Unfortunately, our patients don’t always understand that. Most of our patients are not overjoyed about their trip to the veterinary practice. Even though we are here to help them live long, healthy, happy lives, they see our clinic as the place where they may be poked, touched inappropriately, and sometimes scared, even if this is not our intention.
Wouldn’t it be fantastic if we could communicate with our patients the way we can with humans? If they had the opportunity to say “Yes” or “No” to being injected or touched before resorting to a growl, bite, or air snap? Teaching strong stationary behaviors and using them as a consent cue can be useful and can take your veterinary team to the next level.
Stationary Behaviors
These behaviors cue the animal to stand, lie down, or touch a body part to a specific location for a duration of time. They are typically taught outside the veterinary setting using marker training and shaping techniques*. Once the patient is comfortable performing the stationary behavior in a non-stressful setting, training sessions can begin to take place at the veterinary practice. The patient should enjoy training and interacting with the stationary behavior as this is the place where most veterinary husbandry behaviors will be performed in the future. The patient should associate this location with reinforcements such as high-value food and fun. Stationing behaviors include but are not limited to the following:
- Body Target to Mat
- Four paws on the Mat
- Lying in Sternal Recumbency on the Mat
- Lying in Lateral Recumbency on the Mat
- Nose Target to a Hand or Object
- Chin Rest
- Paw Target to an Object
What Is Consent?
Once the above behaviors have been taught and the patient is 100 percent responsive in the veterinary practice, the concept of consent can begin. Consent allows the patient to choose to engage in training with the owner and veterinary team members by responding to the cued behavior and allowing the procedure to be performed. If the patient does not want to interact, they will send a clear signal that they are uncomfortable and are unable to perform the stationary behavior at the given time.
The goal with consent is to give patients some control by allowing them to make choices to reduce fear, anxiety, and stress, increase comfort, and increase the animal’s ability to cooperate. It is important to fully understand the patient’s body language and to understand that not responding to the cued behavior is not the patient being “stubborn.” If the patient is reluctant to stay in the cued stationary behavior, assess the patient and yourself, and then end the training session or veterinary visit. Remember that animals use avoidance behaviors such as displacement or conflict when a situation becomes stressful. Our goal is to give the animal a choice and to respect that choice.
Examples of avoidance behaviors:
- Sniffing the ground
- Not responding to a well-known station behavior
- Yawning
- Lip licking
- Slow response to a station behavior
- Head turning away
- Weight shifting away
Final Note
If taught correctly, stationary behaviors can be an asset to any veterinary team. Any veterinary team member who is interested in teaching these protocols should consider training the patient ahead of time to wear a basket muzzle as we are teaching voluntary veterinary care. The patient can and will still say that they are uncomfortable if they are pushed too far above their comfort level. A veterinary team member should be well educated in canine and feline body language before working on these procedures. The best resource for fully teaching these behaviors is the text “Cooperative Veterinary Care” by Alicea Howell and Monique Feyrecilde, published by Wiley Blackwell.
*Shaping will be discussed in Part Two
This article was reviewed/edited by board-certified veterinary behaviorist Dr. Kenneth Martin and/or veterinary technician specialist in behavior Debbie Martin, LVT.
veterinarian, Dianicia Kirton, DVM, whose Hopkinton, Massachusetts, practice is Fear Free certified, has been recommending that Sushi get her teeth cleaned but my sister was hesitant. The veterinarian addressed each of her concerns until eventually she was ready to move forward. A few weeks later, Sushi’s mom brought her in for the teeth cleaning, although she was still nervous and reluctant. The veterinarian and staff were very calming and worked on Sushi quickly. Everything went well, and Sushi was her normal, happy self afterward. My sister told the vet that she felt like she had been “Fear Freed,” and Dr. Kirton responded, “Yes, it’s as much for the people as it is for the animals.” My sister was happy with the whole experience and thankful to have found a practice that uses these methods!
Pennie, a 7-year-old 78-pound Chesapeake Bay Retriever, had never had a full veterinary exam after her puppy vaccines because she bared her teeth and growled at veterinary team members at every clinic she was taken to. When she was brought to us, we implemented several Fear Free strategies, spending 45 minutes building her trust both outside the clinic and in the exam room. We were able to get her to stand on the lift table and receive vaccinations without being muzzled. On her third visit, we were able to lift her lips and examine her teeth. Now she boards with us routinely and is a big part of our veterinary practice family. Implementing these Fear Free tools has changed Pennie’s life and her owner is now able to better understand and relate to her dog, making it much safer to take her for walks and be groomed.
We love our Fear Free veterinary hospital. At TLC, there are separate areas for cats and dogs. We took our two cats in last week, and the exam room was comfortable, with shelves for the cats to explore. A board listed the names of the technician and veterinarian who would be seeing the cats, so we knew who would be treating them. The technician who went over the intake information was sweet and tender with Lucy and Lilu. An email ahead of time alerted us that a new veterinarian would be seeing the cats. She was calm and handled the cats gently. Both cats were calm throughout the visit—although Lucy didn’t much like having her teeth examined—and when they got home they came out of their carriers calmly and went about their day. Lilu was her regular self and didn’t hide away as she has on some prior visits to other clinics. The clinic called the next day to see how the cats reacted to their vaccines and visit. We feel we have found our new clinic!
reactive. During her first appointment she was quite nervous, but with the help of some peanut butter as a distraction she allowed us to pet her. We decided that that was a win and that Zola would benefit from coming back another time after having gabapentin to help calm her. At her next visit, Zola was visibly more relaxed, and we had a Kong full of peanut butter ready for her. Knowing that Zola did better with minimal restraint we kept her focused on the Kong and were able to do a full exam, vaccinations and a blood draw. Zola’s owners had never seen her so relaxed at the vet and she has since come back willing and happy to see us.
