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Healthy Practice, Healthy People

Studies show that workplaces with fully engaged employees are more productive, more profitable, can change and adapt more quickly, and have lower attrition rates. A healthy culture is good for business and enhances employee satisfaction and morale. Veterinary professionals play essential leadership roles in the intentional development of a culture that determines the success of the practice.

Presented by Laurie Fonken, Ph.D., LPC, this webinar will help you:

  • Define the terms “culture” and “organizational culture”
  • Identify parts of your culture that are by default and by design
  • Know the difference between implicit and explicit elements of culture
  • Leave with one idea to take back to your practice

Fear Free Certified Practices & TeleTails

Fear Free has partnered with TeleTails, a digital vet care platform, to provide Fear Free Certified Practices with an exclusive offer!

Please join Dr. Hilary Jones and Clay Bartlett to learn more about all TeleTails has to offer: simple and secure live video, messaging, and payment capabilities for pet owners to engage with their veterinarians digitally.

Already a TeleTail’s user, Dr. Michele Forbes, owner of Fear Free Certified Practice Compassionate Care Animal Hospital in Ann Arbor, MI, will share her best practices and discuss case examples.

Now You’re Here, Now You’re Not: Preparing Your Pet for Yet Another Change

First our pets had to get used to their humans being around more than usual as people sheltered in place. For many pets, this was a positive change, but even positive changes can be stressful. They’ll face upheaval again when pandemic precautions relax and people go back to their normal routines. In this webinar, Valarie V. Tynes, DVM, DACVB, DACAW, will help you determine which patients may be at an elevated risk of increased anxiety and stress due to changes in routine, and offer practical, straightforward tips that you can share with your clients for preparing these pets for a return to “normal.”

Brought to you by Ceva.

Heather E. Lewis
While the best place for a dog or a cat is a loving home, a shelter can be a lot less stressful if the design considers the social, physical, and physiological needs of each animal. One important topic for creating Fear Free spaces in a shelter is lighting. Below are some practical ideas every shelter can incorporate:

  • Sunlight Is Best. No matter what we do with artificial lighting, we cannot replace the benefits of natural sunlight. Regardless of the age and quality of your shelter, it’s possible to find ways for the pets to experience daylight. For dogs, outside play time or walks will make a positive difference for behavior and well-being. A catio can be a great addition for adoptable cats; they will enjoy sunbathing and exploring a safe outdoor environment. Even if your shelter is extremely limited, look for ways to add a glass door or a tube skylight to let in natural light. Daylight benefits:
    • Reinforces natural circadian rhythms.
    • Improves staff and volunteer productivity and mood.
    • Natural UV disinfection for spaces receiving direct sunlight.
    • Energy savings for spaces that do not need to rely on much artificial lighting.
    • Creates an environment that feels more natural.
  • Replace Fluorescent Fixtures with LED. If you’re building a new shelter, this is required by energy codes, but many people do not know to replace older fluorescent lighting in their current shelters. Fluorescent fixtures buzz and flicker, and these disturbances are more obvious to dogs and cats than to people because of the way pets see and hear. Properly designed LED lighting converts alternating current to direct current at the fixture, which eliminates buzzing and flickering. As a bonus, LED fixtures use far less energy than fluorescent ones, so lighting replacement projects pay for themselves quickly.
  • Go Dimmable. LED lighting fixtures are easy to specify with dimming controls. This is a wonderful feature as it allows shelter staff to brightly light spaces when they are being cleaned or during adoption hours, but to turn down the lights during quieter times so dogs and cats can rest more easily throughout the day.
  • Keep It Dark at Night. If it is necessary to keep a light on at night for staff safety, specify a fixture that emits red light. Because dogs and cats do not see colors on the red end of the human visible spectrum, a red light creates a darker space for pets at night, allowing them to sleep normally in the shelter.
  • Use Cool Color Temperatures. Lighting can be designed to balance beautifully with natural daylight. Fixtures that are color balanced but tuned toward cooler color “temperatures” will feel more like daylight. We specify fixtures that emit light in the 3500 – 4000 Kelvin range. These are cool but not so cold as to feel institutional. The goal is for spaces to feel clean and crisp! Be careful to specify all fixtures in a similar color temperature so they blend well together.
  • Light Adoptable Animals Well. While we like animals to rest well during non-adoption hours, we also want them to leave the shelter quickly and go to their forever homes. Adoption spaces should be lit more brightly than circulation areas where people are viewing, so the animals show well and gain the attention of potential adopters.

A good lighting design can help reduce fear, stress, and anxiety in a shelter setting and can help the pets go home more quickly. It is well worth the investment!

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

Heather E. Lewis, AIA, NCARB, is a principal of Animal Arts, an architectural firm that has exclusively designed animal care facilities, including veterinary hospitals and animal shelters, for more than three decades.  She has worked on dozens of projects across the country, both large and small in her 19 years with the firm.  Heather is a member of the Fear Free℠ Advisory Board and assisted in creating the Fear Free facility standards for veterinary hospitals.  Heather is a regular contributor to various veterinary industry magazines.  She has spoken on the design of facilities for the care of animals at dozens of national and regional conferences including Fetch Hospital Design Conferences, the UC Davis Low Stress Animal Handling Conference, and the Humane Society of the United States Animal Care Expo.
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Cultivating Healthy Resilience

Presented by Laurie Fonken, Ph.D., LPC, this webinar will define Compassion Fatigue and Moral Distress and acknowledge the impact they have on the professional and personal wellbeing of practitioners. We will then look at some key elements necessary to develop a healthy level of resilience, self-compassion, and self-care.

Rachel Lees, RVT, KPA CTP, VTS (Behavior)Cats are often considered a more independent, self-sufficient species compared to dogs, largely because they do not need humans to take them outside to eliminate. Most cats successfully learn to eliminate in the home by going to a litter box.

Nonetheless, feline elimination issues are one of the biggest behavioral problems clients bring to veterinarians. Often, the problem develops because human preferences regarding litter box location and type don’t match up with the desires of their feline companions.

As veterinary professionals, we must feel comfortable teaching clients what their cat wants from an elimination station. This article will review cat preferences regarding desirable locations, litter box styles, litter types, and more. This information can not only help the cat who is eliminating outside the box but can also help new kitten owners be successful from the start in setting up their new cat’s environment.

Litter Box Design and Location

Place litter boxes in safe, low-traffic areas but right off a high traffic area, so it is easily accessible. Keep them away from loud appliances such as washers and dryers, furnaces, dishwashers, air conditioners, or toilets. All these items have the potential to frighten the cat with unexpected sounds, interrupting the normal elimination pattern.  An example of a safe, quiet location is a spare bedroom or bathroom that is rarely entered.

Many commercial products also offer “hidden” locations where cats can eliminate, disguised as planters or side tables, for instance. Although this hides the litter box from the human, it may also place it in a higher traffic location. Keep this in mind when giving recommendations on litter box placement.  Everyone prefers privacy for elimination, even cats.

Litter box design preferences differ from cat to cat and human to human. Most cats prefer an open litter box. Most cat owners prefer a covered litter box. Covered litter boxes may trap odors and make the human environment smell better but for those reasons they may not be as desirable for the cat. If boxes are not cleaned regularly, the odor may be aversive to them.

Most commercial open litter boxes are too small for the average cat. The size of the litter box should be one and a half times the length of the cat’s body. Most veterinary behavior teams recommend using storage containers, Tupperware bins, dog litter boxes, or cement mixing pans.  It is also important to find out if litter box sides are low enough for the cat to jump in without injury or pain. Using a litter box that cleans itself is typically not recommended as the sounds and machinery can scare the cat.

Litter Preferences

Many different types of litters are on the market: scented, unscented, clumping, non-clumping, wheat, newspaper, sawdust, pine, and more. A study by veterinary behaviorist Jacqueline C. Neilson DVM, DACVB, found that cats generally prefer unscented clumping litter beneath their paws. And although scented litters may be more desirable to humans, cats often disdain them.  Cats are far more sensitive to odors than humans. Keep in mind as well that crystal-like litter can feel unpleasant to sensitive paws. When the cat eliminates the crystals can “pop,” causing a startling sound. Recommend giving cats the most preferable substrate—a plain, unscented litter—to set them up for success.

Since Flushing Isn’t an Option: Cleaning Tips

Litter boxes should be scooped once or twice daily. Cats prefer a clean location to eliminate.  When boxes are not cleaned at least once daily, this can cause an aversion as the cat may not want to step and eliminate in a litter box filled with yesterday’s urine clumps and stool piles.  Most humans would not desire this either.

To make boxes as attractive as possible, they should be emptied, cleaned with a mild, unscented detergent, and refilled with fresh litter at least once a month. Avoid cleaning the box with strongly scented cleanser.

Recommendations for Multi-Cat Homes

Design, location, cleaning, and substrate preferences are identical, but in homes with more than one cat, owners should provide one box for each cat, plus one extra. Place boxes on separate floors and rooms of the home to prevent one cat from blocking access to a box.

Keep in mind as well that using covered boxes in multi-cat homes can create increased anxiety if one cat is a stalker. If victim cats venture into the box to eliminate, they cannot see if the stalker cat is creeping up on them. If there is low-level aggression between the cats, and the victim cat is attacked when coming out of the box, the experience can create litter box aversion. For this reason, open litter boxes should be recommended in multi-cat homes.

Remember: It’s a cat’s world. We just live in it!

Author’s Note:  Elimination out of the box is not always a behavioral concern and can very well be a medical cry for help. It is always important to rule out a medical condition before blaming behavior. Every patient who eliminates out of the box should be examined by a veterinarian and medically worked up (CBC/Chem/UA) before specific recommendations are made. 

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.

Pandemic Puppies: Puppy Socialization During a Disease Outbreak

Since the outbreak of COVID-19, the world has had to embrace the concept of social distancing. According to CDC regulations, all humans should remain at a safe distance of 6 feet from each other. This adds an entirely new challenge to the world of puppy socialization and training, as puppies during this period may be practicing social distancing with their owners.

Puppies should still be introduced to their “new” world in the safest ways possible (for puppy and owner). The puppy socialization period has not changed even though our world has. From 6-16 weeks, we still need to be introducing puppies to the human world while keeping ourselves safe from disease outbreak.

Presented by Rachel Lees, RVT, KPA CPT, VTS Behavior, this webinar will:

  • Educate pet owners and pet professionals on the importance of the socialization period
  • Define the terms desensitization and classical counterconditioning and how they are used during the socialization period
  • Educate pet owners and pet professionals on how to work through puppy socialization to objects, sounds, etc. during a pandemic
  • Describe safety techniques and ideas on how to have puppy socialization groups during the pandemic
  • Successfully teach a “name” orientation and recall for a skill to interrupt puppies during play groups

DIY Enrichment: Keeping Dogs from Climbing the Walls

Your clients may find themselves suddenly at home all day with their dogs, whose routine has been disrupted. How can you maintain human and canine sanity in the household and enrich dogs’ minds and bodies during this time? Fear Free Head Trainer Mikkel Becker and Education Manager Lori Chamberland offer several tips and tricks to keep canines calm and content.

Kim Campbell Thornton
Whether they are going through training or learning to overcome previous fears, dogs do best when people give them time and space, in tandem with management and—if needed—medication, to develop confidence.

Body Language Messages

I’ve been a volunteer puppy raiser for Summit Assistance Dogs for about seven years. Each year I’ve raised a pup following Summit’s training guidelines based on positive reinforcement and what puppies can handle at each developmental stage. Each pup explores the world in tiny increments based on what they tell me through body language about how the new environment feels to them. Sometimes we don’t even get out of the car if the pup seems to be hesitant. If they’re not ready for a new place, we go somewhere they have already been to build confidence. Each pup is born with unique strengths and levels of confidence. The big and bold ones move through environments more quickly than timid pups. My current pup, Jazz, came to me at 11 months of age. She was timid about change, so we moved slowly and calmly. We joined a scent work class, which allows the dogs to move freely at their own pace. This built her confidence quickly and now she rocks in almost any setting. Watching what your pet tells you through body language (relaxed, happy, withdrawn, cowering) is key to a truly Fear Free companion.

Anne Campbell, Greenbank, Washington

Muzzle, Medication, Management, Magic

Alaska is a three-and-a-half-year-old white German Shepherd, who was adopted from a pet store when she was three months old. Early veterinary visits had caused her to become fearful. Medication didn’t help and she required heavy restraint. Her pet parents called our clinic about taking her on as it had been suggested that she might prefer a female veterinarian.

We requested that they start to get Alaska comfortable with a muzzle at home and to do drop-in visits when our clinic wasn’t busy. They did all this over the course of a month. For the first visit, we asked Alaska’s previous vet to write her a prescription for Trazodone and advised her owner to give it on an empty stomach 12 hours and two hours before the exam, because of the hepatic first pass effect of the drug.

We booked out extra time for the visit. We took down preliminary info like diet, likes and dislikes, activity, allergies, etc., from mom while dad waited outside with Alaska. Her mom told us that at the previous vet, the exam room was small and that Alaska didn’t like being confined, so we pushed our rolling exam table against the counter, leaving an open space in the exam room. We had already started the lavender diffuser and Baby Einstein classical music.

To mask any hospital odor, the tech, assistant, and I washed our hands and exposed arms, dried them thoroughly, and applied Bath and Body Works Stress Relief Eucalyptus and Spearmint body lotion. The pet parents walked a muzzled Alaska into the room and we gave her space to walk and investigate. The assistant crouched to her level, and I sat on the lowered rolling table. We stretched out our arms for her to sniff….no growls! However, her ears were flat back. I called that to everyone’s attention and explained to her parents that she was wary, stressed, and afraid, and that we needed to move cautiously and slowly. As she made her rounds to us and looked us in the face, we closed our eyes or turned away, so we weren’t staring at her, while we talked to her gently and started to stroke her.

We started feeding her peanut butter, and I was able to look at her eyes from an angle, and slowly went to her ears, but she raised her lip at the otoscope, so I stopped and let her regroup. Mom then said she didn’t like ears, feet, or back touched. Eventually, Alaska’ s ears came from flat to sideways elevated to straight up. She nudged the assistant for attention, and I was able to palpate her abdomen, examine her haircoat, and auscultate her heart and lungs. The assistant continued with the peanut butter, mom with bits of chicken, and lots of neck rubs and sweet talk, and I was able to give her four vaccinations. We paused at that point, as she needed to have blood drawn for a heartworm test.

I wish I had grabbed my cell phone; Alaska was lying in the middle of the floor, back legs curled around, front feet outstretched, ears straight up, and if it weren’t for the panting, looking completely relaxed as if she were at home. The parents were amazed and happy; this had never happened before.

While they wanted to get everything done in one visit, I persuaded them that we should stop at this point so she would have a positive visit to build on. (I had squirted some alcohol on a lateral saphenous vein to see how she would take it, and while she didn’t growl, she didn’t like it, so more peanut butter to the rescue.) The owners concurred, and I had them take some Solliquin to start her on, and advised them to come back in a month. In all likelihood we will have to give some IM dexdormitor to draw the blood, but I think we can build on today’s visit. The pet parents couldn’t stop thanking us for taking the time and making the extra effort to understand their beloved dog. I love Fear Free!

Cathy Grey, DVM, Oakdale Animal Hospital, Oakdale, New York

Caring for Canasta

Canasta is fearful of strangers and handling, which makes veterinary visits difficult for both Canasta and her caregiver. I recently started working with Canasta on basket muzzle training and being more comfortable with strangers, but she was in need of bloodwork immediately. Her veterinarian prescribed pre-visit pharmaceuticals, and I worked with the technician to create a handling plan and came to the visit to assist. When Canasta walked in wearing her basket muzzle, I used gentle control to restrain her while the technician drew blood. Canasta even took a treat from the technician when we were done, which is a huge win! Her mother was crying, knowing her dog did so well, and I will continue to work on cooperative care with the caregiver and Canasta.

Tabitha Kucera RVT, CCBC, KPA-CTP, Chirrups and Chatter Cat and Dog Behavior Consulting and Training, and Lyndhurst Animal Clinic, Lyndhurst, Ohio

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.