TECH TALK Brenda Lim, RVT West Coast Veterinary Dental Services Vancouver, British Columbia, Canada Handling Feline Patients: Less is Always More Create Comfort Tactile and olfactory signals that comfort the patient can be presented several ways. Using pheromone products (eg, pheromone spray on bedding) before a feline patient’s arrival is one simple way to relieve some of the patient's anxiety.1 Imagine yourself basking in the sun, when suddenly you are snatched up, covered, shoved into a small space, moved to an unknown destination, and unable to see anything. You arrive at a strange-smelling place where you are pulled from the small container, forced into terrifying, abnormal positions, and poked by sharp objects. This is an all-too-familiar experience for cats. Here are some ways to avoid creating such difficult situations and enhance the veterinary team’s relationship with cats. 18 veterinaryteambrief.com September 2014 Less is always more for cats. Removing the carrier’s cover and allowing the patient to remain inside during the examination may greatly reduce anxiety if he or she is comfortable there. If removal from the carrier is necessary, cover the patient with a towel to hide any perceived threats (see Towel Techniques), or use cage covers for kennels. Minimal restraint will allow faster, less stressful procedures; for example, measure blood pressure while the patient is in the client's lap, and use the hind limb for venipuncture. Also, allow the patient to remain in sternal (vs lateral) recumbency during procedures, when possible.2 Looking directly at and smiling near a cat can be extremely threatening and cause a fearful cat to become aggressive. Stay at the cat’s level, avoid direct eye contact, and use an enclosed area for the examination. If possible, examine the cat on the floor.3 PEER REVIEWED Allow the patient to remain in sternal recumbency during procedures, when possible. Vocal & Physical Cues Team members must understand the reasons for a cat’s reactions and be familiar with their postures and sounds when they are fearful. By considering feline perception and recognizing defensive vocal and physical signs, team members can help feline patients feel more comfortable and less threatened. Cats use multiple sensory inputs to compute their responses to their environment and employ many postures and sounds to ward off dangers (eg, hissing, meowing or howling loudly, hunching their back, tucking their tail; see diagram in Clinical Behavioral Medicine for Small Animals, Karen Overall, pages 58–59).4 Vocalizations also enable a cat to avert conflict by communicating fear, anxiety, and emotional arousal. A screaming, stimulated cat is more fearful and less likely to be aggressive than a growling, less aroused cat. Avoid “shushing” a cat; instead, use calm, soothing words. Keep noises to a minimum (eg, use quiet clippers, provide separate, cat-exclusive waiting and examination areas to reduce other patient noise) to decrease anxiety and fear. Challenges & Rewards Cats can be extraordinarily challenging; however, veterinary technicians will find that working with feline patients becomes a very rewarding part of their job when they master the techniques that increase a cat's trust and comfort. See Aids & Resources, back page, for references & suggested reading. • • READ ALL ABOUT IT • American Association of Feline Practitioners. http://www.catvets.com Towel Techniques The following sources provide helpful information on using towels to calm feline patients: BSAVA Foundation Manual of Feline Practice. Harvey A, Tasker S (eds)—Wiley: Hoboken, NJ, 2013. • Handling aggressive, fearful, or fighting pets. Vet Changes World; http://www.vetchangesworld.com/ handling-scared-fearful-or-fighting-pets/ • Reading animal body language. Vet Changes World; http://www.vetchangesworld.com/reading-animalbody-language/ Low stress handling. Sophia Yin, DVM, MS; http://www.drsophiayin.com/lowstress Towel wrap techniques for handling cats with skill and ease. Sohpia Yin, DVM, MS; YouTube; https://www.youtube.com/watch?v=ubKHlnsdMDE September 2014 Veterinary Team Brief 19
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