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Case Management of Fear, Anxiety, Stress, and Pain, sponsored by Zoetis

Ralph C Harvey, DVM, MS, Diplomate ACVAA, UTCVM

Pain adversely affects the fearful, anxious, and stressed patient. These clinical issues are tightly interrelated, and we best manage them together. In this webinar, Dr. Ralph C. Harvey, a specialist certified by the American College of Veterinary Anesthesia and Analgesia, presents clinical cases demonstrating effective management of this deleterious continuum so as to enhance favorable outcomes for patients, clients, veterinary personnel, and practices.

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Vaccinations for the Mind: Positive Puppy Socialization

Monique Feyrecilde, CVT, VTS (Behavior)

Puppies should explore the world and the people with whom they share it. When clients bring home a puppy, they have a golden opportunity to protect their newest family member from fear and anxiety later in life. By making a positive puppy transition and socialization plan, owners can help puppies have a smooth and happy puppyhood, adolescence, and adulthood. In this Fear Free webinar, sponsored by Ceva, Monique Feyrecilde, CVT, VTS (Behavior) covers techniques, products, and client education to get puppies started off on the right paw; how early detection and intervention can help shy puppies blossom; and more. Sponsored by Ceva.

In this one-hour module, you will learn what natural functions scratching serves for cats; common owner responses to scratching and the problems associated with them; and the potential fallout from declawing cats. Most importantly, you’ll come away with several safe and effective alternative solutions to the problem of unwanted scratching, and a made-for-owners handout to help guide them in the right direction.

This module is open to all professionals that are already signed up for the certification program, and is RACE approved for 1 hours in the category of Scientific.

    Feline Destructive Scratching is divided into five lessons:

  • Lesson 1: Feline Scratching Defined (The Good)
  • Lesson 2: Scratching as a Problem for Owners (The Bad)
  • Lesson 3: Common Responses (The Ugly)
  • Lesson 4: Why Not Surgically Declaw Cats?
  • Lesson 5: Safe, Effective Alternatives to Declawing
By Kim Campbell ThorntonPet owners, and people in general, tend to ignore problems until they become too troublesome to ignore. It’s human nature to put off dealing with things if we’re not sure how to proceed or think it will be too much work. If you live in an area that’s prone to thunderstorms, though, you can help clients stave off pet fears and phobias before they become serious.

“Veterinarians should routinely ask clients about their pets’ responses to storms,” says Pamela Perry, DVM, a behavior resident at Cornell University College of Medicine in Ithaca, New York.

Ask clients what happens during a thunderstorm. Does the cat hide? The dog tremble? Those mild fears can worsen over several thunderstorm seasons. Waiting to treat them can make the problem that much more difficult to manage. Be preemptive and recommend treatment promptly, while signs are still at the subtle stage.

“They might be coming in for something totally unrelated to storm phobia, but they mention that the dog is fearful during storms or that their other dog at home has storm phobia,” says veterinary behaviorist Lore Haug, who practices in Sugar Land, Texas. “I’m like, ‘You need to get on top of that right away.’”

Suggestions can be as simple as suggesting setting up a safe room or getting the pet a snug-fitting wearable that may have a calming effect.

Know how to advise clients on setting up a safe room. It can be a small guest bath or closet with no windows, a basement, or something as simple as a crate with a cover thrown over it. Their pet may choose his own safe space, such as inside the bathtub. Wherever it is, it should be ready and available at any time.

Clients should encourage pets to go there by placing a stuffed Kong or treat-filled puzzle toy in the room daily so the animal knows that good things happen in that room. Remind clients never to close the pet in the room or crate, which can create a feeling of being trapped. If owners know a storm is expected during a time they won’t be home, they should prepare the room by putting a long-lasting treat or favorite toy in it, turning on a white noise machine or other noise blocker, and plugging in a pheromone diffuser.

Be familiar with product options for pets fearful of storms. Calming clothing includes Thundershirts, Storm Defender Capes, Anxiety Wraps, Mutt Muffs, and Calming Caps. Depending on the product, they fit snugly on the body, providing soothing pressure; reduce storm-related static charges; or limit the pet’s exposure to scary storm-related sights and sounds such as lightning and thunder. Recommend drowning out storm sounds with white noise machines, the whirr of a box fan, or relaxing music such as Through A Dog’s Ear or Through A Cat’s Ear. Certain nutraceuticals and pet foods contain soothing ingredients such as l-theanine, caseins, L-tryptophan, and B vitamins and are marketed for pets with storm-related fears.

“Resources like that are easy for owners to implement and don’t require a huge behavior modification program,” Dr. Haug says.

Finally, be familiar with the client’s lifestyle and environment. If medication is needed, that information will help you determine the best choice for that particular animal.

“Make a choice about the effect you want to have happen, what medication fits with that, and how it can work in the owner’s lifestyle,” says veterinary behaviorist Lisa Radosta, who practices in West Palm Beach, Florida.

For instance, some owners are in and out but have a flexible schedule that allows them to premedicate a pet if a storm is in the forecast. For that owner, Radosta says, “I’m going to send her home with Sileo because that works fast and she’s generally going to be home to administer it.” For owners who are gone all day, she might suggest long-lasting clonazepam or gabapentin.

“Make a choice,” she says. “Don’t just throw a drug at it because you like it.”

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

Many of the procedures we perform on canine and feline patients are uncomfortable and unpleasant. Debbie Martin, LVT, CPDT-KA, KPA CTP, VTS (Behavior), shows how you can use body language knowledge, touch gradient, considerate approach, and gentle control to get your procedures done with limited injury or stress to your team or your patient.

Lisa Radosta, DVM, DACVB, will introduce the science behind fear, anxiety, and stress (FAS), show how Fear Free is better medicine (more accurate TPR, BP, physical exams, blood chemistries, etc.), and outline specific sedation protocols.

Sedation can play a vital role when it comes to creating a Fear Free veterinary visit, but knowing when and under what circumstances to bring sedation into the picture as it relates to the fear, anxiety, and stress (FAS) a pet may be experiencing is critical for the both the pet and success of the visit. In this podcast, featuring Fear Free Executive council member Tamara Grubb, DVM, PhD, DACVAA, and Sharon Campbell, DVM, MS, DACVIM of Zoetis, we discuss the physiological and medical impacts of stress on a patient, how that can play into properly assessing pain, when on the FAS scale to start implementing sedation, and the benefits of doing so.

While Fear Free can often seem as though it’s only about animals’ emotional wellbeing, Fear Free is passionate about the science of animal care as well. Gary Landsberg, DVM, DACVB, DECAWBM (CA), Head of Research at Fear Free, brings you behind the scenes to tell you how Fear Free is advancing research in the field of veterinary medicine.