God has blessed us with 4 wonderful personal care attendants (PCA’s) for Nokomis. The momentary relief is much appreciated. This doesn’t mean that her at home behavior has changed, it just means we have to face it a little bit less. This change seems to have reduced the tension for everyone in the family. We all have better control of ourselves when faced with the “less” frequent outbursts. It’s amazing how a little relief can have such a big effect.