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Linda LombardiChildren up to nine years old are at highest risk of being bitten by a dog. A new study confirms previous research that children are not very good at recognizing fear in dogs and reveals an additional issue: even when they do recognize fear, children are just as likely to approach a fearful dog as a happy one. This has important implications for how we educate children and parents to minimize the risk of bites.

The study used images and video clips of dogs showing behavior signals in three categories: frightened/aggressive, defensive/aggressive, and happy/playful. These were reviewed for accuracy by an experienced dog trainer with a bachelor of science degree in animal behavior. They were shown to children ages 4 to 5 and 6 to 7 years who were then asked questions to assess how well they identified the dog’s emotional state, how confident they were about their interpretation, and how likely they would be to approach the dog.

Study Method

Children rated the dogs’ emotions on a chart using cartoon images and a five-point scale. They also rated on a five-point scale questions about how they would act toward the dog, including “Would you pat this dog?” “Would you cuddle this dog?” and “Would you sit next to this dog?”

The children were relatively good at recognizing angry dogs but less able to recognize frightened ones:  only 56 percent of 4- to 5-year-olds and 76 percent of 6- to 7-year-olds accurately recognized frightened dogs.

Knowledge Doesn’t Mean Safety

However, the ability to recognize a frightened dog did not mean that a child would behave safely by avoiding that dog. Children were unlikely to approach an angry dog, but 81 percent of children answered that they would approach dogs they recognized as frightened. Statistical analysis also found no difference in the likelihood that children would approach a frightened dog compared to a happy one.

Children’s intuition about how to behave around an angry dog seems good, so why the difference with fearful ones? Coauthor Sarah E. Rose of Staffordshire University says, “It is possible that young children may think that it is okay to approach a frightened dog as when they themselves feel frightened, physical comfort can be reassuring. They fail to recognize that the dog’s feelings and reactions in this situation may be different to their own.”

The study also looked for effects of age and whether children lived with a dog or not but did not find consistent differences. “Children do show some improvements in correctly recognizing the emotion with age, and there is also some evidence that those growing up in a house with a dog may be a little better at recognizing the emotions,” she says. “But these findings are not consistent for all emotions.”

Lisa Radosta, DVM, DACVB, says, “This study shows at least one reason–there may be others–that children are the most common bite victims. They are not adept at recognizing frightened dogs, and even when they are able to recognize them, they don’t know how to interact with those dogs.”

Practical Prevention

This has implications for parents, behaviorists, and the design of dog-bite prevention programs. Dr. Radosta says parents need to educate themselves and their children. “The best practical advice is to prepare the dog for the child before the child is born and educate little ones with pictures that they can comprehend as soon as they are born,” she says. “We read with kids from day one, why not read picture books about dogs and cats?”

Adults also need to be aware of both their dog’s signals and the risk that a child may approach a fearful dog. “Adults don’t recognize fearful behavior and they do not understand that any animal can bite if the circumstances are stressful enough. As a result, chances are taken that should not be taken,” she says. “Make sure to practice proactive supervision all the time.”

The authors note that while there is evidence for at least short-term benefits for dog-bite prevention education programs, this mostly evaluates children’s ability to recognize risky situations and their performance on tests of knowledge, rather than their ability to recognize dog signals and how they behave in response. The results of this study suggest that programs should explicitly teach children both how to recognize behavior and that fearful behavior means that a dog wants to be left alone, rather than wanting the hug that they themselves would find comforting.

“Children seem to have a relatively good understanding that they should not approach an angry dog, but this is lacking for frightened dogs,” says Rose. “We recommend that children should be explicitly taught not to approach frightened dogs.”

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.

 

Taking Fear Out of the Veterinary Visit for Pets and Owners

If we want to do what is best for the pet when they are in for a preventive care visit (run diagnostics) and what is best when they are sick and injured (early presentation, diagnostics before therapy) then we need to see the patient! In this webinar, Dr. Peter Brown discusses how creating a Fear Free environment will help you communicate with your clients.

Dr. Brown also covers:

* Home tips and tricks on preparing clients for what to expect and decreasing the fear of the unknown
* Tools and process changes that will improve in-hospital client communications
* Simple and easy ways to integrate technology into the client journey, enhancing their experience

Sponsored by IDEXX.

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Six Client Tips for Puppy Socialization

Veterinarians often recommend that new puppy owners actively socialize their puppy during the sensitive socialization period. Well-intentioned pet parents may take that general guidance and inadvertently create, not prevent, problems. In this webinar, Jacqueline Neilson, DVM, DACVB, demonstrates how sharing six socialization principles will allow veterinary staff to help owners make wise choices for socialization that promote the pups’ emotional and physical wellbeing.

Sponsored by Elanco.

Course Overview

As a Fear Free groomer, you now understand the benefits of grooming this way. But what about explaining it to your clients or your colleagues? If you sometimes meet resistance or questions and would like some quick and handy “sticky scripts” to use for both your peers and your clients, this module is for you!

Created based on feedback from Fear Free Certified Groomers and written exclusively for them, this one-hour module will equip you with short phrases to make explaining different aspects of Fear Free simpler for you.

This module is COMPLIMENTARY to all professionals that are already signed up for the certification program.

Client and Colleague Communication is divided into four lessons:

  • Lesson 1: Defining Fear Free Grooming
  • Lesson 2: Communicating with Colleagues
  • Lesson 3: Addressing Common Challenges
  • Lesson 4: Turning Clients into Teammates

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

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

Sponsored by State Farm.

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

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.

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Maggie MartonA 2018 article published in Veterinary Sciences synopsized a dissertation examining the connection between owner loyalty to their pets’ veterinarians and their perception of the communication from the veterinarian and staff. The study found that good communication delivered all kinds of benefits, from customer loyalty to trust in the veterinarian to likelihood of following treatment instructions to perception of a greater value for services rendered.

But good communication can be difficult, and it can feel nearly impossible in times of crisis–when a pet is ill or injured, when an animal is dying, or when a client doesn’t understand or can’t afford care options, for instance. While many communication tools are available, one promising model for veterinarians to help calm pet owners is Nonviolent Communication (NVC).

What is NVC?

The goal of NVC is to communicate and express yourself clearly, then receive what you hear back without judgment. The communication model avoids language that promotes disconnection, such as blaming, comparing, judging, or doling out advice.

Leslie Ritter-Jenkins, a certified trainer with the Center for Nonviolent Communication, says NVC is being practiced in the human medical field and fits veterinary medicine well. “Because veterinarians, like many people in the medical world, are people of authority, we tend to give them a lot of power,” she says.

Being mindful of language used matters because people tend to either rebel or submit to perceived authority. This is critical in times of crisis because when a client is triggered–by fear, anger, grief, and so on–that lack of control makes communication more difficult. As the “authority” in the room, using NVC tools can establish trust and confidence between the veterinarian and client while avoiding or mitigating conflict.

It’s just one framework for clear communication, but its principles fit veterinary medicine because the foundation is built on one thing: compassion. In times of crisis, especially when life and death decisions must be made, a compassionate response can shift the tone of the conversation.

The NVC Process

According to the Center for Nonviolent Communication, the model consists of two sides: empathetically listening and honestly expressing. You can’t control what your client says–or hears–especially while facing stress or fear, but you can control your listening skills and your response. Here are the four steps to the NVC process to employ:

  • Observations: without judgment
  • Feelings: underlying emotions
  • Needs: universal and what makes us human (e.g. mutuality, respect, freedom, choice, partnership)
  • Requests: a clear, doable ask

Ritter-Jenkins points out that what a client poses as a feeling is more often a need, so the NVC skill involves drilling down to identify what’s really going on. She says, “If someone says, ‘I feel disrespected,’ their feeling isn’t disrespect. The feeling is probably hurt or scared. Their need is respect.”

Listen closely to the data your client provides either overtly or through your observations and consider whether there’s an emotion or need masked by the language. It’s a skill that takes time to hone. Practice sessions during staff meetings may be helpful.

How Can NVC Help in the Exam Room?

“All humans share the same feelings and needs. When we get out of right and wrong thinking, better or worse, appropriate or inappropriate, and we speak this language of feelings and needs, we have a language that connects us universally. When a vet can hear behind what the customer, the human customer, is saying and then use a sentence or two of empathy, it’s very efficient connecting with feelings and needs. You can get to the heart of things, what’s really happening with the customer, fast,” Ritter-Jenkins says.

She shares an example from her own life when she faced an end-of-life decision with one of her cats. Her cat suffered from an undiagnosed GI disorder. They tried various approaches, and she ultimately went to the vet for help because her cat wasn’t eating, he was losing weight, yet he was acting completely normal.

“She could hear in that data and say, ‘It sounds like you’re feeling torn because you know that there’s something physiologically wrong and the cat is likely in pain and suffering, and you’re torn because you’re seeing some normal behavior and you’re needing clarity about what’s going on.’ That would’ve been exactly right–an empathic guess,” she says. “Or she could have said, ‘It sounds like you’re feeling exasperated and want some clarity or want some support in this decision.’”

When faced with a potentially costly procedure, a devastating diagnosis, or an end-of-life decision, client reactions run the gamut, but people often shift swiftly into panic or crisis mode. Listen, then present the data, the science, while being clear that you’re not telling the client what to do. Jumping in with unsolicited advice, especially when a client is in crisis, creates a barrier to empathy, as does judging, storytelling, one-upping, and philosophizing.

One of the easiest ways to achieve this? A quick question.

Take some time during or toward the end of an appointment to ask, “Have your questions been answered? Do you have anything else that you’re concerned about that we haven’t covered?”

Practice NVC

The science supports this model of communication. “What happens is the vagus nerve that goes from our brain and feeds our heart, our lungs, and our digestive system, empathy calms that. When someone empathizes with us, our whole body relaxes. We have the beauty of this connection, and it’s not just emotional. It’s physiological,” Ritter-Jenkins says.

Earlier this year, VIN offered a course on empathy and reflective listening, which included the Nonviolent Communication text as recommended reading. The concept is gaining traction in veterinary medicine. On its website, the Center for Nonviolent Communication posts practice group meetups open to anyone wanting to learn and practice the skills. Or pick up a copy of the book, Nonviolent Communication, and practice with your staff.

Bottom line: It’s a worthwhile endeavor to communicate well with your clients, especially during times of crisis, and it might even help build your business by increasing customer loyalty. The NVC model provides a framework to achieve those goals.

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

Maggie Marton is an award-winning pet writer based in the Indianapolis area. She covers dogs, cats, kids, and often the intersection of all three for print and online publications. Maggie is the author of Clicker Dog Training: The Better Path to a Well-Behaved Pup and the blogger behind OhMyDogBlog.com and TheZeroWastePet.com.

Deb Eldredge, DVM

A wonderful way to educate clients and potentially help out local pet adoption groups is to hold a kitten or cat care clinic. June is an ideal time for a kitten-themed clinic but any time of year will work. You might choose to do a couple of cat care clinics each year; consider one with a focus on senior cats, for instance.

A Job for a Cat Lover

Have a clinic employee who is considered one of your “cat people” in charge of this. If your clinic has a room big enough for a seminar, use that. I have used our local cooperative extension meeting room, usually available free of charge. As an alternative, a community college might have a free room available.

Most communities have local radio talk shows that are always looking for interesting people and events. Between that and posters at local shelters, pet stores, and your own clinic you should have plenty of free PR.

Gather Info and Freebies

Once you have a site, start collecting freebies to hand out. Our local pet store offered up bags and some treat samples. Go directly to companies; for example, Arm and Hammer donated small boxes of litter box deodorant. I have had samples of joint supplements, treats, food, catnip, and toys to put into the bags. You might be able to get starter kits to include as well, especially for kittens. The Pet Poison Helpline will donate magnets. If you got some donations of larger items you can make up baskets for a free door prize raffle for attendees.

Next, look for educational literature. Between AVMA, AAFP, Winn Feline Foundation, Cornell Feline Health Center, and AAHA, there is plenty of wonderful information for cat owners. You can also make copies of any handouts your own clinic has customized.

Involve Some Felines!

With June not only being Adopt a Cat Month/Adopt a Shelter Cat Month but also prime kitten time, I also recruited a couple of kittens from a local shelter. We bathed them, did FeLV and FIV testing, performed fecal checks, and provided their first vaccines. The kittens attended as demo animals for things like nail trims but also with the hope that they would charm their way into new homes. You could also have an adult cat or two present. If you aren’t comfortable using “unknown cats,” bring a clinic cat or employee cat who is good with crowds. I have used my own cats who were certified therapy cats as well as shelter cats and kittens.

Educate and Expand

Have a set list of topics to cover. Basic wellness care is a good starting point. If our clinic was concentrating on kittens I would bring up carrier training and behavior modification to prevent scratching or biting problems. Emphasize techniques to get kittens started on the Fear Free path. For senior cats you might want to discuss one or two of the most common senior cat problems such as kidney disease and arthritis.

Once you start doing “care clinics” you may find you have other topics to cover. Basic first aid is a good one or a nutrition basics seminar. These clinics can draw in new clients and also help your staff in the long run by educating people and answering their questions outside a busy work environment.

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