is to collect necessary information to assess the child's needs and facilitate access to appropriate support services.
The information that must be reported includes the child's personal details, the reason for referral, relevant background information, and any existing support or interventions.
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