The additional use of grab bars means that they are able to stand while they are assisted with perineal hygiene and clothing adjustments. They can also learn to press down on the safety frame attached to the toilet to stand up.
Reaching out can be encouraged by cuing them to wash their hands.
Because they recognise a need to void, they may start searching for a toilet and mistakes can be made. Camouflage items that are often mistaken for toilets if a schedule for toileting cannot be established.