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Mikkel Becker

Fear Free is a concept that benefits both animals and the people working with them. This is especially evident when the animal being cared for is of tremendous size and strength, such as the pig patients of Fear Free certified professional Dr. Alicia McLaughlin at The Center for Bird and Exotic Animal Medicine near Seattle, Washington.

“When pigs are stressed, they communicate their stress very clearly, both vocally and with their body language, which can be very upsetting for their family and veterinary staff. When pigs are less stressed, their families are more relaxed, and their veterinarian is able to provide better quality medical care,” says McLaughlin.

Handle With Care

Coercive handling causes increased tension for everyone. Forced handling is also likely to create fear memories and aversions that make the pig more challenging to work with and create a greater safety risk for both pig and people.

“Pigs are very touchy about their bodies. Many don’t like being touched unless they are being scratched in certain areas. If they feel that any handling attempts are coercive, they’re likely to react strongly and negatively,” says McLaughlin. “Most pigs have an extreme dislike for restraint, having their facial area handled, or being picked up. Forcing a pig to remain still with restraint even momentarily for sedation can cause tension for everyone. Many will vocalize in distress when this handling occurs; with squeal decibels rivaling those made by a fighter jet.”

Most pigs who come in are open to the veterinary experience if the staff interacts in a way that signals they are friendly, not threatening. Encouraging the pig’s willing participation during care using treat rewards, setting a soothing care environment, and using calming aids are all approaches resulting in less stress and greater success.

Reading Porcine Body Language

Rewards and food aren’t the only things that work to keep pigs calm during Fear Free care. Carefully observing the pig’s body language for signs of fear, anxiety, and stress (FAS) throughout care is also key for keeping the pig in a calmer, more amenable state and for keeping both pig and humans safe in the process.

Signs of FAS in pigs include muscles tensing, shying away, lowering the head, moving into a corner, or finding security by moving their body next to a wall. In some cases, FAS may be subtle, with one potential indicator being the pig coming up to take treats, but then retreating to a safe distance immediately after the interaction. Loud squeals and excessive vocalizations are audible signs of a pig’s distress.

When in a state of FAS, pigs will attempt to avoid the situation and move away or hide. If pushed, though, pigs on rare occasions may try to bite. Biting is rare, a last-ditch escape effort from pigs who are responding to the situation as if they’re going to die.

Sedation Can Help

It’s far better to note early signs of FAS and make ongoing adjustments to keep the pig calm than it is to risk escalation and the creation of fearful memories of the experience. Sedation isn’t a last resort for pig care, but a protective practice used early and often when it comes to reducing the FAS pigs experience. In many cases, full sedation is recommended to eliminate the distress and ensuing struggle that could otherwise occur if the pig becomes upset. But before jumping immediately to sedation, Dr. McLaughlin is careful to make the sedation itself as non-stressful and Fear Free as possible.

Sedating a pig can be tricky, especially since most pigs are averse to having their faces touched or to being held in place even momentarily. It’s important to Dr. McLaughlin to keep sedation minimally stressful. Oral pre-sedation medication, such as Valium that’s ground up and placed on food, can take the edge off before sedation. With pre-sedation medication on board, the pig is often calm enough to tolerate minimal restraint while a gas mask is placed over the face. No more than a minute later, the pig is out and ready to be cared for.

 “Time pressures can result in handling and care being more coercive than we want it to be. There is something to getting it done quick and dirty. But there are long-term effects that go with that and it’s not my preference to do that,” says Dr. McLaughlin.

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

Mikkel Becker, CBCC-KA, CPDT-KA, KPA CTP, CDBC, CTC, is lead animal trainer for Fear Free Pets. She is a certified behavior consultant and trainer who specializes in reward-based training that’s partnered closely with the pet’s veterinary team. Mikkel is coauthor of six books, including From Fearful to Fear Free.

 

We can’t be a Fear Free Certified Practice because…How many times have you thought this?

We don’t like to be negative, but, well, you’re wrong. Here are the top 10 myths about the difficulty of earning Fear Free Practice Certification and what you might be surprised to learn about getting your practice certified.

  1. We don’t have separate cat and dog entrances.

Species-specific entrances are not required. If you have them, that is great! There is an optional standard for which you will score points for having them, but they are not a requirement.

  1. We don’t have a designated cat room.

A designated cat room is a plus, but it’s not a must. You can earn points for having one, but you won’t lose points for not having one.

  1. We can’t afford to pay for everyone’s memberships on top of Practice Certification.

Once a practice is certified, you pay only the annual Practice Certification dues; you no longer pay for individual members.

  1. We have to repaint the practice in Fear Free colors.

We don’t expect you to! If you are already planning to refresh the practice, it makes sense to pick some Fear Free colors, but it’s not a requirement.

  1. We are a Fear Free Practice already; every team member is certified.

Congratulations on getting everyone certified! However, to be an official Fear Free Certified Practice, you must complete the Practice Certification process. Chances are you will save money!

  1. Not everyone in the practice is Fear Free Certified.

To be eligible for Practice Certification, only 25 percent of your staff must be Fear Free CertifiedÒ with an active membership.

  1. The standards aren’t available to review prior to applying.

Members can download and begin implementing the Standards and Supporting Examples at any time.

  1. We don’t have room for separate dog and cat waiting areas.

Separate waiting areas are not required, though visual blocks are encouraged if clients and patients are unable to wait outside or be moved straight into an exam room.

  1. Our scrubs aren’t in “Fear Free-approved” colors.

Team members of Fear Free Certified Practices are not required to wear any specific-colored scrubs or lab coats.

  1. The process is too difficult.

Practice Certification is a commitment, but it is worth it.

For more information, learn more at fearfreepets.com/practice-certification.

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

 

Taking Fear Out of the Veterinary Visit for Pets and Owners

If we want to do what is best for the pet when they are in for a preventive care visit (run diagnostics) and what is best when they are sick and injured (early presentation, diagnostics before therapy) then we need to see the patient! In this webinar, Dr. Peter Brown discusses how creating a Fear Free environment will help you communicate with your clients.

Dr. Brown also covers:

* Home tips and tricks on preparing clients for what to expect and decreasing the fear of the unknown
* Tools and process changes that will improve in-hospital client communications
* Simple and easy ways to integrate technology into the client journey, enhancing their experience

Sponsored by IDEXX.

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Six Client Tips for Puppy Socialization

Veterinarians often recommend that new puppy owners actively socialize their puppy during the sensitive socialization period. Well-intentioned pet parents may take that general guidance and inadvertently create, not prevent, problems. In this webinar, Jacqueline Neilson, DVM, DACVB, demonstrates how sharing six socialization principles will allow veterinary staff to help owners make wise choices for socialization that promote the pups’ emotional and physical wellbeing.

Sponsored by Elanco.

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Kim Campbell Thornton
For humans, overcoming fear, or at least learning to deal with it, takes time and practice. That’s even more true for pets, because we can’t communicate that veterinary exams and procedures will help them to feel better or stay healthy. Fortunately, Fear Free techniques can help to send the message to pets that they don’t need to be afraid, and Fear Free education can help humans better understand their animals’ fears and needs.

Happy Hunter

Hunter, a 2-year-old mixed breed, enjoys looking out the windows in the lobby of our clinic. By starting his visit there, asking his mom questions and listening to his heart and lungs, we can make sure he is comfortable enough to continue his exam in the exam room. But it was a different story when he first came in almost two years ago. Because of a previous frightening experience at another clinic, he was wary of us and the handling and procedures being done. He would bare his teeth, growl, and even try to nip at Dr. Gamble’s hands when she tried to touch him. Through consistent Victory Visits, pre-visit training and medications, and desensitization to areas where vaccines and other needle pokes are typically given, we are now able to provide him and his owner with a comfortable and rewarding experience every time he is in. Now he sits patiently and lets Dr. Gamble examine him—with the help of some cheese and marshmallows, not to mention smears of his favorite treats, peanut butter and canned food. During Hunter’s victory visits, we commonly work on the desensitization process without actually following through with an injection. “Happy visits, along with some training classes and behavior work on our part, have made a world of difference to Hunter,” writes his owner, Beth. “Hunter is now excited to see Emily, Heather, Dr. Gamble, and many other staff members as soon as he walks through the front door. He is a much happier dog at the vet thanks to Gamble Pet Clinic’s Fear Free work.”

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

 

Fear Free Education Win

Recently, there was an event called Woof Fest held during a downtown pub crawl. Our clinic sponsored “Dog Trivia,” and I focused the questions on a pet’s emotional health, such as “Is this dog’s body language calm or stressed?” and “A dog wagging their tail is always happy. True or False?” Hundreds of people played our trivia game, and it was such a rewarding experience to educate the public on the topic.

Natalie Gruchow, CVPM, Animal Health Clinic, Fargo, North Dakota

Sammy’s Success

Sammy had grown up in a hoarding situation and was fearful at the time of his adoption. Unless he was sedated, the six-year-old dog would bark and lunge or even eliminate from fear during veterinary visits. A prescription for an SSRI helped and the team tried additional medications at different doses, but Sammy would push through the medications and continue to show fear aggression. At first, he was unable to generalize that humans weren’t scary, so it was important for him to see the same person at the hospital on each visit. That wasn’t easy, but eventually the right person came along who was able to take the time and effort for Sammy to become comfortable. It took six months of Victory Visits spent eating chicken, practicing chin rests and lying on his side, and undergoing desensitization to having his leg shaved, the scent of alcohol, application of a topical product for numbness, and the pretend poke of a needle, but in July Sammy underwent his first successful blood draw. Now we are routinely doing happy visits to keep the momentum going.

Beth Friedman, Canine Companion Consulting, Fort Collins, Colorado

Down Under Wonder

Bruno is a goofy 8-year-old Bull Arab Cross (a type of Australian working dog). He has always been very friendly at the vet, but once pats stopped and the examination started, he would become suspicious and communicate his discomfort with aggressive behavior. Fortunately, Bruno’s owner has been committed to training. They had private training sessions and attended a Ready, Vet, Go! course. As part of Bruno’s training we incorporated a lot of owner education on subtle body language changes, as well as start and stop cues for Bruno. Bruno was trained with a sustained chin target, using a towel on a chair, as his start cue, meaning “I’m ready for procedure.” If he lifted his head, we immediately stopped the procedure. Bruno was also trained to be comfortable with a Baskerville Ultra Muzzle. We spent time teaching Bruno specific body parts such as tail, ear, and scruff, so that he knew what was about to happen. Over time we were able to pair several good vet clinic experiences (training on a Sunday in clinic) with lots of his fave foods, body scratches, and games. We also introduced veterinary equipment, including syringes, blunt needle, alcohol swabs, and stethoscope. When we weren’t actively training, he was taught a default “chill” behavior and rewarded for relaxed head, tail, and big breaths. He had several socialization visits at the vet, and when he required surgery for a lump removal we did  practice runs with pre-visit medication to see what would work best for him. A planned course of action on admission saw him anesthetized as soon as possible to limit buildup of anxiety. Since then Bruno has had further training sessions and socializing vet visits. Recently he had his vaccinations and we were able to give his injection without any restraint by utilizing his muzzle and target training. Bruno is a great example of what teamwork can achieve when you have a committed owner and a Fear Free-trained vet and trainer, not to mention a goofy, food-motivated dog!

Jacqui Johnston, Holland Park and Carina Vet Clinics and Trish Allan, All Pets Education and Training, Brisbane, Australia

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.

Our Practice Became Fear Free Certified, So Can Yours!

In this webinar, Monique Feyrecilde, BA, LVT, VTS (Behavior), will tell the story of her hospital’s journey through Practice Certification from start to finish. Learn where to start, how to create an SOP and referral community, what to expect during your onsite visit, and more.

Sponsored by Virox.

Sight Serenity: Considerations for a Tranquil Visual Experience

In this final webinar of a three-part series, Jacqueline Neilson, DVM, DACVB, reviews how cats and dogs have different visual experiences than humans do in the same environment. She explains why ignoring those differences can often trigger fear, anxiety, and stress in our patient population. By understanding their perspective, we can provide a more tranquil visual experience for our patients during veterinary visits and thereby improve their overall emotional experience.

Sponsored by Elanco.

Rachel Lees RVT, KPA CTP, VTS (Behavior)

A variety of animal training programs appear on cable and streaming networks. Some of the concepts depicted in these programs are appropriate for veterinary behavior cases and some are questionable. This article is not written to insult any of these programs, trainers, or networks but instead to discuss the learning theory and training philosophies demonstrated and review why veterinary behavior professionals are using alternative protocols.

Whether you are a veterinary team member working in general practice or are interested in behavior, it is important to recommend the most Fear Free and up-to-date information for patients and clients. Giving outdated information can potentially damage the human-animal bond between client and patient, potentially ending with the patient being rehomed or in some cases euthanized.

Punishment: May the Odds Be in Your Favor

Punishment is a technique used to weaken a behavior. For a stimulus to be “punishing,” the learner must find that stimulus aversive or undesirable enough to eliminate the behavior.  Punishment is difficult to use properly and does not teach the learner to perform the correct behavior. Most important, using punishment can be a liability for veterinary professionals recommending this technique because it can put the safety of the owners and pets at risk.

The American Veterinary Society of Animal Behavior’s position statement on punishment reviews the many side effects of using this training method. Using remote punishment collars as well as choke and prong collars can cause physical damage such as damage to the skin, neck, and trachea area, an increase in intraocular pressure, upper airway obstruction, and nerve damage. For punishment to be effective, it must provoke a fear response from the learner, which can unfortunately be generalized to other stimuli in the learning environment.  Consequently, this can make the animal become more fearful, anxious, and stressed in these contexts and situations.

Take the owner who is walking down the street with a 7-month-old Labrador Retriever puppy. The puppy shows a loose posture, wide tail wag, and becomes excitable on seeing people, sometimes jumping. For the owner, the dog’s jumping is undesirable. The trainer suggests using a remote “shock” collar for this issue. The owner is coached to shock the puppy for any jumping when interacting with people. The handler may be specifically punishing the pet for one behavior (jumping), but the puppy may begin to be concerned when people approach him because when this occurs, he receives a shock.

In the above example, the puppy may begin to show fear, anxiety, or stress with the approach of unfamiliar people. Using punishment, there is a risk that the learner (puppy) will associate the punishment (shock) with people approaching instead of the punishment (shock) being associated with the unwanted behavior (jumping on people).

Punishment needs to occur within 0.5 seconds of the start of the undesirable behavior. Therefore, the puppy would have to be shocked the moment his shoulders start to lower in anticipation of jumping to associate the punishment with the jumping behavior. Even with perfect timing, there is still a risk that the puppy may not associate the punishment with jumping.

Punishment Fails

Punishment can work to eliminate unwanted behaviors. The challenge is that it does not eliminate the motivation or give the learner a more appropriate behavior to perform.

In another instance, an owner was coached to use a remote collar to eliminate growling and aggression toward family members. If a family member approached the dog while he was eating a coveted bone and the dog growled, the family member was to correct the dog immediately with a shock. The growling behavior may be reduced, but it does not change the anxiety and concern related to the bone. The owners have now given the dog information that the approach of the owner is associated with a shock, which can increase the pet’s anxiety, fear, and stress. Long term, the pet may suddenly display with aggression but give only limited warning signs because the signals were suppressed with the remote collar. The animal was, in effect, told not to give this information. This makes this specific patient more dangerous and could put the family at greater risk.

In the above situation, the growling behavior is not a desirable response, but to the dog it was probably completely appropriate; he communicated his anxiety regarding the owner’s approach.  Using punishment made that specific pet more dangerous. Avoiding these situations and confrontations are the first step in addressing this issue. A veterinary behaviorist may recommend specific behavior modification to change the way the pet feels during this interaction.

Veterinary behaviorists recommend that animal training should focus on setting up the environment, so the pet is more likely to perform desired behaviors, reinforcing desired behaviors, removing the reinforcer for undesirable behaviors, and addressing the emotional state of the learner. The use of punishment can slow learning, suppress behavior, increase fear and fear-based aggression, create damaging and unintended associations with owners and other environmental stimuli, and damage the human-animal bond.

Even though these techniques may be seen on TV, remember that you are the veterinary professional and your clients value your opinion and recommendations. Giving them the most up-to-date information regarding behavioral training can be lifesaving. Observe training classes that you may recommend to confirm that they use recommended Fear Free techniques. For more information, see resources from AVSAB on “Finding a Trainer” as well as the “Position Statement on Use of Punishment.” The Fear Free Level 3 course for professionals provides the tools to address typical dog and cat behaviors using Fear Free methods.

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.

Canine Allergic Dermatitis: Creating a Higher Quality of Life for Everyone Involved

What better way to decrease stress than by increasing quality of life? In this webinar, Dana Liska, DVM, DACVD, expands the discussion surrounding canine allergic dermatitis and the stress chronic disease causes for dogs and for owners and veterinarians caring for them. She looks at data supporting an improved quality of life for everyone involved in the veterinarian-client-patient relationship.

Sponsored by Zoetis Petcare.