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Editor’s Note:Alyson Evans is a Fear Free Certified veterinary technician, a certified Compassion Fatigue coach, and the hospital manager at Briargate Boulevard Animal Hospital in Colorado Springs, Colorado. This first-person piece is part of an email to Fear Free Education team staff describing her own experience working in the field, in the currently overwhelmed veterinary industry. We thought that many of you might relate to it, so we asked if we could share it.

I thought I was happy and handling my stress well, but I wasn’t. I was hiding stress from my team and taking it out on my husband and son. Not a healthy way to cope. Burnout is a state of emotional, physical, and mental exhaustion caused by excessive and prolonged stress. It occurs when you feel overwhelmed, emotionally drained, and unable to meet constant demands.

I received some personal coaching about burnout and had some one-on-one time with a coach. It was eye-opening to me and confirmed that I was suffering from burnout. “Suffering” is a difficult word to stomach, especially when talking about yourself.

Here is perhaps an even harder pill to swallow: As women, we let ourselves get into a position of burnout. Men don’t typically experience burnout as much as women do. We are raised and taught to be the primary caregivers for our children and family. We put ourselves last and think that we need to be more like men to succeed.

Once I realized I had allowed myself to take on all of these roles, I said right then: “No more.”  I set boundaries at home with my 3-year-old son and my husband. I want to raise my son to know that women are not just caregivers; they are individuals who need boundaries and that he needs to be a partner in any relationship he is in, work or personal.

I told my team that although I seemed happy and upbeat at work, I would go home and keep thinking about all of them. How would I get them pay increases if we didn’t hit our quarterly goals? How could I show more appreciation? Would more of my team quit? How would I find replacement team members given the national shortage of veterinary professionals?

One of my exercises was to fill out a pie chart. Out of 100 percent of the day, how much of that time was spent thinking about work? How much was spent caring for my son? How much time did my husband receive? Then, how much for me? Out of the time spent with my son and husband, how much time was I actually present: No phone on me, not multitasking, but actually engaging with them? This was so difficult, and at this point I burst into tears.

I spent 80 percent of my day thinking about work, from the time I woke up to hours after I had  left. I gave 15 percent to my son and 5 percent to my husband, leaving 0 percent to myself.

Having the visual of the pie chart led me to set new rules or boundaries in my home. When my son and I get home from school and work, we spend 30 minutes outside together listening to children’s music and drawing with chalk on our driveway (both adults and kids need to be able to transition from work/school to home). Once we do that, we go inside and I call my husband to see when he will be home so I can make dinner or start prepping dinner for him to make. (We make a weekly dinner menu to take that added daily stress off our plate.) When he arrives home, we each have 30 minutes to send any necessary texts and then phones go on chargers in our bedroom so we can engage, be present, eat together, and talk during dinner. Once our son is in bed, we take 30 minutes to check Facebook or do whatever we want before spending quality time together.

A big part of combating burnout is owning your share of it and how you got there. If there have been a lot of euthanasias, speak up and let your supervisor know that emotionally, you need a break. (I just did four in two days and needed to tap out for the last one of the day). It is okay to admit that and to speak up when it is to the point of emotional breakage, but if you are someone who just dodges euthanasias and puts that strain on your co-workers, then that is not fair to your team members.  We must own what is happening to us and reflect on what we are allowing to cause the burnout.

Support staff should check in on doctors who have done multiple euthanasias, as they should with each other. Management needs to do so as well. If management is also a trained tech, have them take a euthanasia or two if they can, to lighten the emotional load that their team carries.

For management teams: When you hear a team member say “I’m so burned out,” take that seriously and pull that member aside to talk. Have that conversation, because if it really is burnout, they need some time to be away from work to focus on themselves, talk with a coach or therapist, and get support. Having wellness conversations with team members is important in this field and is the only way we can keep our team mentally healthy.

Alyson Evans, CVMA CVA, RVT, CVT, CCFP, Hospital Manager, Briargate Boulevard Animal Hospital, Colorado Springs, Colorado

Check out our Fear Free on the House page for resources on wellness, quick tips, and more!

This article was reviewed/edited by board-certified veterinary behaviorist Dr. Kenneth Martin and/or veterinary technician specialist in behavior Debbie Martin, LVT.

 
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The Case Against P3 Amputation

While pain management is a vital part of Fear Free, it is even more important for cats who have been declawed. Join us and Robin Downing, DVM, MS, DAAPM, DACVSMR, CVPP, CCRP, founder of The Downing Center for Animal Pain Management, to learn about the trauma of feline toe amputation from the pain, biomechanical, and bioethical perspectives. This will energize your commitment to “just say no”!

Rachel Lees, RVT, KPA CTP, VTS (Behavior)Parrots and other psittacine pets can be fascinating additions to a home. They are gorgeous, colorful, charismatic and captivating, and it’s all too easy for potential caregivers to think, “How hard can it be to have a pet bird”?

Then they acquire their new family member and find there is quite a bit to know about living with and caring for them, especially when it comes to dealing with common behaviors that are normal for psittacines but problematic for humans. They frequently turn to the internet for advice on how to “fix” these problems, which can include aggression to humans, vocalizing for attention, and self-mutilation such as feather picking.

As veterinary professionals, it is important that we understand how this species learns so we can educate owners accordingly at their first appointment. Living with a psittacine can be financially, emotionally, and mentally draining.  Building a strong human-animal bond from the start is the best means to help create long-term homes for pet birds.

Learning is defined as a permanent change in the behavior of an animal after being exposed to a stimulus. Although changes may not be immediately apparent, they are real changes that will affect long-term behavior. It is important to communicate to clients that every interaction they have with their bird is a training session, whether they intend it that way or not. Any time a bird interacts with the environment, behaviors either increase, decrease, or become suppressed. Understanding this is crucial to communicating the best training and behavior recommendations based on science to clients with avian companions.

Increasing and Decreasing Likelihood of a Behavior

Operant conditioning is learning in which a behavior is affected by consequences. When a behavior is associated with something the bird wants, the behavior will strengthen. When a behavior is associated with something the bird finds aversive or dislikes, the behavior will weaken. There are four quadrants of learning common to all animals: positive reinforcement, negative reinforcement, positive punishment, and negative punishment.

These terms are unfortunately misused by clients and even some veterinary professionals. They are defined as follows:

  • Positive (+):  Adding something to the situation
  • Negative (-):  Eliminating something from the situation

The terms reinforcement and punishment are defined as follows:

  • Reinforcement:  strengthening a behavior
  • Punishment:  decreasing a behavior

Below is a table reviewing each definition with an example of each quadrant:

Quadrant Definition Example
Positive Reinforcement Addition of a stimulus to increase likelihood of a behavior or to strengthen a behavior Presenting a finger and when the parrot steps up to station giving a treat. Adding a treat increases likelihood of the “step up” behavior.
Negative Reinforcement Eliminating a stimulus to increase likelihood of a behavior or strengthen a behavior An example of this is forcing a bird to step up by pushing a hand into the chest or prying toes off a perch.  Eliminating pressure or discontinuing handling reinforces the behavior of stepping up to a perch.
Positive Punishment Adding a stimulus to decrease likelihood of a behavior A client’s cockatiel bites when a person reaches out to touch them. The client smacks them on the beak, adding an aversive situation to decrease the likelihood of the biting behavior.
Negative Punishment Eliminating a stimulus to decrease likelihood of a behavior A client’s macaw squawks for attention.  The client turns their back to ignore the behavior. Taking away attention decreases likelihood of vocalization behavior.

Positive reinforcement and negative punishment are the most humane ways to train most animals. However, negative punishment can induce frustration, increasing FAS, so it’s important to use it with caution. Force or aversive methods are not recommended and can damage the human-animal bond between clients and birds. These methods can also increase fear, anxiety, and stress and can create more aggression concerns. They should be avoided.

Breaking Down Unwanted Behaviors With the Problem-Solving Model

Dividing each behavior and problem is crucial in creating a plan to alter unwanted behaviors. There is no single way to handle any particular behavior.  Using the problem-solving model, we can break down the Antecedent, Behavior, and the Consequence to evaluate the trigger and the true problem.  The ABCs in the problem-solving model are defined as follows:

  • Antecedent: stimuli, events, or conditions that immediately precede a behavior.
  • Behavior: actual behavior caused by the antecedent.
  • Consequence: stimuli, events, and conditions that occur after a behavior and influence probability of the behavior recurring.

For example:  A client comes in and mentions that when their dog barks, the macaw (when out) will fly from her perch and chase the dog.

Breaking down this situation can be done as follows:

  • Antecedent: Dog barking
  • Behavior: Flying to chase dog
  • Consequence: Dog discontinues barking

Now that the behavior is broken down, we can determine motivation for the unwanted response. With animals in general we can simplify things and say that behavior is either self-rewarding (i.e., would happen regardless of the owner’s presence) or human-reinforced. In the example above, this behavior is likely self-reinforced, as the macaw’s behavior results in the dog discontinuing the barking. After this, we can figure out how to solve the problem.  Some things to consider:

  • How to manage and prevent the situation from starting.
  • What to teach the macaw to do that is incompatible with flying down to attack the dog?
  • How to interrupt the behavior while it’s occurring.
  • Foundation skills needed by the dog and the macaw to eliminate and modify this issue.

Breaking down one behavior takes time, expertise, and patience. No behavior can be fixed easily as each behavior has many layers. Encourage clients with birds to seek help from a skilled positive-reinforcement trainer, veterinary behaviorist, or veterinary behavior technician experienced with birds if any behavior problem is mentioned.

References: 

Luescher, Andrew. Manual of Parrot Behavior. Blackwell Publishing. 2006

Shaw, Julie K. and Martin, Debbie. Canine and Feline Behavior for Veterinary Technicians and Nurses. Wiley & Sons, Inc. 2015.

Yeates, James. Companion Animal Care and Welfare:  The UFAW Companion Animal Handbook.  Wiley-Blackwell. 2019.

This article was reviewed/edited by board-certified veterinary behaviorist Dr. Kenneth Martin and/or veterinary technician specialist in behavior Debbie Martin, LVT.

Rachel Lees, an Elite Fear Free Certified Professional, is a veterinary technician specialist in behavior, a KPA certified training partner, and veterinary behavior technician at the University of Tennessee College of Veterinary Medicine. She loves helping people create and maintain a strong human-animal bond.
 

Speak the Right Words

Debra Vey Voda-Hamilton, principal at Hamilton Law and Mediation, PLLC (HLM), helps vets and their staff learn how to appropriately address disagreements and foster mindful reactions to difficult discussions. As the first conflict consultation practice in the U.S. dedicated to helping people resolve conflicts that arise in business and life over animals, HLM uses empathy, compassion, and methods of alternative dispute resolution (ADR) to assist people in understanding the “why” of a conflict that arises when dealing with animals. These conflicts are relational, not transactional, and can be nipped in the bud—before they nip the veterinarian in the butt—if skills to address the conflict are learned and applied.

Gain the knowledge on how to peacefully and proactively:

  • Address disagreements
  • Choose to keep relationships or let them go peacefully
  • Appreciate how you (and others) think
  • Enhance your listening skills
  • Find strength in allowing curious questions and discussions
  • Realize you can navigate difficult conversations

Brought to you by our friends at Vetoquinol.

Blood draws are an essential part of practicing veterinary medicine, but they can be stressful for the professional, let alone the patient. Veterinary nurse/animal trainer Laura Ryder, CPDT-KA, KPA-CTP, shows you how you can get a canine blood draw done the Fear Free way.

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Understanding Declaw Salvage Procedures

Until declaws are eliminated in the United States, you will most likely encounter declawed patients in your practice. With recent advancements in surgery, salvage procedures can help manage pain and improve limb function. Join one of the leading figures in declaw salvage surgery Nicole Martell-Moran, DVM, MPH, DABVP (Feline Practice), to learn about the procedures involved, how to find training, and how you can incorporate it into your practice.

Helping New Pet Owners Create a Fear-Free & Happy Life for Their Pet

New pet owners can be overwhelmed with all the information we want to provide them regarding the health and wellbeing of their pet. However, if a strong human-animal relationship built on trust and empathy is not established, the pet very well may not remain in the home. In this webinar, Kenneth M. Martin, DVM, DACVB, and Debbie Martin, CPDT-KA, KPA CTP, LVT, VTS (Behavior), will provide you with 5 tips to give new pet owners so they can start the relationship off on the right paw, facilitate a strong bond, and keep pets in the home and coming back to your veterinary clinic.

Brought to you by Vetoquinol