BOSS OF YOUR BLADDER

[BOSS] PROGRAMME

PROGRAMME DURATION: 12 WEEKS
PROGRAMME COST:           $380-00 [plus GST]

Cost includes:
Hire of a Wet Stop Alarm required as part of the Programme
• Three scheduled in-home visits or meetings
• Weekly phone/e-mail contact throughout the 12 weeks

OPTIONAL EXTRA:  One hour Relax Kids Programme sessions to assist with anxiety and self-esteem associated with night time bedwetting
RELAX KIDS SESSION COST: $50-00 [plus GST] per one hour session

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THIS PROGRAMME IS FOR INDIVIDUALS who have struggled throughout their lives to sleep through the night without wetting the bed.

Participants in the Programme must meet the following criteria:
• Eight years old or older
• No daytime wetting
• No constipation/soiling
• No abnormal urinalysis [urinalysis is a test of your urine]
• No underlying organic cause
• Has never been dry at night
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What is Nocturnal Enuresis?

Ever heard of Nocturnal Enuresis?  Nocturnal means done or occurring at night, and Enuresis means involuntary urinating [i.e. weeing and wetting the bed during sleep with no intention of doing so]. This is what the BOSS Programme is all about. Helping people who have never been able to sleep through the night without wetting the bed.

Nocturnal bedwetting is considered to be quite normal up to the age of 5 years old, and is still relatively common up to the age of 10 years, with 1.5-10% experiencing this problem.  After this age 0.5-2% of teenagers and adults will still have a problem with nocturnal bedwetting.

Night time bedwetting is more common among males than females, and is often associated with those individuals diagnosed with Attention Deficit Hyperactivity Disorder [ADHD].

There are two kinds of enuresis: primary and secondary.  Primary night time bedwetting is when someone has wet the bed since they were a baby. It is the most common form of enuresis. It is often associated with developmental delay which then resolves itself over time.

Secondary enuresis is when night time bedwetting starts at least 6 months after a person has already been dry at night and shown control of their bladder.  Secondary enuresis is much harder to address as it involves many complex factors, including psychological and/or physiological issues. It is more likely to arise due to a medical condition.

For this reason the BOSS Programme is only available for clients with primary enuresis.

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The Causes of Nocturnal Bedwetting

Most people who wet the bed at night are not doing so intentionally.  Professionals have identified possible causes of primary nocturnal bedwetting as follows:

Delays in development.  Those with a less developed and mature nervous system are less likely to be able to feel or sense when their bladder is full.  As the central nervous system matures these individuals may resolve their problem with time.
Small bladder.  If an individual has a smaller than normal bladder they will be less able to hold their urine.
Lack of ADH [Antidiuretic hormone].  This is a brain chemical that increases at night and tells the kidneys to restrict water release.  If too little of this hormone is produced this may lead to nocturnal bedwetting.
Deep Sleep.  Those individuals who are deep sleepers do not wake up to body signals telling them to go to the toilet.  As sleep patterns mature these individuals may wet the bed less.
Inherited genetic predisposition.  An individual has an increased risk of experiencing nocturnal bedwetting if one or both parents had the same issue as a child.  Scientists have identified specific genes that cause enuresis.

There does not appear to be any direct correlation between bedwetting and emotional problems, although conversely, bedwetting can lead to emotional problems for individuals.  However, those individuals in stressful home environments or institutions may be more likely to wet the bed.

The Effects of Nocturnal Bedwetting

Nocturnal bedwetting can really mess up a person’s life.  It is stressful and frustrating for the individual, their parents and caregivers, and other family members.

Night time bedwetting contributes to feelings of embarrassment, anger, frustration, mood swings, and low self-esteem in the young person.  It also interferes with the young person participating in and enjoying activities that their peers may do like sleep-overs and overnight camps.

A study in the United Kingdom in 1996 looked at nocturnal bedwetting.  It estimated that a child or adolescent who wets the bed every night costs their family £1,420 in extra washing, bedding, and bedding protection.  Accounting for inflation this cost in 2017 would be approximately £3,0000, or approximately NZD$6,000.

The negative stigma associated with bedwetting significantly affects the young person’s self-esteem and confidence and if not stopped early may have on-going consequences for the young person concerned.  It is often seen as an embarrassing, dirty, and hidden family issue, and parents often feel inhibited in coming forward and seeking help to get the problem addressed.

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What is the BOSS Programme?

The BEACON Aotearoa BOSS Programme gives young people experiencing nocturnal bedwetting the means by which they can become the BOSS of their Bladder, get back their confidence, and get on with their lives.

The BOSS Programme is a six step process to greater feelings of self-worth, confidence, … and no wet nights!  This Programme has a 70% success rate.

Trained experts will help the individual become dry at night through the use of special bedwetting alarms and sensors.  The alarm activates when the individual starts to urinate at night, waking them up to go to the toilet.  Over time the sound of the alarm starts to re-wire the connection between the brain and bladder so that the individual can recognize when they need to get up and go to the toilet.

However, if at the end of 12 week Programme there has been no success in stopping the nocturnal bedwetting, there is a stand-down period of 6 months before the BOSS Programme can be tried once again.  If this occurs, the cost of the 12 week Programme decreases to $150-00 [plus GST].  This cost includes:
• Hire of a Wet Stop Alarm required as part of the Programme
• Two scheduled in-home visits during the 12 weeks
• Weekly phone/e-mail contact throughout the 12 weeks












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