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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

Kim Campbell Thornton
Managing pain and completing procedures and exams in a way that keeps patients not only calm but actually eager—or at least willing—to participate is at the heart of Fear Free. We love hearing how Fear Free techniques help your patients and your own pets make it through needle sticks, diagnostic tests, and more to receive the care they need in a kind, respectful, and stress-less way both in the clinic and at home.

Fluid Dynamics

My cat Cleo is nearly 17 and receives sub-q fluids regularly at home. She used to grumble and try to get away but once I started Fear Free, I began giving her favorite crunchy treats before, during, and after administering fluids. Now she purrs through the whole procedure, and any time I approach the spot in the house where we do fluids, she walks up for “crunchie time.” I’ve been able to switch back to a larger needle because she doesn’t notice the poke while snacking, which makes administration faster, too.

Kate Regehr, Douglas College, New Westminster, British Columbia, Canada

PVPs for Moose

Last year, Moose came into our clinic with lots of anxiety and fear, so much that we were unable to properly perform a physical exam or collect blood from him. This year, Moose had trazodone on board and his visit went fantastic. Our team was able to get him on the scale, perform a full exam, and collect blood. Moose’s mom was so happy and relieved to know that Moose could have a Fear Free veterinary visit where Moose can feel safe.

Jessica Decock, Georgian Bay Veterinary Hospital and Mobile Services, Perkinsfield, Ontario, Canada

 

Pain Relief, Pet Relief

Chewy had a lot of fear and anxiety at the veterinary clinic, causing her to behave aggressively and making it difficult to give her the care she needed. While training her, I observed various signs of pain, which were most likely adding to her anxiety. I alerted her caregiver to my observations so she could better assess and monitor her dog and update her veterinarian. Chewy and her caregiver had previously had negative and traumatic experiences at a veterinary clinic so I referred them to Keystone Veterinary Clinic, which has Fear Free Certified Professionals who created a handling plan to enable Chewy to have a thorough exam, radiographs, and other diagnostics in a safe and low-stress manner. I also worked with the owner to begin muzzle training. The combination of appropriate scheduling, handling, and sedation, Chewy was able to receive the diagnostics and treatment she needed.

Tabitha Kucera, RVT, CCBC, KPA-CTP, Positively Pawsitive, Cleveland, Ohio

 

Meeting Goals for Gus

Gus had developed severe resource guarding of his food and water bowls, as well as fear and anxiety regarding being touched and having his gear put on and taken off. As a result, he snapped at and bit a walker. We worked closely with his owners and utilized Fear Free strategies and positive reinforcement training to get Gus comfortable with having strangers in the home. We were eventually able to find a solution that allowed Gus to be comfortable having walkers touch and refill his water bowl and approach his food bowl without any signs of resource guarding or fear, anxiety, and stress. Now Gus happily greets his walker at the door, demands affection, and has no issues on his walk or in his home.

Katie Pape, Windy City Paws, Chicago, Illinois

 

Turning Around First-Visit Blues

Yesterday, we had a new client come in for a vaccine appointment for her new blue merle Corgi puppy, which she had picked up the previous day. In the lobby, the pup was quiet and at first glance appeared to be coping well, but once in the exam room, I noticed she was scared and only wanted to stay between mom’s legs. We needed to vaccinate her so she could attend the puppy kindergarten class our behaviorist runs. We were able to get an oral bordetella vaccine in her, luring with baby food. When we attempted to poke with the needle for the other vaccination, though, she cried. We tried to warm her up to us so we would be able to get the vaccination in her. She escalated in the room and turned and growled. We then decided to abort mission. We did not want to ruin her experience at the veterinarian, especially since this was her first time here and she was a baby. We prescribed gabapentin and planned to have her come in the next day, early in the morning, to give her a better experience. Luckily, mom and dad were 100 percent on board with this. They came in the next morning and our front desk staff directed them to a room right away. When we walked in with the vaccine, she was asleep on the table. Dad said she was very sleepy. I grabbed a cup of Braunschweiger and fed her a small piece of it. She eagerly ate it but didn’t move her body. We desensitized and performed gradient of touch and she was fully distracted by the yummy treats. We gave her the vaccine and she never stopped eating and did not even notice the poke. We were thrilled!! Yay for pre-visit medications!

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

Thoughtful Touch to Improve the Emotional Experience

How we handle our patients and their tactile experience in our practices can impact their comfort and welfare during the veterinary visit. In this webinar, Jacqueline Neilson, DVM, DACVB, covers best practices to ensure that every physical interaction in your practice offers the best possible pet experience.

Valarie V. Tynes, DVM, DACVB, DACAW

Do you still believe that a puppy should have all her vaccinations before ever meeting another dog? Do you think the safest place for every new puppy is within his own home until after the last set of vaccinations? If so, you may be running the risk of the puppy’s early death due to behavior problems.

Studies have demonstrated that behavior problems likely result in more pet deaths than any other single cause.1, 2,3 A properly run puppy socialization class should not put your patients at any increased risk of communicable disease.4

If you do not have a reliable, safe place to refer your clients to for puppy classes, then consider offering them at your own clinic. Puppy classes are fun and, when held at your clinic, allow you and your staff to reap the benefits. Here are four reasons to consider adding puppy classes to your practice’s programs:

1. Proper socialization is critical to the puppy’s proper development and the window for this period of development is only open until about 14-16 weeks. After that time, puppies are not as able to learn to cope with novelty and develop new relationships with other individuals.

Your clinic is a safe place for this experience to happen because:

  • You can sanitize the surfaces puppies will contact.
  • You can be certain that all puppies who attend have had at least one vaccination several days prior to their visit.
  • You can give each puppy a brief exam and send puppies home if they appear to be sick.

2. Puppy classes help create more cooperative patients. When puppies come to your clinic once a week for a few weeks, and the only thing that happens there is they get to play with other puppies, meet some new people, see some strange things and get lots of treats, they learn that there is nothing scary about the vet clinic.

Part of at least one puppy class session should involve demonstrating to pet owners how to handle their new puppy’s ears, toes, tail, and other body parts in a way that mimic handling for veterinary and grooming procedures. When this is done while giving treats, puppies learn that this type of handling is routine and “no big deal.”

You can help set the puppy up for success in advance by recommending the owner use an Adaptil Junior collar. This is a collar impregnated with dog appeasing pheromone, the same pheromone that mother dogs release during the period of time when they are nursing puppies. Numerous placebo-controlled studies have demonstrated its ability to help decrease signs of fear and anxiety in many situations.5,6,7 When placed on puppies during their critical period for socialization, the collar has been proven to help with the socialization process.8 Puppies between 8 and 16 weeks of age who wore an Adaptil collar for just 30 days while attending a puppy class showed signs of being better socialized 1, 3, and 6 months later than puppies who wore a placebo collar.9

3. Puppy classes will bond clients to your practice. When clients see how much you care about their puppy’s healthy development and good behavior, they will appreciate your commitment to their puppy’s overall health.

When they see how happy their puppy is to return to your clinic time and time again because he only has good memories associated with the visit, they will have no reason to ever consider going to another practice.

4. Puppy classes provide an added revenue stream. They do not have to be managed by the veterinarian. It is very possible that you have a staff member who is interested in learning more about how to do this and would love the opportunity to take on such a valuable and rewarding project. There are several excellent resources available for learning how to teach a puppy class and with some training and practice most anyone can add puppy classes to their clinic’s list of services. One of the best is the Puppy Start Right for Instructors Course, which offers a discount to Fear Free Certified Professionals using code FEARFREEPSRI.

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

References

This article was brought to you in collaboration with our friends at Ceva.
  1. Dolan ED, Scotto J, Slater M, et al. Risk factors for dog relinquishment to a Los Angeles municipal animal shelter. Animals (Basel) 2015; 5: 1311-1328.
  2. Dreschel NA. The effects of fear and anxiety on health and lifespan in pet dogs. Appl Anim Behav Sci 2010;125: 157- 162.
  3. Houpt KA, Honig SU, Reisner IR, Breaking the human-companion animal bond. J Am Vet Med Assoc 1996; 208: 1653-1659.
  4. Stepita ME, Bain MJ, Kass PH. Frequency of CPV Infection in Vaccinated Puppies that Attended Puppy Socialization Classes. J Am Anim Hosp Assoc 2013; 49:95-100.
  5. Pageat P, Gaultier E. Current research in canine and feline pheromones. Vet Clin North Am Small Anim Pract 2003: 33;187-211.
  6. Mills DS, Ramos D, Esteller MG, et al. A triple blind placebo controlled AABS investigation into the assessment of the effect of Dof Appeasing Pheromone (DAP) on anxiety related behaviour of problem dogs in the veterinary clinic. 2006;98:114-126.
  7. Gaultier E, Bonnafous L, Vienet-Lague, et al. Efficacy of dog-appeasing pheromones in reducing stress associated with social isolation in newly adopted puppies. Vet Rec 2008;163:73-80.
  8. Gaultier E, Bonnafous L, Vienet-Lague, et al. Efficacy of dog appeasing pheromones in reducing behavours associated with fear of unfamiliar people and new surroundings in newly adopted puppies. Vet Rec 2009;164:708-714.
  9. Effects of dog appeasing pheromone on anxiety and fear in puppies during training and on long term socialization: Denenberg S. & Landsberg G.M. JAVMA, (2008) 233;12

Fear Free Dermatology Diagnostics: What Can I Do Differently for My Patients?

In this webinar, Michele Rosenbaum, VMD, DACVD, shares targeted therapies for the itchy dog, with patient comfort and relief a priority. She presents a streamlined diagnostic workup for the itchy dog to find the underlying cause of the itch. Also covered are Fear Free tips and new helpful dermatology resources to help compliance and ease anxiety and stress for pets and their owners during the diagnostic workup and when designing a long-term treatment plan. She shares communication tips and resources to help pet owners deal with itch flares and ends with an introduction to Itchy Pet Awareness Month (August) with resources to get your team excited and ready.

Linda LombardiWhen asked why they don’t volunteer at a shelter, people often say they don’t have time. What if they knew that just 15 minutes of quiet petting could have a measurable effect on a dog’s wellbeing? That’s the result of a recent study.

Research has shown the benefit of repeated sessions of human interaction for shelter dogs. “We wanted to see, if you only had time to stop after work for fifteen minutes and go in and pet a dog, would it have a positive impact on that dog?” says lead author Ragen T. S. McGowan, research scientist at Nestlé Purina.

To answer this question, researchers chose 55 shelter dogs who could safely interact with strangers. The dogs were fitted with cardiac monitors, and saliva samples were taken before and after the session. Volunteers were asked to sit in a small room with the dog and pet them calmly, speaking in a soothing tone of voice. The session was recorded for behavior analysis.

Petting Benefits

Measurements showed that the dogs had lower heart rates at the end of the session, as well as increased heart rate variability. Heart rate variability — whether the distance between heartbeats is regular or irregular — is an indicator of emotional state. Under stress, heartbeats are more regular. The increase in heart rate variability showed that the dogs had become more relaxed.

Cortisol measures did not show a difference, which McGowan says is not surprising in such a short time. She also notes that cortisol can be tricky to interpret because it’s really a measure of arousal, which can be negative or positive. However, the fact that cortisol did not increase suggested that the dogs were not stressed by the experience.

The dogs’ behavior also showed increased signs of relaxation, although the study did note individual differences, with the dogs falling into three general groups. “We had a good portion of the dogs that enjoyed this so much that they just melted into a puddle in the person’s lap,” she says. “We had other dogs that enjoyed it but also enjoyed walking around checking out the room, then going back to the person.” The third group seemed to not quite get it. “They stood at the door, like they were saying, ‘Are we going for a walk now? What are we doing in this room?’ ” she says. “But regardless, in all the dogs we saw a positive impact in their behavior.”

Volunteers Benefit Too

Erica Feuerbacher of Virginia Tech, who studies shelter dog welfare, calls this study “fascinating and very important.” She says, “The idea that you can just pop in and spend 15 or 20 minutes with a shelter dog and improve its welfare opens the door for more people to interact meaningfully with shelter dogs and know that they’re making a difference.”

Since the study shows the value of just sitting quietly with a dog, it also opens up opportunities for volunteers who don’t have the physical ability or inclination for more strenuous types of interaction, she says.

Volunteer training is important, since first meeting a stranger is exciting, and most people aren’t naturally inclined to greet dogs in a calm way. Volunteers for the study were given specific instructions on how to pet and interact with the dogs. “I don’t think it would take too long to train people to interact appropriately and let the dog have some say in whether they want to approach and interact,” Feuerbacher says.

The study also highlights the importance of providing shelter dogs opportunities to relax. McGowan says the interaction in the study was different from what dogs usually had with volunteers at this shelter. “In most cases the volunteers walk dogs, so dogs see a volunteer and think, ‘Oh, I’m going on a walk,’ which is exciting,” she says. “We wanted to try to trigger the opposite positive emotion, that state of relaxation, because that’s something shelter dogs often don’t get much opportunity for.”

Relaxation Nation

Dogs in shelters are already in a stimulating environment, with lots of noise and activity, but often the only enrichment they get provides even more stimulation. “You go into a shelter and often the dogs are bouncing off the walls, and there is the idea that they have this pent-up energy and what they need is to get out and run,” says Feuerbacher. “We’re now starting to challenge that notion a little bit. Do we know, is that really what they need?”

A lot of what we do with our dogs at home — cuddling on the couch watching TV, say — is like the calm interaction in this study. While it seems as if we’re doing nothing, it’s an important bonding experience. And while shelter dogs may appear to already spend a lot of time doing nothing, it’s a different kind of nothing. “They may be doing nothing active, but are on high alert the whole time, rather than getting to relax,” she says.

Shelters can give dogs breaks from that stimulation in several ways. One that Feuerbacher suggests is an office foster program, where a dog gets to hang out in someone’s office at the shelter for a few hours.

McGowan also notes that relaxed dogs are easier to work with. Sitting quietly with a dog for 15 minutes ahead of a veterinary exam or grooming is worthwhile for everyone involved, she says. “Spending that time to get that dog into a more positive relaxed state ahead of that handling makes the whole interaction go a lot easier.”

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 who 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.

Fear Free Dermatology: Patient Relief is a Priority

In this webinar, Michele Rosenbaum, VMD, DACVD, discusses a team approach to seeing the itchy dog, with patient comfort and relief a priority. She shares Fear Free tips and new helpful dermatology team resources for CSRs, technicians, and veterinarians to put into practice for each stage of the appointment.