Q: Place your hands under cold running water to wet them. Squeeze a small amount of soap in the palm of your hand. Rub your hands together for 20 seconds until a thick lather forms. Place your hands under the running water to rinse them until all of the soap is removed. Turn off the faucet and dry your hands with a clean paper towel. Remove the Humira pen from your refrigerator. It is a prefilled syringe with the needle already in place. Place the pen, a cotton ball or gauze, and an alcohol swab on a flat surface like a tray, counter, or table. Retrieve your sharps container as well. Check the medication's expiration date as well. If it has expired, do not use it and contact your pharmacy. If you would like the medication to be room temperature at the time of the injection, remove the pen from the refrigerator 30 minutes before you plan to use it. The couch or an armchair are both suitable. However, make sure that the area where you are sitting is well lit. This way you can inspect the medication and the injection site thoroughly before you inject the medicine. The pen contains a small window, which enables you to see the medication. Holding the pen with the grey cap pointing down, check to see that the liquid is up to the fill line. If it isn't, do not use the pen and call your pharmacy. The pen has 2 caps: a grey cap and a plum-colored cap. The grey cap has the number 1 on it and the plum-colored cap has the number 2 on it. Flip the pen so that the grey cap is pointing up. Check to see that the liquid is clear. If you see a few bubbles, that is ok. However, if the liquid is discolored, is cloudy, or contains particles or flakes, do not use it. Call your pharmacy, as the medication may be contaminated. You can either choose the top of your thigh or the lower part of your stomach. If you choose your lower stomach area, make sure the injection site is 2 inches (5.1cm) away from any side of your belly button. Choose a site that is free of bruises, sores, lesions, scars, scaly patches, or stretch marks. An injection in the outer part of your thigh or your lower stomach will hurt the least, due the muscle and fat in those areas. Rub the injection site with the alcohol swab for 20 seconds. Let the injection site dry completely before proceeding, about 10 to 15 seconds. If you do not have an alcohol swab, use a cotton ball dipped in 70 to 90% isopropyl alcohol instead. Use 1 hand to hold the middle of the pen, in between the 2 caps, with the grey cap pointing up. Use your other hand to pull the grey cap straight off. The grey side contains the needle. Set the grey cap aside. Then pull the plum cap straight off. The plum side contains the injection button. Set the plum cap aside. Flip the pen so that the needle is pointing down. Do not touch the needle, and avoid placing the caps back on the pen. If a little bit of liquid comes out of the needle when you pull the grey cap off, that is ok. Use your finger and thumb to gently squeeze or stretch the area of skin, about 1 inch (2.5cm) in length, where the injection site is. The needle is quite small, so you don't need to squeeze too tightly. If you are giving the injection to someone besides yourself, ask if you are squeezing their skin too hard. They should not feel any pain. Hold the pen flat against the injection site. Make sure to hold the pen at a 90-degree angle relative to your skin. If you are giving someone else the injection, tell them to take a deep breath to relax. Let them know you are going to count to 3 and give the injection on the count of 3. Use your thumb to press the plum-colored button. Once the button engages, you will hear a loud click. Once you hear the click, keep pressing the button for 10 seconds, or until you see the yellow marker in the window stop moving. Once all of the medication is injected, pull the pen straight up and away from your skin. When giving the injection to someone else, ask them if they are ready. When they say, "Yes," begin counting and give the injection on the count of 3.
A: Wash and dry your hands. Gather your materials. Sit in a comfortable position. Make sure the medication is filled. Inspect the medication for cloudiness, discoloration, and particles. Choose an injection site. Clean the injection site with alcohol for 20 seconds. Remove the pen's caps. Squeeze the injection site with 1 hand. Place the white end of the pen directly on the injection site. Release the medication.

Q: Give your dog the treat as soon as you see the positive behavior. It's helpful to use a clicker to train your dog. That way, you can click the clicker when your dog behaves correctly, then give it a treat. This gives you a little bit of time to get the treat ready, while still reinforcing the good behavior you want to see from your dog. Timing is very important when it comes to training your dog. It's important to click the clicker or give your dog its treat immediately after the good behavior. Make sure the treat is something your dog loves. The most common reward is a treat. Try boiled chicken, string cheese, or chicken hot dogs. You could try a bone or dog treat. You want to reward the dog when it responds to your command and behaves. If the dog ignores or rejects your command, no treat. If treats are the preferred item, keep them handy so that you can practice throughout the day, such as anytime you get up for a drink/snack or bathroom break. You could toss the treat on the ground so the dog has to get up. Then, wait again until the dog chooses to sit, without any encouragement from you. When the dog does, say, "Yes!" in a happy tone, and deliver a super yummy treat. Repeat this 5 or 6 times. Sometimes a dog is not food driven, so consider whether they are into a ball or a tug toy. Other dogs just love attention. You have to figure out what makes your dog happiest, and then use that as their reward. Praise is simply a happy, excited voice and gentle touching. This is the cheapest and easiest reward to offer. You could also use a favorite toy as a reward. Touch is another great way to reward a dog. Some dogs respond to being petted or their tummies being rubbed. A brisk 10-minute walk can also be a reward if you are able. Be very consistent and repetitive. A solid training program takes a minimum of two years of consistent and organized training. You will get as much out of your dog as you put into them. If we say our dogs are "stubborn," we are basically making excuses for not learning how to teach our dogs to understand us. Ensure everyone around the dog has the same rules and expectations. Everyone in the household should use the same commands for tricks and set out the same limitations. Don't feel sorry for the dog and violate your own rules at times. The dog will learn the wrong lesson.
A:
Reward the dog with a highly desirable treat when it behaves. Try using other positive reinforcements instead of treats. Repeat training exercises and commands several times in a day.