Hi,
My godson is 5 years old, preverbal, deaf and is autistic. He is not yet potty trained so he is still in nappies. He has a safe space bed, which has helped keep him safe through the night and he gets put in a onesie to go to sleep (we have tried him with pyjamas but he pulls them off through the night and takes his nappy off). He has now began, at bedtime, to take his onesie off, wee, smear and even vomit. Now, i work in a SEN school and my instincts are telling me that he’s doing this because he knows his mam will take him out of bed and put him in the bath to clean him up, because ovbiously she can’t leave him in his own excrement.
I just need some advice, as we don’t know where to go from here. He just doesn’t seem to want to have pyjamas on for bed, however, not putting him in them results in him smearing etc. then again, putting him in them also results in this. This leads to his mam getting up most the night, changing him etc. She is now scared to leave him alone incase he makes himself vomit through the night. He has been tried on Melatonin but that only seems to get him to sleep and after a hour or so he’s back awake and bouncing off the walls. She is unable to use dummies due to the fact he will put the whole dummy in his mouth and nearly choke.
Does anybody have any advice on what we can do to try and help his bedtime routine. He doesn’t use PECs or anything yet so we can’t even use social stories etc as at the moment he isn’t at that stage.
Thanks