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By Kim Campbell Thornton
Nail trims are the bane of numerous pets and people. Owners don’t like doing them, and assistants and technicians don’t enjoy being “the bad guys” who have to do the dirty deed. Blood draws and even simple exams can bring bad feelings to the forefront, too. Fear Free to the rescue! Get inspired by fellow Fear Free Certified Professionals as they help pets stay cool, calm, and collected during care.

All About Eva

Eva, a spunky and energetic German Shorthaired Pointer, is a staff favorite for more than just her adorable, tongue-hanging-out smile, but there’s one thing Eva never liked: nail trims! Prior to the hospital’s transition to Fear Free in early 2017, it was a challenge to trim Eva’s nails, requiring three or four technicians to assist with restraint, plus a muzzle and calming cap. We started implementing Fear Free teachings right away with all of our patients, but one staff member has really gone above and beyond her commitment to Fear Free training to help Eva overcome her fear. Kayla McNeely volunteered to assist with Eva’s nail trims, and she can now perform Eva’s nail trims solo, standing, with minimal assistance from Eva’s mom, Sheila, who says, “Kayla’s patience and kindness have worked wonders with my girl.” Our hospital requires all staff members to go through Fear Free training to help ensure that all of our clients, patients, and staff have a pleasant experience during their exams. We have seen a tremendous difference in many patients at our hospital since our transition to Fear Free, but Kayla and Eva’s journey together is by far our most successful Fear Free adventure to date.

Beth Chinnick, CVT and practice manager, Compassion Animal Hospital, East Berlin, Pennsylvania

Ruba Loves Laps

One-year-old Ruba disliked having her feet touched and her nails trimmed. We trialed trazodone for six months for all nail trim visits. It started to work well, and we discovered she preferred sitting in Dr. DaCosta’s lap. Ruba now comes in for frequent nail trims with minimal restraint and no trazodone needed. We are so proud of her progress and the team’s dedication to using Fear Free techniques.

Brianna King, Clinic Manager, Watzin Veterinary Clinic, Waterdown, Ontario, Canada

 

Practice Makes Perfect

Mikey Bear used to require sedation before blood draws, but I showed his amazing humans how to hold his back leg for a blood draw and wet the vein while giving him treats to get him used to the feeling. They worked on this for a month, and when they came back, the blood draw was a snap. I discovered they had added another step to the homework and were poking the vein with a toothpick at home.

Jessica Jaffe, CVT, VCA Wakefield Animal Hospital, Wakefield, Massachusetts

 

Thinking Outside the Office

I was on primary care rotations at University of Wisconsin Teaching Hospital, and my first case of the day was a 150-pound Great Dane who had a history of being nervous during veterinary visits and in the presence of strangers. When I was notified that he and the owner had arrived, she went to the waiting room but was told that they were outside in the car. Even with sedation prior to the visit, he was too afraid to come out of the car. After speaking with the owner and assessing the situation, I decided that additional sedation and performing the exam in the car would spare him an immense amount of stress. We moved slowly, made intentional actions, and kept him comfortable. The smooth experience left the owner grateful. I firmly believe we took the pet out of petrified.

Bianca Ferlisi, veterinary student, University of Wisconsin School of Veterinary Medicine

 

From Terror to Trust

When I worked at a veterinary emergency clinic, one of the dogs in the hospital was so fearful that he would begin to thrash and hit his head in the ground if anyone  touched his leash. I sat in front of his cage with my back to him so he could become accustomed to my scent. Then I started placing treats in his cage and turning my back again. Eventually, I opened the door and put a leash on him and sat next to the door. When he came out of the cage on his own, I was able to walk him with no tension on the leash. Gaining an animal’s trust is a beautiful thing.

Shelby L. Dan, veterinary assistant, Downtown Animal Hospital, Toronto, Ontario, Canada

 

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.

Motion Sickness: Helping the Client/Pet Bond

There is nothing fun about having a client arrive at your clinic with a dog who just vomited all over himself. Many times motion-sick dogs are stuck in homes and are never taken anywhere fun because their owners don’t want to deal with the mess. Clients end up dreading putting their dog in the car, and as a result there’s a disconnect between the owner and dog. In this webinar, Amy N. Newfield, CVT, VTS (ECC), reviews why motion sickness occurs and how to help the client/pet bond get stronger.

Building a Pain Management Pyramid for Pets

Pain in pets is critically important, but it is complex and scientifically intriguing. Both acute and chronic pain in pets can be clinically challenging and easy to overlook because of the ability of dogs and cats to mask and hide their pain from us. Pain management is essential medicine, and better pain management is better medicine. This webinar focuses on building an effective, multimodal pain plan for pets.

Linda Lombardi

There was a time when formal shelter behavior evaluations for dogs seemed like an important breakthrough. But while an objective way to assess behavior seems like a great idea, it’s increasingly clear that these batteries of tests aren’t doing the job it was hoped they’d do.

In 2016, Gary Patronek, DVM, and Janis Bradley published a paper analyzing the literature on canine behavior evaluations, concluding that they were “no better than flipping a coin.”

This did not prompt immediate abandonment of these tests and there were some understandable questions about their conclusion. How was it possible for their review of the literature to conclude that these tests were not valid and predictive, when individual papers said that they were?

In a new paper they address those questions, delving into statistical issues, the difference between colloquial and technical uses of words like “valid,” “predictive,” and “reliable,” and the kind of evidence needed to justify using a test for real life–and sometimes life and death–decisions.

Testing the Tests

Standards exist for judging whether a test has real-world applicability. “This is not something we need to reinvent,” Bradley says. “There is robust human diagnostic test literature that tells us how to do this and what acceptable standards are, and behavior evaluations in dogs–at least the ones that we looked at, that were intended to have application to dogs in shelters–simply don’t meet any reasonable standard.”

One problem with research on predictive ability of behavior evaluations is that most of it has been done on owned dogs, not dogs in shelters.

“Epidemiologists will tell you there’s no such thing as saying a test is valid,” Bradley says. “All you can ever say is that we’ve demonstrated validity with this population, in this context, with this exact instrument. If you change any of those things–and likely all of those things are going to change in any application in a shelter–any claims you make for validity go completely out the window.”

Many shelters modify protocols, and it’s impossible to perform a test as consistently in the shelter environment as in a lab. Tiny details can change results. One study showed that factors like the evaluator’s height and how much they leaned over changed the outcome. “Try to imagine the world where you’d have the kind of consistency that would eliminate confounds like that in a shelter environment,” Bradley says. “It could never happen.”

The context is also different, and in an important way. The ability to identify aggression is of greatest concern in these evaluations, and results can vary by environment.

“The most common underlying motivations for aggression are fear and anxiety because aggression is distance-increasing behavior,” says veterinary behaviorist Wailani Sung, DVM, of the San Francisco SPCA. “Dogs in the shelter are already lower in tolerance because their overall stress level is so high. So they could test more negatively in a shelter environment versus in a home where they have more stable relationships and a more consistent environment.”

Another problem is that serious aggression is rare in dogs, and those dogs probably don’t get evaluated at shelters. “Most shelters eliminate the tail end of the bell curve without ever subjecting them to a behavior evaluation,” says Bradley. “If everyone’s afraid to go into the kennel with the dog, they’re not going to take it out and do a behavior evaluation.” For statistical reasons, it’s more difficult to design a reliable test for a rare behavior if there’s a concern about false positives. In this instance, false positives–a result that claims to show a dog is aggressive when he isn’t really–can result in unnecessary euthanasia.

“This entire enterprise to a certain extent appears to be based on an idea that there’s some elevated risk with regard to shelter dogs,” Bradley says. “There’s no evidence that this is the case.” Shelter dogs are no more or less likely to someday show aggression.

What’s the Alternative?

Although there’s a considerable body of research questioning the validity of behavior assessments, it takes time for that to trickle down to the real world. “There’s a huge discrepancy between the academic world that has been studying these things versus the practical world that’s out there on a day-to-day basis that still has the pressure of putting safe animals out into the world,” says Jeannine Berger, DVM, vice president of rescue and welfare at the San Francisco SPCA.

Change is hard, and this is a hard kind of change. “Sometimes you don’t want to be shown that what you’re doing is not helpful and may be harmful. That’s a bitter pill to swallow,” says Dr. Sung.

Dr. Berger says discussion about behavior assessments has increased since the ASPCA came out with a position statement last year referring to this literature. “People actually in the field are now starting to question if this is the right approach to making those decisions,” she says.

Amy Marder, VMD, who spent much of her career working on these types of assessments, now believes the best approach is for staff to observe dogs in day-to-day interactions and keep good records. This doesn’t have to involve more work or resources, since it happens during physical exams and walks, which need to be done anyway. “You can get a lot of information from doing routine procedures rather than a formal evaluation,” she says.

This is what San Francisco SPCA does. “We use the five freedoms model to assess welfare, and everyone is trained on that,” Berger says. “We are looking at, are they eating, are they drinking, are they comfortable in their environment, are they fear free and distress free, are they performing normal behaviors, are they free of illness and disease,” she says. “We use that to assess each animal every day, and anything out of the norm is reported and is addressed.”

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.

Puppy Socialization: Running a Puppy Socialization Program in Your Practice

Normal or abnormal, all puppies can benefit from a puppy socialization program. Offering a puppy socialization program in your practice is a great way to have your clients bond with the practice, monitor puppy development, and ensure that clients get support during this critical period. In this final webinar in the puppy socialization series, Rachel Lees, RVT, KPA CTP, VTS (Behavior), reviews how to set up a program, tailor it to your practice, and support puppies who are “lemons” during their participation.

Puppy Socialization: Is This Puppy Normal or a “Lemon”?

Once you know what you are looking at and can identify puppies who are “lemons,” what do you do about them? In this webinar, Dr. Elizabeth Feltes, ACVB Resident in Private Practice, and Amanda Eick, RVT, KPA CTP, VTS (Behavior), cover options from pheromones to supplements to medications used to get these little lemons back on track and keep them in their homes. Find out how they approach these puppies during puppy consultations and what you can do in your hospital to improve the lives of everyone involved.

Sponsored by Ceva.

Crash, Boom, Bang! Addressing Noise Aversion in Dogs

It is estimated that a third of dogs suffer from some form of noise aversion. If you saw 12 dogs yesterday, four of them are likely to develop noise sensitivities in their lifetime. Not only can a fear of sounds be physiologically and emotionally damaging for dogs, but it can also strain the human-animal relationship. This session will provide you with strategies for how to approach, prevent, and treat sound sensitivities, including teaching desired coping skills. Sponsored by Zoetis.

Puppy Socialization: Is This Puppy Normal or a “Lemon”?

Ever wonder if the behaviors a client is describing are normal? What behaviors should your watch for that can tell you if a puppy is going to need more help? In this webinar, Dr. Elizabeth Feltes, ACVB Resident in Private Practice, and Amanda Eick, RVT, KPA CTP, VTS (Behavior), review normal puppy socialization and development and how to identify “lemons” who may show up in your practice. This presentation includes a review of body language in puppies using video and photos. Sponsored by Ceva.

By David Hustead, DVM, M.P.H.Balancing the importance of necessary care with the emotional care of pets in the Fear Free clinic can be challenging. There are countless situations, from the dog hit by a car to an outbreak or emerging disease, where the timeliness of medical care seems to outweigh the need to take things slowly and minimize fear, anxiety, and stress (FAS) in the pet.

Consider Lyme disease. While we as well as our clients may be reluctant to add another injection to a dog’s prevention program, new information about Lyme disease’s risks, transmission, and prevalence provides a compelling reason to reconsider that reluctance. What information do we need to balance those risks with the benefit of prevention?

The risk of Lyme disease is increasing, changing, and spreading.

It’s important to understand that what we know about the risk of Lyme disease may be outdated. There is increasing evidence the risks of Lyme disease continue to expand for both people and dogs in the U.S. The CDC reports that vector-borne disease has more than doubled from 2004 to 2016. Of this, human Lyme disease accounts for 82 percent.  Additionally, during this period, nine new vector-borne diseases were first observed in the U.S.1

The risk to dogs is also increasing in areas not normally considered at-risk for Lyme disease. According to the Companion Animal Parasite Council (CAPC), while the Northeastern states, upper Midwest, and Pacific Northwest still have the majority of canine Lyme cases, dogs exposed to Borrelia burgdorferi continue to be discovered outside of those areas. Their biggest areas of concern for increases in canine Lyme disease in 2019 include eastern Pennsylvania, eastern Ohio and Kentucky, West Virginia, western Virginia and North Carolina. Northwestern Minnesota and some areas in Indiana are also expected to see higher than average seroprevalence in 2019.

Other longstanding beliefs about transmission may now be outdated. For instance, many of us think the risk of disease transmission from exposure to the Lyme disease tick vector I. scapularis is greatest in the spring, but the CDC says the risk of exposure to these ticks is really greatest throughout spring, summer, and fall. In addition, adult ticks can be active at any time of the year when the temperature is above freezing.3

Consider the critical role of the veterinarian.

It’s easy to see that Lyme disease prevention is a critical issue to raise with clients, and one that requires the expertise of a veterinarian. There is no replacing the combination of client education about the disease and exposure risk reduction and proper vector control, including systemic or topical insecticides and vaccination. But some Fear Free veterinarians are hesitant to add a Lyme vaccine to their protocols, thinking it means yet another needle stick and more vaccine volume administered. The good news for Fear Free Certified practitioners is that, for the majority of your patients, you can add a Lyme vaccine without adding needle sticks or more volume.

For example, dogs needing only a Lyme vaccine can receive Elanco’s TruCan™ Ultra Lyme. TruCan™ Ultra Lyme has only half the volume of most vaccines. While half the volume may not seem like a big deal to you, clients interested in Fear Free techniques will appreciate a reduced-volume vaccine. Let them know you have a Lyme vaccine that offers the same protection but with half the dose volume.

Elanco has options for dogs who need distemper and parvo protection as well as those at risk of Leptospiroris, another disease with changing risk. TruCan™ Lyme L-4 + TruCan™ DAPPi+Lyme L-4, and TruCan™ DAPPi+Lyme CL-4  all provide protection with one needle stick and the same vaccine volume as a 4-way Lepto-only vaccine.

TruCan, Elanco, and the diagonal bar logo are trademarks of Elanco or its affiliates.

©2023 Elanco or its affiliates. PM-US-23-0569

References

    1. 1 Rosenberg, R. Et al. Vital Signs: Trends in Reported Vector Borne Disease Cases US and Territories 2004-2016. MMR Weekly 67 (17) May 4 2018.
      2 Yabsley, M. Despite the Availability of Preventative Measures—the Risk of Vector-Borne Disease Remains High in 2019. CAPC website accessed on 16 May 2019 at  https://capcvet.org/articles/despite-the-availability-of-preventative-measures-the-risk-of-vector-borne-disease-remains-high./
    2. 3 CDC accessed Geographic distribution of ticks that bite humans. Accessed at:https://www.cdc.gov/ticks/geographic_distribution.html

This article is brought to you in collaboration with our friends at Elanco.

Certified Practice Member Exclusive: Behavior Triage 101

Hear from one of the profession’s leading experts when it comes to delivering Fear Free care to even your most challenging patients! The higher the level of FAS a patient experiences, the more challenging it is to effectively and safely deliver veterinary care. With her years of experience practicing and teaching, Dr. Susan Barrett shares her unique perspectives on successfully managing these patients.