This seminar introduces the 'Three Systems' as a means of understanding bedwetting, with a focus on a child-orientated, evidence-based approach to treatment. It includes recommendations from the National Institute for Health and Care Excellence (NICE), explores ways of applying this model to clinical practice and troubleshooting potential issues this might raise.

Course objectives 

  • To explain the different causes of night time wetting and the importance of assessment in diagnosis
  • To improve knowledge of the treatments available and when to use them
  • To provide an understanding of relevant NICE guidance.

Course tutor

Dr Anne Wright MBBCh, MRCPCH, MSc Comm Paeds, Consultant Paediatrician at Evelina Children's Hospital

Programme

09.00-09.15 Registration and refreshments

09.15-09.45 Introduction to the day

  • Information about ERIC

09.45–10.30 Healthy Bowels & Bladders

  • Overview including anatomy and physiology and the relationship between bladders and bowels
  • The role of constipation in night time wetting
  • The role of daytime bladder problems in night time wetting

10.30-11.15 Setting the scene

  • Definition of nocturnal enuresis
  • Prevalence of nocturnal enuresis
  • ALSPAC Study
  • Impact on children
  • The importance of maintaining a child focused approach

11.15-11.30 Refreshments

11.30-12.00 Parental support

  • Typical strategies employed by parents (e.g. lifting, fluid restriction) and case examples
  • Analysis of useful strategies

12.00-13.00 The Three Systems Model

  • An outline of the model as a means to understanding nocturnal enuresis
  • Assessment of each system
  • Looking at clinical implications
  • Evidence base

13.00-13.45 Lunch

13.45–14.45 Enuresis alarm treatment 

  • Evidence base
  • Monitoring progress
  • How the alarm works and demonstration
  • Advantages and disadvantages of the alarm

14.45–15.15 Desmopressin treatment

  • Evidence base
  • How to use desmopressin
  • Advantages and disadvantages of desmopressin

15.15-15.30 Refreshments

15.30–16.00 Psychoeducation

  • How best to educate children and parents about bedwetting problems
  • How ERIC can help - website, leaflets, pathway

16.00-16.30 Workshop and case studies

16.30 Evaluation and seminar ends

Transport to the venue

Situated within the Shoreditch Triangle, with easy access to both the City and Brick Lane Market, the Human Rights Action Centre has excellent public transport links and is minutes’ walk from Old Street and Liverpool Street stations (Underground) and Shoreditch High Street station. (Overground).

It is easy to reach via many cycle routes and there is a Santander Cycle docking station just outside.

Payment information

The cost of the course is £155 per person (credit card payments) or £165 per person (cheque and invoice payments). Lunch and refreshments are provided. Fees must be paid or invoiced before the start of the course.

Payment by card

Please book and pay for your place using our online booking system below. If you're booking the course for more than one person, please enter each delegate's details. At the checkout, make sure you enter the address that your card is registered to.

Payment by cheque

If you wish to pay by cheque, the course fee is £165 per person. Please download and complete our booking form and send it with your cheque, payable to 'ERIC', to Jackie Fuidge, ERIC, 36 Old School House, Britannia Rd, Kingswood, Bristol BS15 8DB.

Payment by invoice

If you need us to send your organisation an invoice, the course fee is £165 per person. You must obtain consent from your finance department prior to your booking and supply us with the necessary purchase order number. Please click on the 'enquiry' button below and enter your details; we'll then book your place on the course and send an invoice to your finance department directly.

Cancellation and transfer policy

If written notification is received 4 weeks before the course, we will issue a refund, minus a £10 administration fee. We regret that no refunds can be made on bookings cancelled less than 4 weeks before the course. A colleague may attend in your place rather than forfeit the full course fee.

ERIC reserves the right to cancel the course. In the unlikely event of cancellation by ERIC, course fees paid will be refunded in full.

If you need to transfer from one course to another, you can do so up to 4 weeks before the event, providing the course transfer is within the same financial year. We can only transfer you once per booking and if you cancel your booking after transferring, the full course fee is due.

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