s&^dZ ~ u } hE/s Z^/dz W W s > Dh / > ] } ( v ] o ] P ] o ...
Z h /E' & Z U Ey/ dz U E ^dZ ^^ W t, d y d>z /^ & Z &Z …..._ [ Y Z X Y a Y Z h /E' & Z U Ey/ dz U...
Transcript of Z h /E' & Z U Ey/ dz U E ^dZ ^^ W t, d y d>z /^ & Z &Z …..._ [ Y Z X Y a Y Z h /E' & Z U Ey/ dz U...
7/31/2019
1
REDUCING FEAR, ANXIETY, AND STRESS: WHAT EXACTLY IS FEAR FREE?CHRISTINE D. CALDER DVM DACVB
WHAT DOES FEAR FREE ACTUALLY MEAN?
The Fear Free Mission
Our mission is to alleviate fear, anxiety, stress, and frustration in animals and educate and inspire the people that care for them.
WHO ACTUALLY IS FEAR FREE?
Goal: alleviate and reduce fear, anxiety, stress, and frustration in animals and provide enrichment.
Providing online and in-person CE courses
Veterinary professionals Shelters Pet
Professionals Pet Owners
An education company
WHAT ARE THE CORNERSTONES OF
FEAR FREE?
FEAR, ANXIETY, STRESS (FAS), and FRUSTRATION in dogs and cats creates obstacles to optimum health care, well being and safety for all involved
Understanding the CLINICAL SIGNS of FAS + FRUSTRATION is key to improving welfare and safety
Utilizing a CONSIDERATE APPROACH(CA) when interacting with animals
Always using GENTLE CONTROL(GC) when handling and administering medical care
WHAT ACTUALLY IS STRESS? WHAT CAUSES
STRESS?
• FEAR
• ANXIETY
• FRUSTRATION
7/31/2019
2
Levels of FAS (FAS Scale)
WHAT CAUSES
STRESS IN THE
SHELTER?
• Slippery floors
• Vet exams
• Smells and Sounds
• Different food
• Isolation
• Mixed species
• Lack of soft substrates
STRESS HAS A CONSEQUENCE
• Short Term Stress-• Promote survival• Develop coping skills
• Long Term Stress –• Decreased life span• Disease• Stereotypical behaviors• Aggressive behaviors• Attention seeking behaviors
BEHAVIOR PROBLEMS THAT DEVELOP IN THE SHELTER ENVIRONMENT
DOGS
• Barrier related barking
• Barrier related aggression
• House training regression
• Social hyper-arousal
• Food Aggression
CATS• Fear based behaviors-
some initially appear feral
• Aggression towards humans
• Litterbox/Inappropriate Elimination
REMEMBER IT IS ALL ABOUT PERCEPTION
FEAR AND ANXIETY CAN LOOK LIKE THIS:
7/31/2019
3
FRUSTRATION
7/31/2019
4
WHAT ABOUT CATS?
SIGNS OF ESCALATING FEAR AND ANXIETYRodan I, Sundahl E, Carney H, et al. AAFP and ISFM Feline-Friendly Handling Guidelines . J Feline Med and Surg, 13:364-375; 2011
OTHER SPECIES NEED FEAR FREE TOO
WHAT ABOUT AGGRESSION?
“Aggression is a behavioral strategy that a pet uses in a social interaction to avoid or end an unwanted encounter and to relieve underlying fear or anxiety.”
Common Sense Behavior Modification: A Guide for Practitioners Debra Horwitz, DVM and Amy L. Pike DVM Vet Clinic Small Animal 44 (2014)
MOST COMMON REASONS WHY ANIMALS USE AGGRESSION?
• Fear
• Anxiety
• Pain
• Learned behavior: past experiences
7/31/2019
5
WHY DO WE CARE?
• Good welfare
• Goal is to make the animal better not worse.
• Learning is always occurring.
• Safety
• Improves staff morale
• Raise standard of care
• Human-Animal Bond Brittany Schoonmaker-Fear Free Professionals Facebook Group
WHAT CAN WE DO TO REDUCE DISTRESS?
THE RIGHT EQUIPMENT HARNESSES, HEAD COLLARS, AND MATS
PHEROMONES (CEVA) HORSES TOO!
7/31/2019
6
BANDANAS AND TOWELS COVER THE CARRIERS
CLASSICAL MUSIC
CAT EXAM ROOM
DOG EXAM ROOM
THE HOSPITAL
• Low light
• Soft voices
• Separate dogs and cats
• Place cats in higher cages
• Hiding places for cats
• Lets dogs and cats come to you: do not reach in cages
• Pheromones and music
7/31/2019
7
CONSIDERATE APPROACH
DON’T: DO:
GENTLE CONTROL
USE FOODCOMMON FOODS
• Peanut Butter
• Squeeze Cheese
• Butler Lean Treats
• Chicken and Chicken Broth (frozen)
• Feline z/d (dogs and allergies)
• Hills Ideal Balance Soft Baked Naturals
• Tuna Flakes (fish food)
• Lunch Meat
• Any canned food left over in your fridge.
• Whipped Cream (cats)
• Baby food
• Marshmallow Fluff (allergies)
FROZEN PREP
SYRINGES
7/31/2019
8
EVEN OTHER SPECIES
GENTLE RESTRAINT, CONTINUOUS TOUCH, AND TOUCH GRADIENT
https://gibraltarvet.com/fear-free.html
CONTINUOUS TOUCH AND TOUCH GRADIENT IN HORSES TOO PICKING UP HOOVES
TOOLS FOR SAFETY: BASKET MUZZLES (IDEAL) WHAT ABOUT SCUFFING?
• Mother has specific pressure points
• Can make more aggressive-Defensive aggression
• Often “learned helplessness”
• Emergency only
• Catalyst Council and AAFP: https://youtu.be/C8iAexzg710
7/31/2019
9
TOWELS AND BLANKETSSKAER VETERINARY CLINIC, WICHITA
KANSAS
SCALE-SNUFFLE MAT
LICKIMAT
TRAILERING HORSES
READ THE ANIMAL IN FRONT OF YOU AND ADJUST YOUR
APPROACH
7/31/2019
10
WANTS VS. NEEDS
• If it is a want, then send home for:
• Reschedule on anti-anxiety medications
• Happy Visits/Victory Visits
• Behavior Modification
• If it is a need then chemical restraint
• Remember learning is always occurring!
DOGS AND CATS IN THE SHELTER: FIVE FREEDOMS
ENRICHMENT
The American Zoo and Aquarium Association (AZA) define enrichment
as:
"a process for improving or enhancing animal environments and care within
the context of their inhabitants' behavioral biology and natural history.
It is a dynamic process in which changes to structures and husbandry practices are made with the goal of
increasing behavioral choices available to animals and drawing out their species-appropriate behaviors and abilities, thus enhancing animal
welfare" (AZA/ BAG, 1999).
ENRICHMENT GOALS
• Increase behavioral choice
• Encourage species specific behaviors and ability
• Reduces stress
• Enhance Animal Welfare
• Freedom to express normal behavior
• Freedom from fear and distress
BROAD CATEGORIES• Social
• Same species
• Human
• Environmental
• Foraging, toys
• Kennel and housing design
• Sensory (Visual, auditory, olfactory, pheromones, tactile)
• Can be adding something or taking something away to reduce stress
ENRICHMENT-THE 5 SENSES
• Visual
• Auditory
• Tactile
• Olfactory
• Gustatory
7/31/2019
11
WAYS TO ENRICH DOGS: TOYS
• Exploratory and foraging behavior increasing public perception of adoptibity
• Novel, one-time use or easy to reuse and clean
• Consider context and individual play/chew styles
WAYS TO ENRICH
CATS: TOYS
• Hands-free toys (facilitate adoptions)
• Laser pointers (isolation)
• Ping pong balls in water bowl
• Catnip in baby socks
• Big paper bags or boxes
CAT ENRICHMENT
SCHEDULES
WAYS TO ENRICH: SOCIAL
(HUMANS)
• Human contact reduces cortisol levels and promote social behavior
• 25 minutes play sessions decrease salivary cortisol (Menor-campos2011)
• 15 minutes walking per week, 6 weeks, increased social behavior at front of kennel (Normando, 2009)
SOCIAL CONTACT (HUMANS)
• Positive Reinforcement Training
• Teach social skills
• Increase adoption rates, improve relationships with people, and improve welfare.
7/31/2019
12
GETTING HELP FROM THE
PUBLIC
READING PROGRAMS
WAY TO ENRICH CATS: SOCIAL (HUMANS)
• Provide toys for hands-free play
• Read N’ Relax
• Treat cups at front of cage
• Adopters prefer cats who approach them (Fantuzzi 2010) OUTSIDE ENRICHMENT
KENNEL DESIGN
7/31/2019
13
WHAT ABOUT FOSTERING?
FEAR FREE (FEARFREEPETS.COM)
• Modeled off pediatric dentist and children’s hospitals
• Currently 3 levels + trainer module + groomer module + extras
• Shelter module coming soon
• Several DACVB’s on the advisory board along with ACVIMs, DACVAs, and EMCCs veterinarians
• AAHA supported
Fear Free Certification Program Syllabus
Link for more information: https://fearfreepets.com/fear-free-certification-overview/
Eight Modules – 9 RACE approved hours of CE• Module 1: Fear Free Behavior Modification Basics• Module 2: Fear Free Transport of Cats and Dogs to and from the Veterinary Hospital• Module 3: Fear Free Reception and Waiting Area• Module 4: Fear Free Exam Room• Module 5: Fear Free In-Hospital Care• Module 6: Fear Free Procedures• Module 7a: Pre-visit Protocols: Complementary Therapeutics, Products &
Pharmaceuticals• Module 7b: In-Hospital Protocols: Sedation, Anesthesia, & Analgesia
Additional Member Benefits• Marketing Materials• Education Library• Toolbox Resources• Private Facebook Group• Additional Free and Discounted
CE Courses• Podcast Series• Directory Listing• Online Store• 100% of CE is RACE approved• Preferred Product Discounts
Link for more information: https://fearfreepets.com/veterinary-professionals/
Fear Free for Pet Professionals
Link for more information: https://fearfreepets.com/fear-free-pet-professionals/
Pet Professional Tracks• Annual Renewal Requirements
• Two (2) Additional hours of Fear Free specific CEUs• Trainer track required to submit two (2) additional hours of CEUs
• Renewal Fee• Access to Fear Free Member Benefits
Fear Free for Pet Professionals
Link for more information: https://fearfreepets.com/fear-free-groomer-certification-course-overview/
Groomer Track• Overview: Groomers will acquire the skills to use Fear Free concepts
to ensure that the grooming experience is as enjoyable as possible for every pet, every time. Step-by-step video clips and slides show how to teach animals to love the grooming table, clippers, bathtub, blow dryer, grooming shears, groomer’s loop, and more.
7/31/2019
14
Fear Free for Pet Professionals
Link for more information: https://fearfreepets.com/fear-free-animal-trainer-certification-program-overview/
Trainer Track• Overview: Trainers will acquire the skills to manage and handle dogs
and cats alongside the veterinary team during veterinary visits and care to ease pet’s apprehension regarding exams, procedures and other care.
• 10 CEUs for CCPDT, IAABC, KPA & 10 RACE approved hours of CE
FEAR FREE SHELTER CERTIFICATION (FREE)
First four modules mandatory
Emotional Health, including the stress response and how
animals perceive the shelter
Behavior and Emotions, including Understanding and Recognizing FAS and Frustration, Dog and Cat
Body Language
How Animals Learn, including sensitization
and desensitization, classical and operant
conditioning and counterconditioning
Fear Free Animal Handling Basics,
including Considerate Approach, Gentle Control
and Touch Gradient
Anticipated Launch August 2019
REMAINING MODULES (ELECTIVE)
• Intake and Admission
• Housing and Environment
• Daily Care and Monitoring
• Animal Handling Skills and Tools
• Medical Care and Procedures
• Enrichment for Cats
• Enrichment for Dogs
• Adoption
• Behavior Medications and Complementary Therapies
• Implementation
Fear Free Research
• Led by Gary Landsberg, DVM, DACVB, DECAWBM (CA)• Funds made available for research grants to ACVB, European
College, and a select group of veterinary colleges• Two research categories:
• Fear, anxiety, and stress related to veterinary visits• Enriching the lives of pets in homes
Link for more information: https://fearfreepets.com/fear-free-research/
Fear Free for Pet OwnersIntroducing Fear Free Happy Homes• Online resource for pet owners• Educational courses• Blog• Online Community• Special deals and discounts
Course categories• Alleviating anxieties• Fear Free veterinary visits• Activities & enrichment• Training & socialization• Human-animal bond
fearfreehappyhomes.com
CC1
QUESTIONS?
Slide 83
CC1 Christine Calder, 7/29/2019