Sorry just seen these replies! Thank you for all the advice. The routine has been going well! We are committed to following through as she very much needs her medication, she’s been quite up and down lately unfortunately. She is on an aggressive pain management plan with 3 pain meds + a stomach protectant with mild stimulation properties, so it’s no easy feat but we have a small solid laptop type desk that she sits on while we medicate so she can be grounded and have free movement but also secure and easy to medicate. It’s working well and she’s grown used to the routine and typically takes them very smoothly now from the syringe. She is of course stressed for that short window of time but she recovers fast and relaxes till the next dose.

The new meds have been helping a lot so she is actually still cleaning well and now is able to clean all the gunk off herself efficiently so the cleaning care has become less of a worry for now – it seems when she was more sore she wouldnt clean properly but luckily the additional meds have turned this around for now.