Debra Freund
Debra Freund, MS, PNP-BC, ARNP, CUNP

Debra Freund, MS, PNP-BC, ARNP, CUNP

Debra Freund, MS, PNP-BC, ARNP, CUNP
Clinical Interests / Special Procedures Performed

Pediatric Urology

  • Accepting Children: Yes
  • Accepting New Patients: Yes
  • Accepting Medicare: Yes
  • Accepting Medicaid/DSHS: Yes
Insurance Accepted:

Contact this office for accepted insurance plans.

Philosophy of Care

I think it’s important to partner with kids and their parents when addressing their health care needs and concerns. My approach is caring, compassionate and incorporates developmental and age appropriate teaching for the child paried with the belief that parents know their kids better than anyone.

Medical School

Master’s Degree, Pediatric Nurse Practitioner - University of Wisconsin Madison
Bachelor’s Degree, Nursing – Marian College, Wisconsin
Candidate, Doctorate of Nursing Practice with acute pediatrics focus - Rush University, Chicago IL

Board Certifications

Dual certified as both a Pediatric Nurse Practitioner and Urology Nurse Practitioner

Bedwetting during travel or holiday season

It’s November already and the holidays are right around the corner.  For a lot of families, this means either traveling to visit others, or out of town family members will be coming to celebrate. For families who have a child experiencing wetting accidents (day or night time), this can pose a challenge for both. For the child, they can experience embarrassment and shame, with a fear of having an accident in someone else’s home, or in a different environment (i.e. sleeping in someone else’s bed). For the parent(s) it’s a concern of how to manage the logistics of the wetting accidents. This combined with the hustle and bustle of the holiday season adds stressors for everyone, taking away some of the fun and enjoyment of the season.

Here are some tips to help both you and your child successfully manage this scenario:

  • Supplies to have on hand or pack when traveling:
    • Waterproof disposable underwear (pull ups) – pack more than you think you will need just in case
    • Protective vinyl pants – these look just like regular underwear and can be worn over pull ups for added protection
    • Waterproof overlays or disposable underpads – these protective pads have an absorbent layer and a waterproof layer. They can be placed right on top of regular sheets and can be swapped out for a clean one if they become wet or soiled.
    • If your child will be sleeping in a sleeping bag, there are waterproof sleeping bag liners available
    • Large plastic bags – pack plenty in case of an accident. They help isolate any odor and are a sanitary way to store any wet underwear, pajamas or bedding
    • Clothing that is machine washable
    • A urine stain or odor remover
       
  • Talk with your child about ...

What causes bedwetting and when to be concerned

Bedwetting (also called nocturnal enuresis) is a very common childhood problem.  The number of children with this problem varies by age. For example, at five years of age, an average of 16% of children will have a bedwetting accident.  By 15 years of age and older, 1-2 % continue to wet the bed.  For most children, this will improve or resolve without any treatment as they get older.

What can cause bedwetting?

Bedwetting may be related to one or more of the following:

  • The child’s bladder holds a smaller than normal amount
  • Genetics (parents who had nocturnal enuresis as a child are more likely to have children with the same concern)
  • Diminished levels of vasopressin (a hormone that reduces urine production at night)
  • The mechanism for the bladder and brain to talk to each other is “off line”
  • Underlying medical/emotional concerns (i.e. diabetes, urinary tract infection, ADHD, etc)

When does a child achieve dryness at night?

Typically, children will learn to stay dry during the daytime first, then they will achieve night time dryness. This whole process generally can take up age 4-5.

When is bedwetting a concern? 

Typically, when ...

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Offices

Pediatric Specialists - Issaquah
751 N.E. Blakely Dr.
5th Floor
Issaquah, WA 98029
Phone: 425-313-7088
Fax: 425-313-7185
Map & Directions
Pediatric Specialty Care/Seattle
1101 Madison
First Hill Campus, Madison Tower, Suites 800
Seattle, WA 98104
Phone: 206-215-2700
Fax: 206-215-2702
8:30 a.m. - 5:00 p.m.
Map & Directions

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