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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.

Rachel Lees
Pet owners teach their animals a variety of cued behaviors that can be helpful for veterinary professionals in the exam room. “Sit” can help keep a patient stationary during an examination. When a patient knows the cue “High Five” or “Paw,” this may aid in assessing interdigital infections or performing nail trims.

One such skill that can be helpful for the veterinary team is targeting: teaching the dog to touch the nose to an object or hand. This behavior can be helpful in a few different ways.

Getting Patients from Point A to Point B

Many patients are uncomfortable with moving onto a lift table, scale, or even moving down the hallway. Instead of forcing the pet, we can use a hand target to move patients who have limited FAS. If this behavior is strong enough, most patients will be more excited about the opportunity to nose-target a hand to gain reinforcement and be less concerned about the “scary” object they need to step on. Using a hand target also gives us the option to keep our hands off of patients if they are concerned or conflicted with being touched by an unfamiliar person.

Instrumental Persuasion

Many patients are fearful of the veterinary instruments used during examination. With targeting, we can change the way they feel about the tools while allowing them to control the interaction. This can be done by presenting an exam tool and allowing the patient to interact with it on their own and then giving reinforcement.

In short, repeated training sessions, the patient learns that when the object is near, amazing things happen when they interact with it. Instead of a fear-related response, we can create a positive response toward presentation of these tools.

Teaching This Skill to Patients

Start this skill during preventive exams with pets who have a low FAS score. Puppies and kittens may be the best patients to start working with because they don’t have any preconceived notions.  Patients with a high FAS score may need more therapy, and using this technique may cause additional FAS. Wait to add it until after Victory Visits show that the patient’s FAS is reduced in the veterinary hospital.

If you are a Fear Free Professional, using treats in the exam rooms should be old hat to you. As you teach this skill, use treats to reinforce any interaction with exam tools, the patient stepping onto the table, or interacting with the veterinary team (hand target).

Using a word (Good!) or a tongue “click” may be helpful as an event marker. An event marker gives the patient information about the behavior goal and can capture the desired behavior. In the case of teaching a patient to target, the goal or “wanted” behavior would be to use the event marker when the patient interacts (noses, touches, licks, or sniffs) the object or hand we are using as the target. Always follow the event marker immediately with a treat.

When teaching this behavior, offer the object one to two inches from the pet’s nose. When the patient interacts with the object, use the event marker and reward the patient with a treat. If the patient shows concern regarding the object or FAS increases, move the object farther away until the patient is more comfortable. You may need to break down the behavior into smaller steps to get the patient to interact with the object. These small approximations may include capturing the behaviors of looking at the object, moving toward the object, touching the object with paw or nose.

Example: Presenting a Stethoscope

With an FAS 0 to 1 patient, present the bell of the stethoscope a few inches from the patient’s nose

Observe for any nose touching or interacting with the stethoscope

Say the word “Treat” when the patient’s nose touches the stethoscope

Move the bell of the stethoscope away and give a treat

Repeat if the patient is loose, relaxed, and eating during this training session. If the FAS score increases, discontinue and reassess with the veterinary team.

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.

 

Fear Free on a Budget

Listen to Practice Certification Manager Dr. Rachel Abrams for tips on how many Practice Certification standards can be met with little to no strain on your budget.

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

Kitten Socialization: Do Kittens Need Kindergarten?

Getting kittens off to a good start lays the foundation for an adulthood free of fear, anxiety, and stress. But just what does a “good start” mean? What exactly is kitten socialization? What role does genetics play, and what should we be doing for our kitten patients? In this webinar, Dr. Krista Sirois answers these questions and discuss the benefits of establishing a Kitty Kindergarten program in your clinic for your patients, pet parents, and your team.

Weathering the Storm: Disaster Preparedness for Pet Professionals and Pet Owners

If a disaster hit your community tomorrow, would you and your business be prepared? How about the animals that live in your home or community? It is never too late to begin planning for a disaster or business disruption. In this webinar, representatives from State Farm talk about disaster preparedness, having a business continuity plan, and what insurance does and doesn’t cover. Whether you are a pet professional or a pet parent, this webinar can help you prepare for and recover from the unexpected.

Sponsored by State Farm.

Canine Allergic Dermatitis: Convert Misery to a Higher Quality of Life

What better way to decrease stress and anxiety than by increasing quality of life? In this webinar, Dana Liska, DVM, DACVD, discusses canine allergic dermatitis and the stress chronic disease causes for dogs, their owners, and the veterinarians caring for them. She also shares tips for decreasing caregiver burden and improve quality of life for everyone involved in the veterinarian-client-patient relationship.

Sponsored by Zoetis.

The Nose Knows: Attending to Aromas to Improve the Emotional Experience

Dogs and cats are known for their remarkable olfactory capabilities. Olfactory experiences and associations can trigger profound emotional responses. In this webinar, Jacqueline Neilson, DVM, DACVB, explores how to manage odors during the veterinary visit to minimize patient fear, anxiety, and stress.

How to Raise a Gentle PUP: 3 Tips to Share with Every Puppy Parent

“PUP” isn’t just short for “puppy.” It stands for three core puppy-raising principles: Praise, Unflappable, and Prevention.

In this webinar, Jacqueline Neilson, DVM, DACVB, covers how to:

  1. Provide puppy parents consistent and concise behavioral guidance during veterinary visits to assist them in raising a gentle, behaviorally healthy dog.
  2. Make sure every puppy parent knows at least three core PUP raising principles: Praise, Unflappable, and Prevention.
  3. Make PUP part of the dialogue for every puppy parent at every visit.

Sponsored by Elanco.

When clients come to your clinic and discuss the parasites that worry them most, they often start with ticks and fleas because they’re visible — they can see the threat. As a veterinary professional, however, you know there are other dangerous parasites they can’t see, including more than just heartworm. You also know that recommending broad-spectrum parasite protection isn’t a sales tactic; it’s good medicine. So how do you start the conversation about the importance of protecting dogs against other types of parasites in a way that pet owners will understand, appreciate, and ultimately listen to?Here are five conversation starters to help your clients understand the risks and why intestinal parasites can pose a bigger problem than they may think.

1. Parasites disrupt the pet owner-pet bond.

No pet owner wants to see the dreaded “rice” on their dog’s rear, or learn their dog has been shedding eggs from intestinal parasites and contaminating their yard. Intestinal parasites aren’t just stressful for pet owners, but for pets, too. An indoor dog could suddenly be relegated to the outdoors or confined to a single room – all while a frantic pet owner tries to reach their veterinarian after hours. Dogs are intelligent creatures, but that doesn’t mean they will understand why their owner is suddenly distant, worried or disgusted. The bottom line: Parasitic infections can undermine efforts to create a warm, inviting, Fear Free home for a pet.

2. Intestinal parasite prevalence rates are rising.

The average number of heartworm-positive dogs per clinic increased by 21.7 percent in a 2017 survey conducted by the American Heartworm Society.1 While pet owners may recognize the importance of protecting against heartworm, they might not realize the threats posed by intestinal parasites as well. Along with the increasing threat of heartworm, prevalence rates of intestinal parasites are also on the rise. In shelter dogs:

  • Canine hookworm (Ancylostoma caninum) prevalence rates increased from 19.2 percent average prevalence nationwide in 1996 to 29.8 percent in 20142,3
  • Canine whipworm (Trichuris vulpis) prevalence rates increased from 14.3 percent average prevalence nationwide in 1996 to 18.7 percent in 20142,3

3. Pets are out and about (and exposed) more than ever.

Dog parks are prime areas for the spread of parasites like hookworm, whipworm and roundworm. In a pilot study conducted across the Dallas-Fort Worth area, 80 percent of sampled dog parks had at least one dog test positive for intestinal parasites.4 If a client frequents dog parks or other areas with lots of dogs, they should know that it increases their dog’s risk of picking up a parasitic infection.

4. Shelter dogs may increase parasite prevalence in your area.

Did you know nearly two thirds of animal shelters and rescue organizations do not test, treat or provide heartworm prevention before transporting dogs? From 2014 to 2017 shelters imported 114,000 dogs to Colorado, and during that same time period Colorado saw a 67.5 percent increase in heartworm prevalence. Even if you practice in an area with historically low parasite prevalence, shelter dog relocation may contribute to a higher local risk of parasitic disease for your clients.5

5. Owners and their families are at risk, too.

Pet owners often don’t realize that zoonotic disease transmission is a real threat to their families, especially young children.6 If clients question the necessity of intestinal parasite protection, explain that roundworm eggs can remain in an environment for years6 — leaving pets and human family members at risk long after the problem was thought to be “over.” Even walking around barefoot in their own yard could be a risk, because infective hookworm larvae can penetrate human skin to spread zoonotic disease.7

Regardless of the many Fear Free reasons to protect against intestinal parasites, educating pet owners on the risks of these “hidden” parasites can be a challenge. Using the conversation starters above can help support a recommendation for heartworm prevention that also protects against hookworm, roundworm, whipworm, and tapeworm, as well as potentially increasing compliance. After all, a client who understands the value of intestinal parasite protection for their pet is that much more likely to administer it.

References

    1. American Heartworm Society. AHS survey finds increase in heartworm cases. Available at: https://d3ft8sckhnqim2.cloudfront.net/images/bulletin/AHS-1705-May-17-Summer-Bulletin.pdf?1535050388. Accessed June 20, 2019.
    2. Blagburn BL, Lindsay DS, Vaughan JL et al. Prevalence of canine parasites based on fecal flotation. Comp Cont Educ Pract. 1996;18(5):483-509.
    3. Blagburn BL, Butler JM, Mount J, et al. Prevalence of internal parasites in shelter dogs based on centrifugal fecal flotation [abstract]. In Proceedings AAVP 59th Annual Meeting. Denver; 2014. 26-29 July 2014.
    4. Elanco Animal Health. Data on file.
    5. Drake J, Parrish RS. Dog importation and changes in heartworm prevalence in Colorado 2013-2017. Parasite Vector. 2019;12:207.
    6. Companion Animal Parasite Council. Ascarid. Available at: https://www.capcvet.org/guidelines/ascarid/. Accessed May 16, 2018.
    7. Companion Animal Parasite Council. Trichuris vulpis. Available at: https://www.capcvet.org/guidelines/trichuris-vulpis/. Accessed May 16, 2018.
  1. This article was reviewed/edited by board-certified veterinary behaviorist Dr. Kenneth Martin and/or veterinary technician specialist in behavior Debbie Martin, LVT.This post is brought to you by our sponsor, Elanco, the makers of Credelio® (lotilaner) and
    Interceptor® Plus (milbemycin oxime/praziquantel).
    INDICATIONS FOR CREDELIO

    Credelio kills adult fleas, treats flea infestations (Ctenocephalides felis) and treats and controls tick infestations [Amblyomma americanum (lone star tick), Dermacentor variabilis (American dog tick), Ixodes scapularis (black-legged tick) and Rhipicephalus sanguineus (brown dog tick)] for one month in dogs and puppies 8 weeks or older and 4.4 pounds or more.

    IMPORTANT SAFETY INFORMATION FOR CREDELIO

    The safe use of Credelio in breeding, pregnant or lactating dogs has not been evaluated. Use with caution in dogs with a history of seizures. The most frequently reported adverse reactions are weight loss, elevated blood urea nitrogen, increased urination, and diarrhea. Please see full Credelio product information for complete safety information or contact your veterinarian.

    INDICATIONS FOR INTERCEPTOR PLUS

    Interceptor Plus prevents heartworm disease (D. immitis) and treats and controls adult hookworm (A. caninum), roundworm (T. canis, T. leonina), whipworm (T. vulpis) and tapeworm infections (T. pisiformis, E. multilocularis, E. granulosus and D. caninum) in dogs and puppies 6 weeks or older and 2 pounds or greater.

    IMPORTANT SAFETY INFORMATION FOR INTERCEPTOR PLUS

    Treatment with fewer than 6 monthly doses after the last exposure to mosquitoes may not provide complete heartworm prevention. Prior to administration of Interceptor Plus (milbemycin oxime/praziquantel), dogs should be tested for existing heartworm infections. The safety of Interceptor Plus has not been evaluated in dogs used for breeding or in lactating females. The following adverse reactions have been reported in dogs after administration of milbemycin oxime or praziquantel: vomiting, diarrhea, depression/lethargy, ataxia, anorexia, convulsions, weakness, and salivation. Please see full Interceptor Plus product information for complete safety information or contact your veterinarian

    Credelio, Interceptor, Elanco and the diagonal bar logo are trademarks of Elanco or its affiliates.
    © 2019 Elanco. PM-US-19-1483