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Linda Lombardi
Mild cases of noise reactivity in dogs are often not considered problematic enough to treat. However, in a recently published study, even mild noise sensitivity was associated with lower performance on a puzzle test. This suggests that these dogs have impaired functioning even when noise is not present and that more screening and treatment is called for.

Researchers analyzed three types of data collected as part of a larger study of pet dogs. Dogs were evaluated for noise sensitivity via a questionnaire and a score was calculated based on the number of categories of noise that caused a reaction, the behaviors indicative of fear and anxiety that were exhibited, and the intensity of the reaction. Dogs were also tested for noise sensitivity using a custom noise recording that was played starting at a low volume and gradually turned up.

Learning Affected

Dogs were then evaluated for their performance on a puzzle-box test. The clear plastic puzzle box had nine holes on top and one at the end. A tennis ball was rolled into the box and dogs were given five minutes to try to get it out. If they succeeded in under two minutes, they repeated the test, up to three times in total. While attempting the puzzle, the dogs were wearing a device that recorded their movements.

Comparing data from 17 noise-reactive dogs and 11 non-noise-reactive dogs, those who were sensitive to noise performed worse on the puzzle box. Movement recordings also showed a difference, says lead author Karen Overall. “The ones who did the best moved very efficiently and very quickly. Their movements counted. The dogs who reacted to noise and who did more poorly, or could not solve the test, had very jagged and inconsistent movements.”

These dogs did not seem to be able to move in a deliberate, coordinated manner in response to how the ball acted when they tried to manipulate it. “They have to correct their behavior according to the movement of the object that they see,” she says. “These dogs couldn’t do that.”

Some of the noise-reactive dogs did not perform well enough to repeat the test, but when they did, they also differed. “Unlike the dogs who didn’t react to noise, the dogs who did react to noise couldn’t learn from their previous tests and didn’t improve their scores,” she says.

Sound Effects

While it’s understood that being in a state of anxiety interferes with functioning, the results show that being noise-sensitive has more wide-reaching effects. Even in a relatively low-stress situation where noise was not an issue, these dogs showed impaired performance: “The room is quiet, they’re getting food treats, their people are there, but they still can’t learn.”

Overall says it’s important to understand that this was not a clinical population of noise-fearful dogs. “Largely they were fairly mild, and yet they still couldn’t do this,” she says.

They also were not generally fearful, which was screened for. “The dog who was the worst in the test, the only dog for whom we had to turn off the recording, she was the meet-and-greet queen of the universe,” she says. “She was charming and social and lovely until you played noise, and then she was broken.”

“Moderate to severe noise sensitivity in dogs is a well-known behavior problem. A connection between separation anxiety and noise sensitivity has also been recognized before. What has not been appreciated until Dr. Overall and her colleagues published this research is the impact that noise sensitivity has on the general anxiety levels and learning ability of affected dogs,” says Bonnie Beaver, DVM, DACVB, of Texas A&M University. “These changes exist even in mildly affected dogs, impacting their daily lives with ever-present stress.”

Screening and Treatment

Overall concludes that even mild fear of noises needs to be aggressively screened for and treated.

“I think we don’t realize how much these dogs are suffering,” she says. “This shows that you’ve got dogs who are afraid of noises and it’s impairing other parts of their life that people haven’t looked at. It’s impairing their ability to get information from the environment and their ability to problem solve.” This has a broad impact on their social functioning and their fundamental ability to enjoy life.

Overall now believes dogs should be screened for noise reactivity on every vet visit and that it’s particularly critical to screen young dogs. “I want vets to see dogs three or four times a year in the first two years of life, when their brains are developing, and subject them to standard screening tests,” she says.

This is important because early diagnosis and treatment can make a huge difference. “The rodent literature has shown that if you’re anxious and fearful and from a genetically fearful line, and they treat you as a baby, your brain develops normally,” she says. “And what wouldn’t we give for that? There’s too much suffering; I want these dogs to have joy.”

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

Linda Lombardi writes about the animals that share our planet and our homes for magazines including The Bark, websites including National Geographic and Mongabay.com, and for the Associated Press. Her most recent book, co-authored with Deirdre Franklin, is The Pit Bull Life: A Dog Lover’s Companion.
 

 

Rachel Lees RVT, KPA CTP, VTS (Behavior)Muzzle training is an important skill for every dog to have.  Not only can muzzle training help keep veterinary teams safe during examinations and procedures, it can also provide opportunities for person and pet long term.

As humans, we may get stressed, fearful, anxious, or concerned about a situation and lash out aggressively. For us, that situation, if not escalated, may lead to an apology or resolution. But if a dog makes this choice, it can mean a bite, lawsuits, and potentially euthanasia. As veterinary professionals, our job is to enhance the human-animal bond and keep our patients safe, happy, and healthy.  Using and recommending muzzle training can help prevent a bite on your patient’s record and potentially save a dog’s life.

The bad news is that dogs wearing muzzles are viewed as scary. This stigma needs to go because we never know when a pet will be in a situation where a muzzle may be beneficial. Those situations include emergencies such as being hit by a car as well as introductions to new challenges. Muzzles keep dogs safe when in public or around unfamiliar people, animals, and situations.

Using Marker Training and Positive Reinforcement

The best way to teach a patient to enjoy wearing a muzzle is through positive reinforcement:   adding something to the situation to strengthen the likelihood of a behavior. Using this technique, we can teach dogs that muzzles are treat dispensers that make fantastic things happen.

For instance, muzzle training can be taught by using a luring technique in which treats are placed into the back of the muzzle to create a positive experience. This can be helpful, but moving from one step to the other too quickly risks pushing the pet too far and putting on the muzzle before training is complete. This can create fear, stress, and anxiety. Dogs may choose to place their head inside the muzzle for the peanut butter but may not truly understand the behavior they are being reinforced for. The result is that when we begin to place the strap over their head, they may display stress, fear, and panic.

Using marker training allows dogs to make their own choices and learn through shaping.  Shaping is the process of “building” a behavior by successively reinforcing bits or “criteria’ of the behavior that are approximations of the final behavior. The behavior is molded by the communication the trainer gives the pet. In this situation, the communication is the marker.  When the marker (tongue click, clicker, or word “click”) is audible, treats should follow. The pet learns that the last behavior performed during the marker signal earns reinforcement.

This video demonstrates the beginning steps of muzzle training using the shaping technique as described above.  This patient does not have any learning history with a muzzle.

Breaking Down the Criteria of the Muzzle

When using the shaping technique, we must be able to break down the behavior into achievable steps for the patient.  In the demonstration above, if the technician had expected the pet to place his nose inside the basket on the first try, it would have set the dog up for failure and frustration as he might not have received enough communication to learn the end-goal behavior. I typically break muzzle training into three different stages with initial goals to achieve and then break down those steps further.  Here are the broken-down stages and criteria for each:

**The abbreviation C/T = Click then Treat**

  • Stage One: Nose into the Basket with Consistency
    • C/T for pet looking at the muzzle
    • C/T for weight shifting toward the muzzle
    • C/T for nose touching the muzzle
    • C/T for nose touching the opening of the basket of the muzzle
    • C/T for nose touching the inside of the basket
    • C/T for nose placement ½ way into the basket of the muzzle
    • C/T for nose placement into the basket of the muzzle

Video Demonstration:  FF Stage One Muzzle

  • Stage Two: Duration and Strap Introduction
    • C/T for pet holding their nose in the basket for 1 second
    • C/T for pet holding their nose in the basket for 2-3 seconds
    • C/T for pet holding their nose in the basket for 5 seconds
    • Raise strap and C/T for any attempt at nose into the basket (with the strap raised)
    • Raise strap and C/T for holding nose inside of the basket with 3-5 seconds duration (with the strap raised)

Video Demonstration

  • Stage Three: Strap Behavioral Therapy and Wearing the Muzzle
    • C/T for moving the strap ¼ of the way behind the pet’s head (without movement or shying away)
    • C/T for moving the strap 1/2 of the way behind the pet’s head (without movement or shying away)
    • C/T for moving the strap 3/4 of the way behind the pet’s head (without movement or shying away)
    • C/T for moving the strap all the way behind the pet’s head (without movement or shying away)

**Depending on the pet, the strap may need to be tightened to make the fit tight.  Once the pet is comfortable with the strap movement at the largest setting, begin to make the strap hole smaller and smaller over time**

  • C/T for wearing and responding to cued behaviors

Video Demonstration:  FF Stage Three Muzzle & FF FINAL Muzzle Outcome

Utilizing Technicians

It takes time, coaching, and guidance to appropriately teach muzzle training. It’s best to utilize a veterinary technician who has an interest in training. Not only can this create a connection between client, pet, and practice, it can also increase revenue through technician muzzle-training appointments and product sales. The technician can teach this behavior to pets in private appointments or coach and demonstrate the behavior so owners can work with the dog at home.  Regardless, scheduling appointments to check progress is crucial to making the end goal a reality.

Final Thoughts

Muzzle training using a marker gives the patient a choice to engage at their own comfort level.  This also allows us to reinforce behavior at smaller criteria increases and change the way the pet feels about each step along the way. Muzzle training can be a life-saving behavioral investment for your client. They just need to have the right support and recommendations from staff like you!

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, a Level 3 Fear Free Certified Professional, is a veterinary technician specialist in behavior, a KPA certified training partner, and lead veterinary behavior technician at The Behavior Clinic in Olmsted Falls, Ohio. She loves helping people create and maintain a strong human-animal bond.
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Kim Campbell Thornton
It’s not unusual for dogs to be fearful of veterinary visits, but it doesn’t have to be that way. Many dogs have benefited from Fear Free techniques to help them get through what was once a frightening event and even learn to love it. Here are some of their stories.

Kindness Worth Traveling For

I’m a Fear Free trainer, but there are no veterinarians I trust in my town, so I travel an hour to TLC Pet Hospital in Albuquerque and have had the most amazing experiences, thanks to the patience, kindness, and knowledge of the staff there. My dogs are fearful, and one is especially vet-phobic after traumatic experiences elsewhere. Some of his past vet visits have been so anxiety-inducing for him that I also end up in tears. But with gabapentin on board and the Fear Free approach from Dr. Long and Sam the veterinary assistant, my dog was wagging, approaching them, licking their faces, asking for pets, and acting like the brave and social dog he is at home. All of us in the room were floored by the change! At the next checkup he took food from them, did some chin-rest stationing with them, targeted their hands, and showed off his tricks. My own fear, anxiety, and stress levels have been drastically reduced thanks to their dedication to Fear Free vet visits. I’ll continue to do the two-hour round trip because I love having a veterinarian who listens to me and treats me like an adult, and because my dogs’ mental and emotional health is taken as seriously as their physical health at TLC. I am so thankful for their care and commitment to Fear Free vet visits and their overall friendly clinic.

Erica Beckwith, CTC, CBCC-KA, Fear Free Certified Professional, A Matter of Manners Dog Training, Santa Fe, New Mexico

Blood Draw Pugcess

Tater Tot is a Pug who needed a dental cleaning. Since he would be undergoing anesthesia, we required blood work beforehand. Tater Tot was generally friendly, soliciting attention and being food motivated, but when we attempted to occlude his lateral saphenous vein, he stopped eating and attempted to bite the technician holding him. He became distressed and tried to back up, so the technician placed him on the floor, where he again tried to bite her. The owner agreed to bring him in later on some anxiety medication.

Tater Tot came in a second time on gabapentin as well as clonidine. He appeared less excited and fidgety, but still sought attention. We offered him baby food on a disc toy and did his blood draw on the floor instead of the table. He ate throughout as we attempted to collect blood from his lateral saphenous veins. After poking both legs without success, we held him in position for jugular venipuncture, performed some brief desensitization and counterconditioning for that positioning, and successfully drew blood from his jugular vein. He went straight back to the baby food after the blood draw.

Maria Marano, The Ohio State University Veterinary Medical Center, Community Practice, Columbus

Toby Turns Around

I work closely with the veterinary hospitals in my town. The team at Appalachian New River Veterinary Associates (ANRVA) referred Toby to me. Toby was terrified at the veterinary hospital and could not take food, even as a young puppy. I established a rapport with Toby away from the veterinary hospital. I did this using special food and something else Toby loved – play! Toby learned foundation behaviors that gave some predictability to our sessions and helped him feel safe.
The team at ANRVA invited me to work with Toby in the exam rooms during their lunch break. Since Toby already had negative associations at the veterinary hospital, we started those sessions with just Toby’s owners and me. Toby and his owners entered the exam room the first time and surprise – I was there with some extra-special food for Toby (hamburger) and his favorite toy. Toby readily ate the memorable food and played with a toy. He even performed some simple behaviors. We repeated this a couple of times, and by the third time, Toby was excited to get to the exam room. Then we incorporated Dr. Suan Koh into our play and training sessions and, later, Dr. Cathy Kreis. Some of the support staff also got in on the fun.
Toby was successful for many reasons. He had committed owners who took the time to help Toby feel better about his veterinary care. The team at ANRVA is as committed to Toby’s behavioral health as they are to his physical health. They encourage and welcome clients to come in for happy visits with their pets. And, finally, both the owners and veterinary team are committed to positive reinforcement training.

Marge Rogers, CBCC-KA, CPDT-KA, Certified Fear Free Professional, Rewarded Behavior Continues, West Jefferson, North Carolina

A Win for Maxwell

Maxwell is a 7-year-old retriever/hound mix who was rescued from a hoarding situation with more than 100 dogs. Maxwell was the most fearful of them. We don’t know a lot about Maxwell’s day-to-day life while on the hoarder’s property, but volunteers reported that he was kept in a small shed without much social interaction.
Not surprisingly, he was fearful of people and of being touched or handled. The veterinary facility that provided Maxwell’s initial care was unable to examine him or perform any medical or handling procedures unless Maxwell was placed under anesthesia or heavy sedation. Maxwell would shake uncontrollably and withdraw if any person approached him. Unfortunately, during his initial care, some handling interactions were forced on Maxwell to which he responded by “gator-rolling,” snapping, and inflicting a severe bite to one of the vet techs.
After moving to a foster home, Maxwell was taken to see the wonderful Dr. Lynn Honeckman, owner of Veterinary Behavior Solutions and a Level 3 Fear-Free Certified Professional. She diagnosed Maxwell with severe global fear of people and new environments and started him on a course of daily behavior medication in an effort to reduce his anxiety.
Maxwell did not do well in his initial foster homes, so in December 2018 he moved into a new foster home, where he has remained and is doing very well. During his initial visit as well as his behavior rechecks, Dr. Honeckman recommended introducing Maxwell to cooperative care behaviors and made specific recommendations of pre-visit pharmaceuticals to help alleviate Maxwell’s fear during veterinary visits.
Since December 2018, Maxwell has been a client at Loch Haven Veterinary Hospital (one of the lead veterinarians, Dr. Jim Martin, is Fear Free certified and the entire hospital including all technicians follow the Fear Free approach). Since then, every veterinary visit has consecutively been more positive and more stress-free for Maxwell. Prior to his visits, Maxwell receives a combination of gapabentin and Sileo. His appointments are scheduled during times when the hospital is less busy, and the staff ensures we get put into a treatment room right away, where Maxwell is given ample time to acclimate before any staff enter the room. Physical handling is kept to a minimum and all procedures follow the Fear Free approach. One of Maxwell’s many cooperative care behaviors was to comfortably wear a basket muzzle. Although he has shown zero signs of aggression since switching to Loch Haven Veterinary Hospital, Maxwell now happily wears the muzzle for any physical handling in the exam room, which allows everyone to feel comfortable and at ease. Now – almost a year later – Maxwell no longer (or only rarely) shakes when entering the veterinary hospital. He willingly accepts treats while waiting in the exam room and is eager to perform his chin rest behavior while waiting to be seen. As his foster mom, I am overjoyed by Maxwell’s progress, none of which would have been possible without his dedicated veterinarians. Their care, patience, and understanding in using a Fear Free approach has made a world of difference for Maxwell and we could not be more grateful to them.
In his foster home, Maxwell has blossomed into a happy and playful dog who is particularly fond of his canine housemates. New environments will likely always pose challenges for Maxwell, but at home he has found his happy place.

Daniela Ackerman, Orlando, Florida

Want to be featured? Submit your success story here!

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

Kim Campbell Thornton is content manager for Fear Free Pets and is a Level 3 Fear Free Certified Professional. She has been writing about dogs, cats, wildlife, and marine life since 1985.

Course Overview

For humans, nail trims are mundane experiences. But for pets, nail care can cause stress by imposing on their personal space, restricting their freedom to move, and sometimes causing discomfort or even pain.

Successful nail care encompasses more than just being able to physically maintain nails. True success is found in gaining calm participation and trust from the animals you’re working with.

This course will teach you to:

  • View nail care from the pet’s perspective and identify several common causes of FAS
  • Understand the uses, benefits and drawbacks of each common nail trim tool: clippers, nail grinders, nail files, and scratch boards
  • Incorporate the Fear Free concepts of Gentle Control, Considerate Approach and touch gradient into nail care
  • Describe how, and just as importantly, when, to use food distractions, desensitization and classical conditioning, or consider medications to achieve Fear Free nail trims

This one-hour course is open to all professionals who are signed up for a Fear Free certification program and is approved for 1 RACE CE hour and one hour of CEUs from CCPDT, IAABC and KPA

This course consists of four lessons:

  • Lesson 1: Nails, from the Pet’s Perspective
  • Lesson 2: Tools of the Trade
  • Lesson 3: Applying Fear Free Core Concepts to Nail Care
  • Lesson 4: Going Beyond Food Distractions
Kim Campbell Thornton
Reducing fear, anxiety, and stress during visits and procedures takes time, teamwork, and sometimes a little experimentation. Here are three success stories shared by a veterinarian, trainer, and owner.

Tyson’s Turnaround

Tyson is a 12-year-old Schnauzer mix who first came to us last year for a wellness visit. The owner told us that his previous clinic had to muzzle him, and he was handled somewhat roughly. She wanted to get away from that. On his first visit we just got a feel for his comfort level. He barked and growled at us in the room but took treats willingly. He allowed an otoscopic exam but was tense, and when the stethoscope was introduced, he actively tried to bite. Approaching him with a muzzle sent him into a panic. We sent some Trazodone home with him that day for future visits and discussed doing a set of behavioral visits to help desensitize him to handling and instruments.
Tyson returned five months later for scheduled vaccinations. With Trazodone on board he was still on edge but performed tricks for us and approached us for treats. He allowed me to auscult him while he had treats to eat. This was great progress! We still decided to sedate for the remainder of his procedures to avoid backtracking on his progress.
Over the course of the next year Tyson’s owner took her own Fear Free steps at home, buying her own grooming table and clipping him herself. She was patient with him and even learned to Dremel his nails.
When it was nearly time for Tyson’s annual exam she set up behavioral sessions with us, so we could work on desensitization. We discovered Trazodone made him a little grumpy at home, so we switched to gabapentin, which worked well for him. On his first behavioral visit the difference was obvious. He came right up to staff for treats, did all of his tricks, and allowed us to touch him everywhere. We could feel his belly, touch his ears and legs, and look in his mouth. We started doing mock injections with a capped needle with no reaction. The only thing that still triggered him was obvious restraint.
For his annual wellness visit, Tyson allowed a full exam. We applied topical lidocaine at his injection sites and where we planned to draw blood for a heartworm test. We put a donut collar on Tyson prior to his vaccines as a precaution, and asked the owner to hold his harness to keep him steady (he was really into the treats and a bit wiggly). He did not react to his vaccinations and even held still long enough for us to get a blood draw from his back leg.
Tyson made a huge turnaround, and I think the owner’s willingness to do her part played a big role. It has been great to see the difference Fear Free techniques have made!

Susan Sappington, DVM, Rock Bridge Animal Hospital, Columbia, Missouri

 

 

Elke’s Excellent Experience

Elke had her annual veterinary checkup yesterday, and by doing some simple things we were able to make her visit less stressful and even a bit enjoyable. Our veterinarian is part of a Fear Free practice (Thank you, Animal Hospital of North Asheville) and embraces a cooperative care approach that allows animals to have choices and dictate the pace at which we move through the visit.

In the photo, you see that there is a comfortable mat for Elke to use. Having a soft spot to rest on is so much nicer for dogs than just having the cold, hard floor. She was a bit nervous, so we created a treat search for her by hiding treats in the blanket and Kong. It is one of her favorite things to do, and sniffing is an activity that we know helps calm dogs. During the actual exam, all of us (veterinarian, veterinary technician, and myself) gave her treats each time a new body part was examined. While Elke does not love going to the veterinarian’s office, with cooperative care and the Fear Free method she was able to relax and have a calm visit.

Joann Rechtine, CPDT-KA, MS, MPH, RN, The Loose Leash Academy, Black Mountain, North Carolina

Roger’s Routine

We were beside ourselves on how to handle taking Roger to the vet. We put him through basic obedience and advanced obedience classes twice to learn manners and how to act appropriately. He has done great in our home and in our families’ homes as we know how to handle his anxiety. In our vet’s office, though, Roger would go crazy as his anxiety shot through the roof from all the smells and people. Thanks to the Fear Free program and team at Frey Pet Hospital, Roger can feel safer and happier going to the vet now. We are thankful for Fear Free Way!

Nicole Schroeder, Cedar Rapids, Iowa

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

Kim Campbell Thornton is content manager for Fear Free Pets and is a Level 3 Fear Free Certified Professional. She has been writing about dogs, cats, wildlife, and marine life since 1985.
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Kim Campbell Thornton
For Fear Free Certified veterinary professionals, job one is reducing fear, anxiety, and stress during visits and procedures. Here are three successful approaches to making the veterinary clinic a safe and happy space for pets!

Slaying Fiona’s Fear

When Fiona first came to us at Gamble Pet Clinic, an examination without a fearful reaction from her was impossible. An attack by another dog at a young age had caused her to be anxious and nervous ever since. She had been muzzled at every veterinary clinic since her attack until coming to Gamble Pet Clinic. She was fearful initially, trying to nip at the doctor and staff when they attempted to examine her.

We began working with Fiona in an Elizabethan collar. When a pet is appropriately acclimated to it, an Elizabethan collar can be a great alternative to a muzzle because it allows the dog’s head, nose, and mouth to move naturally and easily while providing a barrier that keeps the patient and staff safe and comfortable. If used appropriately and only in a positive manner from the start, it can be a great tool for Fear Free work on anxious or stressed patients like Fiona. In this way, Dr. Gamble is able to examine Fiona while she is distracted by treats like cheese and pretzel sticks. Both Dr. Gamble and Samantha, her assistant, are Fear Free Certified, making the whole process go smoothly.

Fiona’s Fear Free journey continued with regular Victory Visits to the clinic where everyone worked slowly and calmly with her to get her used to the environment and build her trust. Gradually, her anxiety about coming to the clinic decreased and she started to see it as a positive experience, looking forward to the treats and trusting the doctor enough to begin letting her touch and examine her. Every time she comes in, we use Fear Free techniques that build on the foundation we have laid. Fiona is still working on her Fear Free process and we are working to gain her full trust. We are so proud of the amazing strides she has made with us so far in the Fear Free setting!

Emily Andrade, CVA, Fear Free Level 3 Certified, Gamble Pet Clinic, Fort Collins, Colorado

 

Networking News

I took the Fear Free course. It was interesting and useful. I’m now working with two local veterinary offices who found me through the Fear Free website.

Getting the Fear Free certificate increased business this year more than any other marketing I’ve done. It seems that more veterinarians in my area are implementing Fear Free concepts in their practices and seeking trainers to partner with.

Delores Carter, MA, KPA CTP, UW-AAB, The Learning Dog Academy, Brighton, Michigan

A Blood Draw for Sal

Sal was brought to us to establish why he had been having chronic vomiting and diarrhea. When I approached him in the lobby, he immediately pinned his ears and retreated under the couch. We brought him into an exam room, and he warmed up a bit but was still wary. Mom and Dad mentioned that in the past at other clinics he was taken to “the back” for vaccines and they could hear him vocalizing from the exam room.

We needed to sedate him to further work up his history of vomiting and diarrhea. Since this would take a while, Mom and Dad went out for lunch and we kept Sal in our treatment area, where he became noticeably more anxious with the absence of his family. We used desensitization and counterconditioning techniques with small pieces of Braunschweiger and he eventually did not even notice when he was being touched along his epaxial muscles. He did not vocalize or notice whatsoever when we gave him his IM sedation. His abdominal ultrasound was normal, which was great for him but meant that we needed to further work up his symptoms. The veterinarian on the case recommended that he come in for an ACTH stimulation test.

The technician working with him mentioned that we needed to provide Sal with some pre-visit medications so it would be less stressful for him. This specific test measures cortisol and if Sal was stressed it could affect the test results. The veterinarian consulted our behavior department about what medications he could come in on that would not affect the test results.

Because Sal vomited during a trial of Trazodone at home, he came in on gabapentin alone. Because this didn’t go well, we called it a day and decided to attempt a different medication combination. The next time Sal received gabapentin, Trazodone, and Cerenia 30 minutes prior to the appointment time. This time when we entered the room, Sal was significantly sleepier and more relaxed. We offered him chicken baby food and he loved it. We placed him on the table, Mom and Dad talked to him and fed him while one technician occluded his vein, and the other technician performed the blood draw and administered the medication. Sal ate chicken baby food throughout the entire process. Then Mom and Dad waited patiently in the exam room with Sal until it was time to draw the 1-hour post sample. We repeated the same process. Sal was a rock star and ate throughout the blood draw. Now we have a set protocol for when he comes in for workups or annual visits, and he stays with mom and dad for any procedure possible.

Maria Marano, RVT, Fear Free Certified, Community Practice, The Ohio State University Veterinary Medical Center, Columbus, Ohio

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

Kim Campbell Thornton is content manager for Fear Free Pets and is a Level 3 Fear Free Certified Professional. She has been writing about dogs, cats, wildlife, and marine life since 1985.

Course Overview

Inadequate pain control can damage the human-animal bond and impede an animal’s ability to maintain normal function and to recover from injury or illness. This module will focus on the fundamentals in measurement and the scaling and scoring of pain, so that we can more effectively treat patients’ pain and suffering.

This course, approved for 1 RACE CE hour, was written by Dr. Ralph Harvey, DVM, MS, DACVA, UTCVM.

This course consists of five lessons:

  • Lesson 1: Pain as a Vital Sign
  • Lesson 2: Behavioral Signs of Pain
  • Lesson 3: Scales and Scoring of Acute Pain
  • Lesson 4: Evaluating Chronic Pain
  • Lesson 5: Case Examples

This course is endorsed by the International Veterinary Academy of Pain Management.

 

 

Course Overview

There are lots of ways to make visits Fear Free when there is time for you and the client to discuss the animal’s FAS, add pre-visit pharmaceuticals, take your time, and even postpone non-essential procedures. But, what about in an emergency or critical care situation? Even though the procedures are not elective, there are still things you can do to help ease patients’ FAS.

This course, approved for 1 RACE CE hour, was written by Kenichiro Yagi, MS, RVT, VTS (ECC, SAIM)

There are four lessons in this course.

Lesson 1: Challenges in Emergency and Critical Care
Lesson 2: Why is Fear Free Important for ECC Patients?
Lesson 3: Solutions for Patients in the Emergency Room
Lesson 4: Solutions for Patients in Critical Care

Course Overview

This course will discuss chronic pain, its causes, and its impact on animals’ wellbeing. It will include case studies, as well as a discussion of alternative and complementary treatment.

This course, approved for 1 RACE CE hour, was written by Dr. Michael Petty, DVM, CVPP, CVMA, CCRT, CAAPM.

There are six lessons in this course.

Lesson 1: Review of Causes of Chronic Pain
Lesson 2: A Brief Discussion of Acute vs. Chronic Pain
Lesson 3: Measuring Chronic Pain
Lesson 4: Effects of Chronic Pain
Lesson 5: Pain Cases
Lesson 6: Alternative and Complementary Treatments

This course is endorsed by the International Veterinary Academy of Pain Management.

Course Overview

This course provides specific protocols for treating patients experiencing a variety of acute pain conditions, including various surgeries, trauma, dentistry, and more. We will look at several case examples typical of what you might encounter in daily practice.

This course, approved for 1 RACE CE hour, was written by Dr. Tamara Grubb, DVM, PhD, Diplomate ACVAA.

There are three lessons in this course.

Lesson 1: Designing Analgesic Protocols: Importance and Strategies
Lesson 2: Analgesic Protocols for Elective Soft-Tissue Surgery and Dentistry
Lesson 3: Analgesic Protocols for Urgent Soft Tissue and Orthopedic Surgery, Trauma and Medical Conditions

This course is endorsed by the International Veterinary Academy of Pain Management.