Washing and bathing can be a challenge if your child has sensory issues. Children who are under-sensitive to touch, for example, may not feel a sticky substance on their hands or face. On the other hand, if your child is over-sensitive to touch (tactile defensiveness), he or she may have a negative reaction to touch and try to avoid it. Children with tactile defensiveness often avoid many of the aspects of washing or bathing, such as getting their hair wet, working the shampoo into the hair, soap on body, getting water or soap in their eyes, using washcloths, and being under water coming from a shower head. Children with sensory issues involving movement may dislike other aspects of bathing, such as balancing and moving in the bath and any change in head position.
Touch, sound, light, balance, and movement can all influence how your child reacts to washing/bathing
Use calming strategies that are specific to your child
Use of pressure touch (more calming) rather than light touch (more alerting)
Minimize sensory input where possible ie. minimize strong smells, certain fabrics, harsh lighting, etc
Closely observe your child’s behaviours during the washing/bathing time. If they can do the task independently, watch what they do (ie. what kind of touch do they use, do they speak when washing) and note what upsets them
Remember: warm water is relaxing, cold water is alerting
Massage the child’s head before and while washing his/her head
Use non-perfumed soap
Fidget toys can be used in the bath to provide sensory input and/or distract the child
Use pressure ie. heavy face cloth, pressure strokes on body, brushes, loafer, etc
Use pressure and downward strokes with washcloth and towel if your child is sensitive to touch
Inform the child when you are about to apply touch
Wrap the child in a large towel and apply pressure through hugs and massage after washing
Dry in front of the mirror to increase your child’s body “map”
Use a small towel so it is easier to manage and can incorporate more visual direction
In some cases, a shower may be better to reduce changes in body position
Try a grab bar, bath seat if your child is feeling unbalanced or is fearful of moving into, out of, and within the bathtub
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