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Course Overview

This one-hour course is for Fear Free Certified veterinarians considering relief work and relief vets considering Fear Free certification—both of which have an opportunity to positively impact the profession but also face unique challenges. Throughout this course, you will learn how to practice Fear Free as a relief vet and address different types of communication unique to this role. In addition to bringing Fear Free to general relief practice, we’ll also cover some of the situations you may encounter in emergency or shelter relief practice. You’ll also learn tips for identifying compassionate clinics who share your Fear Free philosophy.

This course contains nine short lessons:

  • Lesson 1: The Benefits of Being a Fear Free Relief Vet
  • Lesson 2: Challenges in Fear Free Relief Practice
  • Lesson 3: The Fear Free Relief Vet Toolkit
  • Lesson 4: How Self and Situational Awareness Support Fear Free
  • Lesson 5: How to Be a Fear Free Leader
  • Lesson 6: Communicating Fear Free
  • Lesson 7: Special Considerations for ER and Shelter Practice
  • Lesson 8: Passing on Fear Free After Your Shift
  • Lesson 9: How to Find Clinics with a Like-Minded Fear Free Culture
  • This course was written by Julie Liu, DVM, and Cindy Trice, DVM and is approved for 1 hour of RACE CE.

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    Join world-renowned animal behaviorist, award-winning author, and subject of an Emmy-award winning film Temple Grandin, Ph.D., as she takes a tour of a veterinary hospital with Fear Free founder Dr. Marty Becker and describes what she sees, hears, and experiences. Learn through Dr. Grandin’s first-hand observations how we can better “see” things from animals’ perspectives and how even small improvements, exactly like the ones taught in Fear Free’s Veterinary Certification Program, can make a world of difference for cats and dogs.

    Course Overview

    The chin rest is a valuable cooperative care behavior that allows for a hands-off, consensual way to keep an animal still for veterinary exams, husbandry care, grooming, and other procedures. A chin rest serves as an indication from the animal that he is ready to engage in a handling or care procedure. By giving him a choice to “opt out,” even for a few seconds, chin rest empowers the animal to have a voice and greatly reduces his FAS.

    In this course, you will learn the steps for training a solid chin rest behavior to an advanced level and discover its many practical, on-the-job applications.

    This course includes three lessons:

    • Lesson 1: Strategies and Equipment
    • Lesson 2: Training and Problem Solving
    • Lesson 3: Taking it to the Next Level

    This course was written by Mikkel Becker, CTC, KPA CTP, CBCC-KA, CPDT-KA, CDBC.

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    Rachel Lees, RVT, KPA CTP, VTS (Behavior)To successfully identify behavior concerns and recommend a treatment plan, a veterinary professional should be proficient in collecting a thorough behavioral history. It’s essential to gather information on daily routine, environment, training history, and other lifestyle and behavior facts.

    With feathered companions, this is especially important, as many avian behavioral issues may be related to lack of environmental stimuli; specific relationships with members of the household; the owner’s behavior; and daily schedule and routine, to mention a few key pieces of behavioral history taking. Most veterinary behaviorists require a client to complete a behavioral questionnaire prior to the pet’s appointment, but even with this information, they must act as detectives, sifting through the information and asking further questions in the examination room.

    This article will discuss four aspects of collecting an avian behavioral history. Having a thorough understanding of the situation can help the veterinary team reach a diagnosis.

    Gaining Client Trust

    This first step is an important factor in taking a history, even though it doesn’t relate to the bird’s behavior. Veterinary professionals should present themselves in a way that promotes and creates an open and honest relationship with the pet owner. If the client feels judged, the history obtained may not be accurate history, leading to misdiagnosis.

    Humans communicate visually and verbally. Actively listening and appearing open, sympathetic, and relaxed are important when entering the room to evaluate the patient and meet the owner.  When in an exam room with clients, I mention specific behaviors that may be challenging to ignore and tell the client that everyone makes mistakes and we all lose our tempers. I evaluate the client’s nonverbal body language and based on that, I may state that there is zero judgment in this space and that we are a safe zone. We support owners and understand that they are in the office to help their pet. It is not our job to judge, but to help the owner and pet move forward.

    Abnormal vs. Normal Behavior

    Clients who obtain parrots may or may not fully understand normal parrot behavior. Many clients bring their bird in for behavioral evaluation only to learn that the behavior is normal for that species. Parrots, for instance, are inherently loud, destructive, and messy. The parrot walking into the consultation is going to be the same parrot walking out. Giving the client clear expectations can be informative for clients and help them understand long-term goals for modification of unwanted behaviors. Communicating that some of these behaviors are normal can educate the client and lead to a discussion on how to manage the behavior moving forward.

    Observing Behavior

    This can be the most challenging part of obtaining the behavior history. It is important for the veterinary professional to witness typical behavior for the bird. With birds, the majority of behavior is going to be displayed in their home environment where they feel most comfortable. Most birds will alter their behavior in the presence of unfamiliar people. While using video to evaluate the behavior is valuable, it may add new, potentially “scary” stimuli to the situation, and this may influence the bird’s behavior.

    To help to counteract this, have the client bring the camera or tripod into the environment a few days prior to collecting video and data. This should help the bird habituate to the camera and reduce or eliminate behavior changes. In the text Manual of Parrot Behavior, edited by Andrew Luescher, DACVB, it is recommended that clients film the following prior to the consultation:

    • Interactions with each household member (or members of the home who routinely interact with the bird)
    • Interactions with owner during:
      • Meals/eating
      • Playing
      • Snuggling
    • Routine behavior in the cage (with owner in the room)
    • Routine behavior in the cage (without the owner present)
    • Film a “Bird View” video of what the bird sees from the cage
      • Full circle view

    The goal of these videos is to give the veterinary professional insight to how the bird interacts at home. The veterinary team can then read and understand the animal’s body language as it is displayed during each circumstance or situation. Caution the client against purposefully eliciting aggressive behavior or frightening the bird. The goal is for the videos to provide a glimpse of the bird’s everyday behavior and comfort level with interactions and surroundings.

    Evaluating Physical Environment

    The bird’s environment can play a large role in normal or abnormal behavior patterns. This can become a concern when diagnosing a behavior condition. When evaluating the pet’s physical environment, look at the following:

    • The bird’s cage
      • Size
      • Construction
      • Cleanliness: A dirty cage space can cause increased stress and anxiety
      • Location: Where is the cage located? In the common room with the family and or owners? Is it in an isolated space away from human interaction? Is it in the center of the room? Certain locations can increase stress and anxiety.
      • Stimuli and surroundings near the cage: The cage is where the bird spends a large amount of time. Since parrots are a prey species, certain sounds, objects, or conditions may be more concerning to them, causing increased fear, stress, and anxiety. Specific objects such as clocks or portraits may increase stress and anxiety (“Why is the scary portrait staring at me?”). Loud sounds, cigarette smoke, and air quality are other factors that can make the parrot uncomfortable.
    • Toys and enrichment:
      • Are perches and play gyms present in a social gathering space? This may suggest that the bird is able to loosely and comfortably play and interact with the equipment in the presence of people and other unknown stimuli.
      • Assess the type of toy, size, construction materials, and suitability. Toys that are too challenging become uninteresting. Each toy should match the preference of the bird. Variation and rotating toys can be a useful tactic to keep toys as “fun” as possible. Some birds may not know how to play with toys, and for this reason may be more dependent on and bonded to the owner.

    Veterinary professionals may also request that the client submit a video tour of the home. This can aid them in knowing what the pet may be experiencing based on human movement, placement of items, and daily routine.

    These are just a few of the considerations to take into account when obtaining an avian behavioral history. Other areas to assess and discuss are the patient’s signalment, breed, developmental history, prior environmental information, and grooming. We will dive into other aspects of taking an avian history in a future blog post.

    Reference: 

    Luescher, Andrew. Manual of Parrot Behavior. Blackwell Publishing. 2006

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

    Rachel Lees, an Elite Fear Free Certified Professional, is a veterinary technician specialist in behavior, a KPA certified training partner, and veterinary behavior technician at the University of Tennessee College of Veterinary Medicine. She loves helping people create and maintain a strong human-animal bond.
     
    Steve DaleFor two decades I’ve been speaking at veterinary and animal behavior meetings about the need to enrich indoor environments for companion animals, but most especially for indoor cats. When I began, Tony Buffington, DVM (professor emeritus at The Ohio State University College of Veterinary Medicine), and others at around that time had begun publishing studies demonstrating that living in a dull environment increases stress in cats and may cause or contribute to both behavior issues and a variety of health problems.

    By enrichment, I mean providing suitable outlets to meet the specific, hard-wired needs of a particular species. For cats, enrichment includes the manner in which they are fed.

    There’s no doubt that cats, being the predators they are, have a built-in prey drive. But what is the best way to activate that drive, and do cats prefer to be fed?

    Years ago, it was discovered that some laboratory rodents and a varied roster of zoo species prefer to work for their food, a phenomenon known as contrafreeloading, rather than dining from a free-standing food dish.

    Mikel Delgado, Ph.D., a certified applied animal behaviorist and certified cat behavior consultant, set out to learn if domestic cats contrafreeload in a home environment. The only previous study on cats dated to 1971, with six laboratory cats showing no interest in working for their meals.

    Delgado hypothesized that in a home environment, domestic cats would readily contrafreeload and show a preference for eating from a food puzzle compared to a dull tray piled with identical food. She also hypothesized that more active cats would be more likely to contrafreeload.

    “I’ve long recommended food puzzles to clients with positive results,” she says. “In nature, cats hunt so I was certain that tapping into what cats are hard-wired to do would be no problem and we’d easily prove the previous study [for cats] wrong. However, science can be funny that way, and yes we were surprised [by the results].”

    Those results were recently published in a paper called “Domestic cats (Felis catus) prefer freely available food over food that requires effort” (with Brandon Sang Gyu Han, grad student at the University of California Davis School of Veterinary Medicine, and veterinary behaviorist Melissa Bain, DVM, professor of clinical animal behavior at UC Davis School of Veterinary Medicine) in the Journal Animal Cognition.

    Seventeen cats participated in the study, using one consistent food puzzle (Trixie Pet Tunnel Feeder Food Puzzle) with a food dish next to it.

    Surprise: Cats did little contrafreeloading. Instead, they mostly chose the easy meal from the bowl. Most cats ate some food from both sources, but the amount of food eaten from the easy meal on the tray was significantly higher than the amount of food eaten from the puzzle. Almost half the cats consumed less than 10 percent of food from the puzzle. And none of the cats were considered strong contrafreeloaders.

    “Though surprising, our findings were statistically relevant,” says Delgado. “There wasn’t a lot of variability.”

    However, veterinary behaviorist Theresa DePorter, DVM (who is boarded both in the U.S. and Europe), says, “We’ve actually known for a very long time that domestic cats do contrafreeload – depending on how we define contrafreeload – as very well fed indoor/outdoor cats who clearly don’t require a meal but apparently enjoy the chase and catch and then deliver rodents or birds as live ‘gifts.’”

    Dr. DePorter, who lives in a rural setting, says one of her cats – who happens to be very well fed – catches mice.

    Liz Bales, VMD, notes another factor: “The seeking circuit was missing in this study. Cats need to go through seeking and finding their prey, the hunt. The pounce and eat is only a fraction of the process, which was represented by the food puzzle but it just sits on the ground next to a food bowl and may not be stimulating enough for many cats who naturally are hard-wired to seek. Also, there’s no movement involved with this particular food puzzle, and movement is stimulating for cats.”

    Dr. Bales adds: “In my experience, cats being cats, the acclimation period, four to 12 days, of a novel way to feed wasn’t nearly long enough. I would think the acclimation period to the food puzzle should be months and not days.” And indeed, Bales does have acclimation experience as she is also an entrepreneur who created “hunting products” for cats, notably the Indoor Hunting Feeder (https://docandphoebe.com/).

    Cats may be timid, cautious or at least circumspect about anything novel such as a new food puzzle, adds DePorter. “Yes, they may well require more acclimation time, particularly since these cats may have had no prior experience with food puzzles.”

    Neither Bales nor DePorter quibble with the notion that this study was well-thought out and important, but both consider it only a start, and Delgado doesn’t disagree.

    Delgado’s hypothesis that generally more active cats would be more into contrafreeloading also fell flat.

    Delgado suggests: “Perhaps it means lives are so enriched of the cats in the study that their drives to use puzzle feeders was reduced. Perhaps we could have better acclimated and more motivated by using treats at first in the feeders. Also, individual cats may have individual preferences to different food puzzles.”

    Delgado, who co-owns a website that sells puzzle feeders (www.foodpuzzlesforcats.com) is in no way suggesting pet parents diminish use of puzzle feeders. “For starters, do understand most of the cats in our study did eat something from the puzzle feeder.”

    Bales says “countless times” she has witnessed her puzzle feeders contributing to solve behavior problems, which in some cases has kept cats in homes.

    DePorter also remains a cheerleader for puzzle feeders. “I absolutely don’t interpret this study is suggesting not to use puzzle feeders – that would be a mistake. We know puzzle feedings are enriching, help to control food intake, and provide physical and mental exercise and may reduce obesity – which is so common among cats. And, of course, obesity leads to a laundry list of issues.”

    Delgado concludes, “Certainly, there’s more to learn, more to do – understanding cats has never been easy.”

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

    Steve Dale, CABC (certified animal behavior consultant), hosts two national pet radio shows and is on WGN Radio, Chicago. He’s a regular contributor/columnist for many publications, including CATSTER, Veterinary Practice News, and the Journal of the National Association of Veterinary Technicians in America. He’s appeared on dozens of TV shows, including Oprah, many Animal Planet Programs, and National Geographic Explorer. He has contributed to or authored many pet books and veterinary textbooks such as “The Cat: Clinical Medicine and Management” and co-edited Decoding Your Dog, by the American College of Veterinary Behaviorists. He speaks at conferences around the world. www.stevedale.tv.
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    Understanding Declaw Salvage Procedures

    Until declaws are eliminated in the United States, you will most likely encounter declawed patients in your practice. With recent advancements in surgery, salvage procedures can help manage pain and improve limb function. Join one of the leading figures in declaw salvage surgery Nicole Martell-Moran, DVM, MPH, DABVP (Feline Practice), to learn about the procedures involved, how to find training, and how you can incorporate it into your practice.

    Yes, You CAN Perform a Fear Free Canine Orthopedic Exam

    In this webinar, Kristin Kirkby Shaw, DVM, MS, PhD, DACVS-SA, reviews the importance of diagnosing osteoarthritis (OA), how to perform canine exams, and pain management. Dr. Shaw also provides resources from the New Science of OA Pain website, which has canine and feline OA checklists, feline exam videos, and chronic pain teaching tools that can be provided for pet owners.

    Brought to you by Zoetis Petcare.

    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.

    Using Fear Free Principles to Improve Anesthetic Safety In Complicated Patients

    Decreasing fear, anxiety, stress (FAS), and pain leads to safer anesthesia by allowing a lower dose of sedative and anesthetic drugs needed for anesthesia premedication, induction, maintenance, and recovery. Lower drug dosages are especially critical in complicated patients with underlying disease and physiologic compromise. In this discussion, Tamara Grubb DVM, PhD, DACVAA, will explore the role of Fear Free principles in anesthetic safety, especially in the compromised/complicated patient.

    Brought to you by Zoetis Petcare.

    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.