You're a grandma to a grandchild with high support needs. That means they require medication, alternative communication methods, extended diaper wearing, etc. which thing are you honestly doing:
A) learning it all so you can take care of them too when they are with you.
B) learning some but never taking them alone.
C) seeing them rarely and the parents must do it all because you are not going to learn anything.
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My kids are everything to me, so if one day they choose to have kids themselves, then I will ensure I can love them safely. That means learnng all the stuff!