I don't have a lot of advice as I need some myself. My only suggestion would be in regards to nappy changes - let him go nappy free whenever you can. My DD screams, struggles, twists & arches her back every time we change her nappy so usually I give up & let her roam free. Shut the doors to the bedrooms so she can't pee on the carpet & keep a terry cloth nappy handy for any accidents. Or I send her outside in the nud if the weather's fine. Usually after an hour or so nappy free time, she will *sometimes* let me put her nappy back on without tears.