I'm back to long walks for Charlie which makes him happy I imagine, and I'm sleeping much better with more exercise and more fresh air.
I couldn't visit Katie on Sunday because I was sick and didn't want to infect her; I also didn't have the energy to care for her. I called and cancelled. Katie had a meltdown and this was the critical incident report I received.
After being informed that her mother would not be coming, Katie began to cry, scream,
and hit her head, hands, and nose. Staff attempted to de-escalate the situation by singing
songs and redirecting Katie to preferred topics, such as horses. Unfortunately, these
strategies were not effective at that time. To ensure Katie's safety and protect her from
injury, staff provided her with a pillow while also keeping a safe distance. As Katie's
behaviour escalated, it became increasingly challenging for staff to offer physical support.
Both staff members tried to administer Katie's PRN medication between 8:50 and 9:00
AM, but they were unable to do so. Eventually, Katie stopped hitting herself but continued
to cry. By 9:15 AM, staff determined that the best approach was to give Katie some space
while continuing to monitor her from a safe distance.
This is why I rarely cancel my visits with her. Katie knows when it is Sunday. She knows her mum visits on Sundays. She likes her routines and doesn't cope well with disruptions to her routines. All behavior is communication.
Katie's dad did visit this past week but Katie was anxious about that happening as well and this happened.
At approximately 9:05 a.m., overnight staff completed the shift exchange with the 9:00
a.m. staff for both individuals and left the residence. At that time, Katie was with staff, and
staff was working alone. Katie was communicating with staff using sign language and
indicating “baby” and “Dada.” Staff responded by reassuring Katie that her dad was
coming to pick her up today in a while. Staff then went to the washroom to wash her
hands. Katie also went to the washroom and subsequently followed staff when staff exited
the washroom.
Staff proceeded to the staff room, and Katie followed staff into the area. As Katie
approached staff, staff moved backwards to maintain space. Katie then grabbed staff’s
bag and threw it onto the floor. Staff observed that the bag and several personal
belongings were on the floor. Staff continued communicating with Katie in an attempt to
support her to remain calm. Staff reminded Katie that her dad was coming at
approximately 11:00 a.m. and encouraged her to leave the staff room and sit on the chair
near the entrance, where Katie usually sits. Katie initially did not respond to the redirection
and continued approaching staff. Staff continued using calm verbal communication and
encouraged Katie to leave the staff room. Katie eventually exited the staff room. While
Katie was outside the staff room, staff began picking up the belongings that had been
thrown onto the floor. As staff was picking up the belongings, Katie suddenly rushed
toward staff and grabbed staff’s hair near the scalp. Katie pulled staff toward herself while
holding staff’s shoulder with her other hand. Staff attempted to release Katie’s grip from
the shoulder and then attempted to release Katie’s hand from staff’s hair. Katie continued
resisting and scratching staff’s arm and hand. Staff sustained multiple scratches to the
arm and hand during the struggle. Staff also experienced significant pulling of the hair,
resulting in multiple strands of hair being pulled from the scalp. Throughout the incident,
staff continued attempting to redirect and verbally reassure Katie. Staff used familiar and
calming communication, including singing a rhyme and saying things such as, “Katie, let’s
get ready. Where is your backpack? Let’s get your backpack. Your dad is coming. Let’s go
see the horse. Let’s go see dogs at the dog park.” Katie continued holding staff’s hair and
did not release her grip despite staff’s attempts to disengage. During the incident, the
other individual came out of her room. She assisted staff by holding Katie’s hand and
verbally prompting her to release her grip. Following this intervention, Katie released her
grip on staff’s hair, allowing staff to move away from Katie and out of her immediate reach.
I wonder if she was worried her dad would cancel. I don't know but it worries me (I don't want her to be evicted because of her behavior) and it breaks my heart because I know she's upset. I'm also thankful that I wasn't recipient of her behavior, which sounds awful but it's true. I wish they would call me but I'm also glad that they don't call me. It's a rock and a hard place.
Other than Katie having a hard time, life is good. The days are warm and sunny, the nights are cool, and Jack is happy to be back in a routine at school. Last night he wanted to go to the park after supper, like every other night, and I told him I needed to clean up the kitchen, like every other night. I told him I needed his help. He put the dishes in the dish washer and wanted to help with the dishes, so I let him. There was a fair bit of water everywhere but I kept my mouth shut and just put a rag on the floor to sop it up. He washed, I rinsed, and he did a pretty good job. This will probably not happen again for months, but it is a start. We went to the park and his best friend was there so a lovely surprise for him. He played hard, had a bath and a snack, and went to bed with poppa laying down with him. He was out like a light, after he talked about the game he's building on Roblox, drank his milk, and brushed his teeth.