This discharge teaching document outlines the post-bariatric surgery care instructions including a diet progression focused on hydration and vitamin/mineral supplements, wound care, activity limitations, symptom monitoring, emotional support, follow up appointments, and potential future plastic surgery procedures once weight has stabilized.

1. Bariatric Discharge Teaching
diet progression
vitamins--Vit D, B-complex,
mineral--iron, calcium
hydration
analgesics
antiemetic
clean wound procedure
avoid lifting,
activity progression
return to driving and work
report: fever, excessive N/V, epigastric,back or shoulder pain
red hot &^/or draining wounds
pain, redness or swelling in legs
chest pain
difficulty breathing
Encourage
increase physical activity
decrease fat intake
decrease reliance on appetite-reducing drugs
normal eating pattern
bowel changes are common--constipation
Variety of Emotions:
depressed
anxious
Hibernation phase -- for abt. a month
Keep all appointment
Plastic surgery
panniculectomy -- removal of abdominal apron
when wt. is stabilized in abt 18-24 months