Fear Free Archives - Page 2 of 6

Knowing How to Make Friends With Parrots Can Lead to New Patients

Barbara HeidenreichYour practice may not specialize in birds, but if there is not a board-certified avian practitioner in your area, you may find yourself seeing pet birds occasionally. Learning how to interact comfortably with them can help you add new clients and keep them and your feathered patients happy.

Unlike a dog or cat that may respond to a new person right away, birds can sometimes require a little extra effort on our part, especially if this is their first visit to your facility.

Birds can often show escape and avoidance behaviors when meeting a stranger. Here are some things you can do to help them to be more comfortable when you are getting to know them in a clinic setting.

Give the bird space: Although it is tempting, try not to go right up to a bird. Give him some time to get used to you being in the same room. Once he is looking relaxed and comfortable you can move a bit closer.
Speak softly: Many parrots respond to our loud voices by getting louder. Parrots can go from calm to highly aroused when we get animated, which can create conditions in which aggressive behavior is more likely to occur.
Move slowly: Birds tend to show fear responses when people move too quickly. You don’t want to scare your soon-to-be new friend.
Approach from the front: Be sure to approach the parrot so that he can easily see you coming. Many birds don’t like it when someone is moving behind them.
Show him something special: Before walking closer to a parrot, it is a good idea to have some preferred food items, small parrot toys, or other desired item with you. Ask the client what the bird likes best. Show the bird what you have to give him before you get too close.
Watch his body language: When you show the parrot the special treat or item you have for him, watch how he responds. If he leans toward you, he is saying he would very much like to accept your gift. If he leans away, he might be saying he is not sure he is ready to make friends right now. If he is not ready, you can always try again later.
Offer the special item: If the parrot leans forward and reaches his beak toward what you have to offer, you can move closer and give him what you have. Whenever you offer a preferred food item or toy to a parrot for the first time, try to present it so the bird has to lean forward to take it with his beak. This way you don’t have to get too close to the bird’s beak, and you can be extra-sure the bird is ready for the item. Sometimes when we get too close or offer the item too fast, a bird might respond by biting.
Offer more items: If the parrot takes the first food item or toy and is receptive, he might look or lean toward you for another one. If he does, that is an invitation to really start getting to know each other. Continue to offer him the desired items. This will cause your new parrot friend to look forward to seeing you.

Once a parrot understands that desired interactions occur in your presence, you will begin to notice more affiliative responses. He might be eager to step onto your hand. He might even talk or sing to see if he can encourage you to come closer to gain desired outcomes. As the bird’s comfort increases, he might even let you stroke the feathers on his head. This can be a good sign that you were very careful not to evoke fear responses and have done a good job building desired engagement.

Making friends with a parrot sometimes takes a little extra effort. But it is a very special compliment when a parrot accepts you as a friend. Pay close attention to your actions when you are meeting a parrot for the first time, and offer him preferred food items and fun toys. To learn more about interacting with, caring for, and managing parrots, seek out the Fear Free Veterinary Certification Program-Avian, which includes how to recognize stress in birds, how to handle and examine them safely, and how to teach cooperative care behaviors.

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

Barbara Heidenreich is an animal training consultant specializing in exotic animals. She consults worldwide working with zoos, universities, veterinary professionals, and conservation projects. She has worked onsite with over 80 facilities in 27 countries. She is an adjunct instructor at Texas A & M University. She has authored two books and contributed to four veterinary textbooks. She is a coauthor of two Fear Free® Avian Certification Courses. Much of her work focuses on training exotic species to cooperate in medical care. Barbara is an advisor for the Animal Training Working Group and the Parrot Taxon Advisory Group for the European Association of Zoos and Aquariums. She has provided her expertise to conservation projects The Kakapo Recovery Program and The Borneo Orangutan Survival Foundation. Her goal is to leave behind a legacy of kindness to animals by sharing her expertise.

Gabapentin Reduces Stress in Feline Patients, Study Shows

Julie Liu, DVMNo sooner do you read the alert, “Caution, will bite!” on your next patient’s chart when you hear him enter the building: loud yowls in the waiting area, followed by hissing, growling, striking, and screaming when you dare to peek at him through the carrier in the exam room. Is it a scene from a veterinary horror movie? Nope, just a senior cat who’s been losing weight for a couple of months, is overdue for rabies, and oh by the way, can you also trim his nails?

Fear of the veterinarian is a common finding among our feline patients and unfortunately, left unaddressed, can often escalate to aggression and worse veterinary care. Cat parents may put off bringing their cat to the vet due to the stress involved, and veterinarians are often unable to perform an exam, diagnostics, or treatments due to risk of injury. If you’ve ever attempted to “examine” one of your feline patients by observing them solely from the carrier, a recent JAVMA study¹ may bring hope.

In the double-blinded, randomized, placebo-controlled study, two groups of healthy cats at least 6 months of age were given either gabapentin or a placebo capsule two hours before the first of two veterinary visits. One group had a history of fear-based aggressive behaviors (FAB), and the other did not.

During the vet visits, the cat parent was present but did not interact with the cat, and the vet attempted to go through the following steps with a standardized clinical exam, corresponding to a compliance score of 0 through 9: no handling; removing the cat from the carrier; cardiopulmonary auscultation; abdominal palpation; intraoral exam; ocular exam; otic exam; rectal temperature; and finally, return of the cat to the carrier. The exam was stopped if the cat tried to bite or scratch the vet, but the exam continued if the cat hissed or growled. On the second of the two visits, performed a mean of about 15 days after the first visit, the cat received the opposite treatment of either placebo or gabapentin and the steps to attempted clinical exam were repeated.

The results suggested that the compliance scores of cats in the FAB group that received gabapentin were significantly higher (median, 9) than the same cats with FAB that received a placebo (median, 0.5). Forty-two percent of the cats receiving gabapentin did experience some side effects, most commonly drowsiness and myorelaxation. However, all adverse effects had resolved after approximately 10 hours, which is a reassuring point to make with concerned cat parents. In addition, most cat parents in the study rated the gabapentin and the placebo as being fairly easy to administer with regular food.

If you’re not using gabapentin routinely for your feline patients to reduce stress, now is a great time to start. An easy way to get cat parents on board is to send home a “Fear Free goody bag” that includes two free doses of 100 mg gabapentin (a trial dose and a day-of dose), an individually packaged Feliway wipe, and the Fear Free handout “How to Prepare Your Pet for a Veterinary Visit.”² Cat parents who balk at having to pay a dispensing fee for a gabapentin prescription may welcome a sample, and gabapentin is so inexpensive that the cost vs. benefits of actually being able to handle and treat your feline patients will pay off a thousandfold. Just make sure you discuss potential side effects and recommend that they give the gabapentin in a tasty treat such as Churu to avoid causing a food aversion with their regular canned food.

If the cat parent does their part by administering the gabapentin to their fearful cat, we as Fear Free Certified Professionals must do ours and use feline-friendly handling. A perfectly mellow cat floating away on a cloud of gabapentin is going to come crashing to earth if they’re scruffed or dumped out of their carrier. While removal from the carrier was the second step in this study’s standardized physical exam, if a cat doesn’t want to come out of the carrier on their own, they’ll often become much more stressed when they’re removed from the familiar environment of their carrier. Try removing the top of the carrier and allowing your feline patient the option of hiding in the towel–you’ll find that you can often do an entire exam, vaccines, and sample collection this way without the cat escalating to FAB.

For more info on feline-friendly handling, check out the updated, amazing, and free AAFP webinar by Dr. Ilona Rodan.³ Even experienced cat people will learn some great tips on ways to keep their feline patients as relaxed as possible.

Kruszka, M., Graff, E., Medam, T., & Masson, S. (2021). Clinical evaluation of the effects of a single oral dose of gabapentin on fear-based aggressive behaviors in cats during veterinary examinations, Journal of the American Veterinary Medical Association, 259(11), 1285-1291.
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https://catvets.com/education/online/webinars/feline-friendly-handling-interactions

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

Julie Liu is a veterinarian and freelance writer based in Austin, Texas. In addition to advocating for Fear Free handling, she is passionate about felines and senior pet care. Learn more about Dr. Liu and her work at www.drjulieliu.com.

Fear Free Success Story: Hanover Veterinary Hospital

Sandra ToneyHanover Veterinary Hospital in Cedar Lake, Indiana, has the distinction of being the first veterinary hospital in the Northwest Indiana region to become Fear Free Practice certified.

Lindsay Pollard, FFCP (Veterinary), the hospital’s practice manager, says they began trying out some Fear Free methods after hearing about the concept. “A few of our staff members obtained individual certifications,” Pollard says. “After learning more and attending a few conferences where Fear Free was highlighted, we decided to go all the way.” Hanover Veterinary Hospital completed the program to become Fear Free certified in December 2018.

When deciding to become a Fear Free Practice, the biggest difference has been in the way he interacts with the animals after certification, says owner Jeremiah Bieszczak, DVM. “The biggest change has been reading body language and emotional state/stress level and addressing that instead of pushing through it. We are better able to read pets and have more tools and knowledge to deal with these situations.”

Many long-term clients are delighted with the constructive visits they’ve had with Fear Free, and new clients are thrilled with the difference between them and their previous veterinarian, says Pollard. Oftentimes they mention the care and compassion used when handling their pets. Pollard feels they’ve made much progress with many of the patients since becoming Fear Free certified.

Fear Free helps all pets, but scared pets often need Fear Free much more to turn their lives around. Pollard has one patient in particular whom she’ll always remember and says Fear Free methods changed everything for this dog.

The pet was a 14-year-old female shepherd mix. Sally, who has since passed away, desperately needed help. “Prior to our Fear Free certification, both Sally and her owner, Sara Zilz, dreaded coming to the vet. She also had some fear aggression and anxiety issues at home. She had a very high FAS and was fearful to the point of aggression,” says Pollard. “Our exams with her were very limited at best and it took several staff members to accomplish anything with her at all.”

Sally had been adopted by Zilz from the humane society when she was 9 weeks old. She didn’t notice any problems with Sally until she took her for training and Sally became spooked by large signs in the store hanging over her head. Then she began showing other fearful behaviors. Zilz says Sally disliked smoke from the grill and even hated when someone blew out a candle. She started having food-guarding issues and was even afraid of shadows on walks.

Zilz says she never thought about potential problems at the veterinarian’s office. “I had her boarded at Hanover. Dr. Bieszczak came out when I picked her up and nicely said something along the lines of ‘She needs to be medicated before we will take her for another boarding.’ This broke my heart. I did not realize she was that bad.”

A veterinary technician named Bobbi became Sally’s best friend when she was boarded. Bobbi would sit in her kennel with her and try to get her to come out. She wouldn’t even go outside to potty. Bobbi called Zilz several times and asked if she could do some things to help her. After that, Bobbi became Sally’s veterinary technician of choice.

After they became Fear Free certified, Bieszczak started Sally on fluoxetine, an anti-depressant. This medication was a game-changer for her. Pollard says they also started doing happy visits with Sally, using treats with her during exams and treatment, and including calming pheromone products during her happy visits and exams/treatment. They also tried to keep the same staff member working with her all the time, and kept detailed notes on her likes and triggers, constantly adapting their plan and approach to better suit Sally individually.

“She made more progress with each happy visit and regular visit until eventually she was happy to see several staff members,” Pollard says, “and she was happy coming into the building. Sally would readily accept most treatment from us with the help of some treat distractors and enforcers.”

“At one point, I felt everyone wanted to give up on Sally. Once I saw the Hanover Veterinary Hospital staff was not giving up on her, I knew things would be okay,” says Zilz.

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

Sandra Toney has been writing about cats for over 25 years and is an award-winning member of Cat Writers Association and Dog Writers Association of America. She has written for many print and online magazines about cat health and behavior as well as authoring eight books. She lives in northern Indiana with her cat, Angel.

Fear Free Success Story: Animal Welfare League of Alexandria

Sandra Toney
Animal shelters are probably one of the places that cause the most anxiety for a pet. They are confused and scared in the unfamiliar surroundings. More and more shelters are using the skills they learned from the Fear Free program for dealing with distraught and frightened animals. The more that shelter staff use what they learn from the Fear Free program, the more animals they can help to become happy and adoptable pets.

“The Animal Welfare League of Alexandria (AWLA) has always strived to provide the best care to the animals in our facility, and by having all of our staff undergo Fear Free training, we are expanding the way we can help animals be healthier and more comfortable,” says executive director Stella Hanly. “I’ve been so excited to see how our staff has expanded upon these core principles to engage with each animal individually and help them on these next steps of their journeys.”

The Virginia-based nonprofit shelter has been a refuge for homeless pets since 1946. The shelter cares for more than 2,000 animals per year: everything from cats and dogs to iguanas and chinchillas. Five hundred volunteers provide a much-needed boost to day-to-day staff.

Gina Hardter, director of marketing and communications, first became aware of the Fear Free program several years ago when she was looking for a course on dog behavior.

After looking into the program, shelter management decided the entire staff would benefit from Fear Free certification. “We are always looking for ways to advance the level of care we can give to our animals, to keep them happy and healthy,” Hardter says. “The Fear Free approach provided structured guidance that could be used consistently by all of our teams.”

Becoming Fear Free certified gave the team direction in practices they had been considering, says adoptions manager Sean Furmage. “It was a good way for all of us to be working from the same set of information, especially about animal body language, as well as great advice on how to reduce stress in our interactions.”

The personal victories with certain animals have been another benefit of Fear Free certification. Furmage recalls a young terrier mix named Buddie, who was shy and appeared frightened of the men on staff. Furmage spent several weeks simply walking by and tossing her treats, not forcing an interaction, and eventually began to sit with her while attempting to take her outside the kennel. When two male adopters came to meet her, he explained to them what they might see with her.

“During their first meeting, she mostly just watched them from a distance. But then they came back a second time and a third time, and that time, she let them pet her and you could see in her body that she wasn’t as scared,” says Furmage. “We offered them the chance to foster her so they could get to know her even better, and I actually drove her to their house so she felt more comfortable. A week later, they adopted her and have sent us the cutest photos of how well she’s doing with them now.”

Julian Carter, animal care and behavior associate, says becoming Fear Free certified has made a difference in his awareness of animals’ boundaries and how respecting those boundaries can help each animal be more comfortable and less anxious.

“We’re lucky because we can give animals the time and space they need to feel comfortable and, by observing their behavior and reading body language, it helps to cut down on stress and injuries or actions that may result from it.”

Carter had his victory moment with a young, energetic dog named Juice. “He pulled a lot on his leash, was reactive in his kennel, and he didn’t really have any manners. We realized that he needed time to feel comfortable with people, and the consistency of a training plan so that everyone who was working with him was doing the same thing. It helped him to build expectations, which made him more comfortable around people as well as learning manners and tricks that would be helpful when he went to his new home.”

Several trained staff and volunteers worked with Juice. They took him outside so he could burn off excess energy, making his training fun. Soon, it was wonderful for staff and volunteers to see how far he had come from those days of barking and growling in his kennel. Carter says, “Juice actually just went home earlier this week because of the Fear Free treatment and training approach, which helped get him ready for a home environment.” While ultimately that home was not the right fit for Juice, the team at AWLA continues to work with the dog on his training plan to help him grow and be ready to meet his future family.

Working with sick and injured animals is certainly more challenging than healthy ones. Arianne Killen, senior manager of veterinary and foster care, has worked at AWLA for nearly four years. She says when she’s examining animals and performing standard care, she thinks more about the animal’s stress levels and what she can do to keep their anxiety levels down.

Whenever she’s in the veterinary suite, she remembers her Fear Free training. “They are already in pain and probably very stressed,” Killen says, “but by keeping calm, quiet, and moving slowly and predictably, I can help prevent that stress level from rising, which could make them feel even worse.”

A cat named Church came to the AWLA shelter after being at another shelter for about six months and not getting much attention from potential adopters. He hid under his bed when people came around.

“He was also a little shy about people being around his head because of previous medical treatments,” Killen says. “I realized he was the kind of cat that you just needed to follow his lead. If I put my finger out, he would slowly come up and sniff it, then rub his head against it. Once I did that, he was so much more comfortable with me, and then I could work with him much more reliably to provide medical attention.”

Hardter recalls an older Cocker Spaniel who came into the shelter. His leg had been amputated after an injury, and he would yelp or scream whenever anyone touched him, or even if he thought they were going to touch him.

“We could tell he was beyond stressed but did not know how to help,” she says. “We followed his lead by giving him space to be with us without forcing an interaction and soon found he was following close behind us, even though he still didn’t want to be touched. One evening when our office was empty, I just sat on the ground near his bed and started talking to him. I wasn’t looking at him but just chatting in a calm, even voice.”

She started reading him her emails because she didn’t know what else to say. Suddenly, she felt something on her arm. To her surprise, he had approached her on his own and leaned gently against her.

“Because of his location, I was able to pet him on his neck – and he didn’t scream. We sat that way for 20 minutes,” Hardter says. “He still had a way to go before he was ready to find his family, but that was our first sign that he was ready to start that journey and, because we followed his lead, I think he learned that he could trust that people were safe to be around and just wanted to help him.”

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

Sandra Toney has been writing about cats for over 25 years and is an award-winning member of Cat Writers Association and Dog Writers Association of America. She has written for many print and online magazines about cat health and behavior as well as authoring eight books. She lives in northern Indiana with her cat, Angel.

Top photo: Cupcake, courtesy DeSilva Studios; Cooper (rabbit), courtesy Dirty Paw Photography

Trainer/Groomer Sees Success With Fear Free

Sandra Toney
Jeannette Kincaid became interested in dog training over 20 years ago when she adopted a shy, fearful Border Collie/Australian Shepherd mix named Lydia. Unfortunately, Lydia was terrified of the world. Kincaid says she vowed to make a better life for her dog, so she started researching how to make Lydia feel as safe and happy as possible.

“It lit a spark in me and that passion has never subsided,” says Kincaid.

Going on to live 13 years, Lydia was never a social butterfly but, with Kincaid’s love and encouragement, she enjoyed seeing people and trying new adventures.

“Near the end of her life, we took a beach trip and she settled down on the patio for dinner with us,” Kincaid says, “It was truly one of the best moments of my life.”

Kincaid has now been a professional dog trainer for 15 years and, for the past nine years, has worked at Train My Dogs Austin and Onion Creek Kennels. Train My Dogs Austin is a positive training, boarding, and daycare facility in Austin, Texas, while Onion Creek Kennels in south Austin focuses on daycare, cat and dog boarding, and cat and dog grooming – all using positive reinforcement for the pet clients.

As head trainer at both facilities, Kincaid is currently enrolled in Animal Behavior College’s Grooming Instruction program, so she will soon become a professional groomer as well.

Fear Free certified in both training and grooming, Kincaid decided to take the courses when she began having an influx of training clients whose pets had been let go from their groomers for behavior reasons and needed a new facility for their dogs to be groomed.

Since Kincaid also groomed dogs, she began working with her training clients. “The Fear Free program has been very helpful in teaching me how to work with dogs in a manner that can help them grow to like grooming as well as a good foundation of knowing when to continue grooming and when to stop.”

Her training approach was already similar with the Fear Free program’s principles and techniques, says Kincaid, but what she lacked was concrete ways to illustrate and explain to clients and colleagues why she would continue working with a dog in some circumstances, and when she would stop and step back. The Fear Free certification program gave her great handouts with clear illustrations to help clients learn how to identify FAS (fear, anxiety, and stress). It has clear illustrations laying out various levels of stress such as when to push forward and when to stop and reduce stress.

The handouts have had a huge effect on client follow-through and understanding. She loves the continuing education available. “The Fear Free program has the best webinar on how to do a nail trim that I have seen,” says Kincaid. “Becoming Fear Free certified as a trainer and a groomer has really opened up a whole new subset of clients. It is also extremely rewarding to work dogs into grooming that were not able to be groomed previously. The clients are always so grateful.”

Kincaid says one case where her Fear Free certification was crucial was in working with a 6-month-old Schnauzer other groomers wouldn’t handle. He would start biting even while being brushed. Kincaid decided to take him on as a client because he was young and would need to be groomed for the rest of his life.

“We set up a training program where he came once a week and I worked on counterconditioning him to various tools and holds needed for grooming. We only ever pressed on if he stayed in the green level on the FAS ladder. We adjusted if his FAS started rising.

“We really leaned into the idea of need versus want,” she says, “meaning we stopped frequently, and he went home only partially done. But over a few months, we were able to complete an entire full groom and he went home looking great. This dog was labeled as a dog that couldn’t be groomed and now is able to be groomed and,” Kincaid says, “he loves his groomer.”

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

Sandra Toney has been writing about pets for over 25 years and is an award-winning member of Cat Writers Association and Dog Writers Association of America. She has written for many print and online magazines as well as authoring eight books. She lives in northern Indiana with her cat, Angel.

What to Know About Recognizing Signs of FAS in Avian Patients

Fear Free

Specific signals of fear, anxiety, and stress (FAS) differ slightly by species, but what remains constant for delivering Fear Free care is to attend to what animals communicate through their body language.

For exotic animal veterinarian Alicia McLaughlin, who practices at the Center for Bird and Exotic Animal Medicine in Bothell, Washington, paying close, constant attention to body language signals throughout interactions and care is vital for protecting the emotional experience and safety of her animal patients and the veterinary team.

In the case of Dr. McLaughlin’s exotic animal patients, signs of FAS may be slightly different and adjusted to depending upon the species. Avians in particular can be challenging for most people to read. But with practice, reading their signs of FAS becomes second nature.

Some signs of increasing fear, anxiety, and stress McLaughlin watches for in avian patients include eyes appearing more round as opposed to soft and almond-shaped. Stressed birds also do not preen themselves and are unwilling to eat even favorite treats. Birds may stand taller on their perch and lean away from a scary object or person, with feathers slicked and held close to the body. If these body language cues are ignored, birds may attempt to fly away or vocalize, or FAS may progress to defensive gesturing, with the bird opening the mouth, lunging, and threatening to bite.

Another aspect of body language to watch for is overexcitement.

“Overexcitement can lead to aggression quickly,” McLaughlin says.

Signs of overexcitement include feathers ruffling on the nape of the neck. A parrot may fan out tail feathers. Parrots have voluntary control over their pupils and can dilate and constrict them rapidly in what is referred to as eye pinning, another sign of overexcitement and a red flag for potential aggression.

Carefully and continually monitoring for signs of FAS throughout preparatory visits and actual veterinary care is protective both for the ability to handle patients in the immediate situation and for building their long-term comfort with care.

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

Fear Free Euthanasia: Help Pets and People Say Goodbye Peacefully

Julie Liu, DVMPet parents will remember their animal’s euthanasia for the rest of their lives, and if their pet is agitated or anxious, they’ll remember that, too. Helping them to plan ahead can make the experience easier for your patients and their families.

When people make the difficult decision to euthanize a pet, there are many other smaller decisions they’ll have to make, such as when to schedule and whether they or their children should be present. Among the details that should be considered on your end is how you can reduce the animal’s fear, anxiety, and stress during their final moments.

When pets have a fear of the veterinarian and are brought in for euthanasia, their stress levels can escalate. The procedures that may take place before euthanasia can be scary or painful, such as being restrained by a veterinary staff member while their front leg is shaved and an IV catheter is placed. While this usually occurs away from the owner, the experience is often stressful enough that the difference is noticeable when the pet is returned to the exam room.

Even if a particular patient doesn’t routinely require anti-anxiety medications, consider them when clients are bringing pets in for euthanasia. Many pet parents have concerns about their sedating effects, but this is one instance where it truly doesn’t matter–sedation will only help the euthanasia go more smoothly. Dispense them at least a few days ahead of time to ensure that the client is able to give a test dose before the day of the pet’s euthanasia. Some anti-anxiety medications such as gabapentin also help reduce pain, so they can decrease discomfort to procedures such as IV catheter placement prior to euthanasia. If your patient is agitated or is still fearful despite oral pre-visit pharmaceuticals, consider injectable sedation prior to euthanasia. The last thing a pet parent wants to see in their time of grief is their pet flailing, vocalizing, or trying to escape. Sedation will decrease stress for the pet and their family.

If your practice routinely uses IV catheters for euthanasias, have clients rub a lidocaine numbing cream such as Supernumb on the tops of their pet’s forelegs several hours prior to euthanasia. IV catheter placement is painful, and numbing the area will make for a more compassionate experience, especially since multiple catheter attempts are sometimes needed in debilitated pets .

In your Fear Free practice, you use treats with patients during routine visits, and you can use them with euthanasia, too. Providing a smorgasbord of vanilla ice cream, lunch meat, cheese chunks, Churu, peanut butter, or whipped cream will allow clients to continue bonding with their pets while lowering their stress. Take care to avoid giving greasy foods such as burgers–while tempting to offer as a last meal, they can cause nausea and gastrointestinal upset.

If you don’t offer housecalls for patient euthanasia, I urge you to consider it. Even pets who don’t have a strong fear of veterinary visits will never be as relaxed at the vet as they will in their home, with their familiar bed and environment. You can even have classical music playing quietly in the background to help create a calming environment. I’ve euthanized several pets in their homes, and in every instance I felt that the experiences of the pet and the owner were better than they would have been in the clinic environment.

Pets deserve to have a Fear Free death as much as they deserve to have a Fear Free life. By considering a patient’s emotional health during their final days, you’ll help make their passing as compassionate as possible.

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

Julie Liu, DVM, CVA (Certified Veterinary Acupuncturist) is a small-animal veterinarian who practices in Austin, Texas. In addition to advocating for Fear Free handling of pets, she is passionate about feline medicine and senior pet care.

Dogs Less Stressed With Owners Present at Exams, Study Shows

Linda LombardiSome aspects of the experience of visiting the veterinarian are generally recognized as stressful to pets, such as strange noises, unfamiliar people and animals, and being handled in uncomfortable ways. Less clear – and now even more relevant in the wake of the pandemic – is a question asked by a recent study: how are pets affected by whether or not their owner is present during the exam?

In research published in Journal of the American Veterinary Medical Association in November, 32 dogs underwent a standardized exam consisting of examination of the head, palpation of lymph nodes and body, axillary temperature measurement, heart rate assessment, and respiratory rate assessment. The exams were recorded on video under two conditions, with owners present or absent. Behaviors indicating fear were assessed, including reduced posture, avoidance, escape, lip licking, body shaking, yawning, and vocalizing; physiological measures were also taken.

Based on their findings, researchers concluded dogs were less stressed when the owner was present during the exam.

“When the owners were allowed to be present with their dogs, they did have more reduced fear levels: reduced vocalizations and reduced temperature, and we also saw some female dogs had lower heart rates when they were with their owners,” says coauthor Anastasia C. Stellato. “So our results show that, if possible and if it’s appropriate for that client, to allow owners to be in the exam room could have a beneficial impact.”

Owner presence didn’t eliminate fear: more extreme responses, such as attempting to escape, were the same in both groups, despite the superficial nature of the exam. “It’s important to keep in mind that the exam we conducted was very passive,” says Stellato. “It was on the ground, they had a traction mat, we didn’t even use rectal temperature, and yet we still saw those fearful responses.”

So while those reactions indicated that the dogs would have preferred to avoid the exam, owner presence apparently allowed them to tolerate it somewhat better.

The study found an age difference in that older dogs lip-licked less than younger dogs when their owner was present. It’s possible that this was the result of a stronger bond developed over the years, but since length of ownership was not recorded, this remains a hypothesis for further investigation.

One finding that was surprising to the researchers was that owner-present dogs yawned more. Yawning is a complex behavior in dogs, so this result is difficult to interpret. “It was contrary to our expectation, so it requires further investigation,” says Stellato.

On the whole, the results suggest that when possible, allowing the owner to be present can be a simple way to reduce stress.

Veterinary behaviorist Karen van Haaften, senior manager of behaviour and welfare at British Columbia SPCA, says: “I think it’s a nicely designed study. It’s randomized and controlled, which is nice to see in a clinical study. I personally am not surprised by the results of this paper, but I think it’s really useful information for both veterinarians and pet owners to know, and I think it’s a timely one to consider, because during COVID, most vets are not allowing pet owners into the hospital.”

Even after the pandemic is over, pets will still need to be separated from their owners sometimes, so ways to mitigate the stress of this experience need to be considered. Van Haaften says: “When I read this, I’m asking myself, why are we seeing this response? Is it the social support — the bond that the pet has with the owner — that is reassuring to them? Or is the lack of familiarity? They don’t see anything in this clinic environment that feels familiar to them. Probably it’s both, but if the second, we can work on that.”

When pets do need to be separated from their owner, she says, consider how to include things familiar to the pet in the experience.

“We can interact with them in the way that we see that the owner does – use cues the owner uses, use training that they already know, walk them in on equipment that’s familiar, maybe bring something familiar from the owner into the room with them.”

Post-pandemic, we can return to the idea that familiarizing pets with the clinic in advance; for instance, dropping in simply to get some treats and meet friendly people. “If you do that a couple times a week they’re going to love going into the clinic — now it’s a familiar place where good things happen to them.”

And in some cases, a very little bit of familiarization right before an exam can make a big difference. “For some dogs, it doesn’t take that long to bond with a person,” van Haaften says. “If a technician or someone spends five minutes feeding cookies, performing trained cues with a dog, suddenly, now they’re good friends, and the dog has a familiar person they can go into the clinic with.”

Some clinics are doing exams outdoors for pets who are stressed inside the clinic, which can allow the owner to be nearby and this might be worth continuing for some pets as well. In general, van Haaften recommends flexibility and attention to individual differences.

“Behavior during vet exams is really complicated, and different techniques are going to work with different animals,” she says. “Be creative, be willing to be flexible about how you do exams to give your patients the best experience.”

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 that 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, coauthored with Deirdre Franklin, is The Pit Bull Life: A Dog Lover’s Companion.

Study Suggests Simple Cage Modification to Reduce Stress in Hospitalized Cats

Linda LombardiThe veterinary clinic or hospital can be a stressful place for cats, full of strangers and strange noises and sights. A recent study suggests a simple and inexpensive way to reduce this stress by use of plexiglass sheets hung over the front of the cage.

In the study, thirty pet cats were placed in one side of two connected cages (the starting side, left or right, varied randomly) for 70 minutes. There were three conditions: open cage vs a cage-front covered by clear plexiglass; open cage vs opaque plexiglass; and clear vs opaque plexiglass. Observers calculated stress scores from the cat’s behavior during the first and last 15 minutes and recorded how much time was spent in each cage.

The cats who were most stressed in the first 15 minutes spent significantly more time in the cage that blocked the most incoming stimuli: they preferred either type of plexiglass to the open cage, and preferred opaque plexiglass to clear.

Coauthor Kyle G. Mathews, DVM, MS, DACVS of North Carolina State University says the idea behind the study was to find an affordable way to make clinics less stressful, while still allowing a full view of the patient. The opaque plexiglass is “like looking at the cat through a pair of sunglassses,” he says, which is much better than other inexpensive possibilities. “When you put a towel over the cage, or you give them a hiding box, you can’t see the animals.” When staff need to open the door to look at the hidden cats, that adds stress; if there’s a problem, staff might not notice in a timely fashion. “They may have IV lines, and that makes giving them a hide box difficult, because they could get their lines tangled up,” he adds.

Other possibilities are more expensive. For example, louvered windows, such as those used for privacy in conference rooms, would probably work. “You’re looking down at an angle and can see the cat, but the cat looking straight out can’t see the room,” he says. “But these are very expensive and have to be custom made.” In comparison, inexpensive plexiglass cut to order can be bought fairly cheaply and all that’s needed is to attach hook and loop fastener strips to hang it from cages.

If you’re wondering why not a one-way mirror, they ruled that out immediately for good reasons. “A one-way mirror only works if there’s light on one side, and dark on the other. So the person in the dark room can see the person in the light room, but the person in the light room can’t see the person in the dark room,” he says. “So we’d need the light in the cage with the cat and the room would need to be dark.”

While they may be a start, barriers won’t solve all the problems that stress cats. In particular, while plexiglass sheets block light (a 74.4 percent reduction for opaque and 13.9 percent for clear), they do little to block noise (only a 4.5 percent reduction). Although no one has specifically studied the effect of noise on cats, it’s almost surely a problem, especially in an echoing stainless steel cage.

“Eventually, if people don’t want to rebuild a room for cats, we may need to design a cage that has insulation around the outside of it, but still stainless inside that you can clean,” he says. “But noise reduction is going to be a more expensive alteration. So this was our first attempt at looking at, is there something relatively cheap that a practitioner could use to retrofit their clinic that would make it feline friendly.”

Further research also needs to be done in a real hospital setting: this study was done in a special room, with video of the sights and sounds of a veterinary inpatient ward projected onto a screen. But in the meantime, the results suggest that it’s worth trying and doesn’t appear to have any downsides. “The indication is that it probably is helpful, especially in the most stressed-out cats,” he says. “It’s not going to hurt them – they’re not going to move away from it, there was no indication that was the case.”

Board-certified veterinary behaviorist Margaret E. Gruen, Assistant Professor of Behavioral Medicine at North Carolina State University and a Fear Free Certified Professional, agrees that this is worth trying, noting that odors, separation from owners, lack of hiding places, and sounds of people talking and monitors beeping are all stressors for cats, making hospitalization and recovery more difficult for them as well as increasing morbidity. They may refuse to eat or be hesitant to use the litter box. And anxiety is often difficult to differentiate from pain in cats. Looking at ways to mitigate these stressors while still being able to easily observe feline patients, especially when they are ill or recovering from procedures, benefits both veterinary teams and the cats themselves.

“The cats, and their people, will appreciate it,” she says. “And having happier cats in the hospital is a win for everyone.”

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 that 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.

Top 10 Treats to Win Pet Hearts

Mikkel Becker, CBCC-KA, KPA CTP, CDBC, CPDT-KA, CTCFor pets, treats are like currency. Just as few of us will expend much effort to pick up a penny, but would risk ripping the seat out of our pants for a dollar, pets too crave high-value treats. Let’s face it; not all treats are created equal. There are certain flavors, textures, and even temperatures pets prefer over others.

It’s crucial to use “the good stuff” when it comes to treating effectively and gaining a pet’s keen appetitive interest in the face of distractions and change that are beyond a pet’s comfort zone, as happens when they are removed from the comfort of home and taken into the veterinary hospital environment.

Many Fear Free Certified Professionals have their own “tricks of the treats” to persuade even the most finicky of pets to chow down and lick their lips. Dr. Marty Becker, founder of Fear Free and a Fear Free Certified Professional himself, is rarely in the exam room without a ready supply of top-shelf treats that he and his team generously hand out as pleasant distractions and high-currency mood boosters to help deliver a more optimal emotional experience for pets during veterinary healthcare.

Here are his top 10 pet-preferred treats for Fear Free veterinary care.

For Dogs

– Baby shrimp

– Beggin Strips (broken into tiny pieces)

– Canned salmon or tuna

– Warm deli turkey

– Easy Cheese Cheddar & Bacon

– Freeze-dried meats from Pure Bites

– Honey Nut Cheerios

– Kong Squeezable Peanut Butter

– Peanut Butter Captain Crunch

– Slices of turkey hot dogs

For Cats

– Albacore tuna or salmon

– Anchovy paste

– Baby shrimp

– Bonita fish flakes

– Easy Cheese Cheddar & Bacon

– Fancy Feast: Foil packs of any flavor

– Green olives

– Marshmallows

– Vegemite

– Whipped cream

Dr. Becker and the team at North Idaho Animal Hospital pay special attention to economical means of delivering tasty treats by ordering many of the above options in bulk for a lower price. They keep treats fresh and easy to pull out for individual patients by dividing the bulk size into smaller portions when possible, placing them into small, treat-size Ziplock bags and storing in a refrigerator or freezer until needed. The team will pull out treat options from the freezer to thaw in the fridge overnight. Warming the contents in a microwave-safe container for 7 to 10 seconds prior to the exam releases fragrant aromas and heightens flavors.

Pets with allergies and other special dietary needs receive treats specially chosen treats. Oftentimes the owner will bring in a pet’s favorite treats, such as blueberries, apple pieces, or green beans. An alternative is to warm the pet’s regular hypoallergenic food or treats in the microwave to enhance scent and flavor. A canned version of the pet’s regular food or a compatible alternative soft food and treats can be delivered through means of a food-dispensing toy. Or fill small paper cups with dilute beef bouillon or tuna juice and freeze to make a long-lasting popsicle the pet can lick. Remember, pets are coming in hungry, so even their regular food warmed up can seem like manna from heaven.

Deliver tiny tastes or portions. The pet may receive dozens of treats or continuous licks of a treat during the exam, but their appetite is maintained through small amounts (think Cheerio-size or smaller) or slow delivery methods such as from a food puzzle.

How do Dr. Becker’s favorite Fear Free treats stack up with your own go-to treats? What would you add to the list?

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

Mikkel Becker is the lead animal trainer for Fear Free Pets. She is a certified behavior consultant and trainer who specializes in reward-based training that’s partnered closely with the pet’s veterinary team. Mikkel is the co-author of six books, including From Fearful to Fear Free.

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