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Restraint of Animals
| Term | Definition |
|---|---|
| Optimal Handling, stabilization, and restraint | - tailored to each patient -makes a safer clinical environment for the patient and veterinary team - close monitoring of FAS (less is more, strong physical restraint minimized -emergency is an exception) |
| Purpose of stabilization and restraint | -safely position a patient so it can receive medical care - prevent the patient from harming itself while its receiving care - protect personnel |
| Prepare the environment for the visit | -reduce fear and anxiety pheromones in the interior and exterior of the practice -minimize patient contact with others -calming music and pheromones -non-slip surfaces -access to water |
| The approach | -observe before approaching -interpret behavior -hospitalized patients: observe, then woken or spoken to gently |
| First interactions | -Read medical record, ask client about pet -Allow pet time to adjust -Wash hands between patients -Allow patient to approach you first, if possible -Make yourself non-threatening -Assess interest in treats -Don’t pursue or corner fearful patient |
| Fundamentals of Patient Handling | -ALWAYS use caution -Fear, flight, or freeze -Be prepared -Efficient use of time -Quiet and calm approach at pet’s pace |
| Moving and Transferring Dogs | -Double leash system -Have client leash dog if possible -If not, use large loop at side of pet -Check route of movement in advance -Short leash, face in direction you want dog to go -Never drag a dog by its neck |
| Moving and Transferring Cats | -Secure environment prior to removing cat from carrier -From carrier: disassemble or allow cat to walk out -From kennel: have a blanket or towel ready -Extreme caution when reaching into carrier -Don’t scruff or pull -Consider sedation |
| Escaped Animals | -First secure the area -Don’t chase -Allow dogs to settle, then leash -Allow cats to settle, then throw blanket or towel -Clamshell capture device -Large soft net with long handle -Last resort: rabies pole, animal control pole, come-along |
| Stabilization and Restraint for Common Procedures | -Physical support, emotional safety and security, and planned cessation routine -Communication between handler and person performing procedure is essential and ongoing -Considerate Approach and Touch Gradient |
| Family Presence During Care | -Calming for many patients -Family should not stabilize their pets during care -Be prepared to redirect -Keep clients out of harm’s way -If client is not present, never use a method of restraint you wouldn’t use with them there -Be aware of FAS |
| FAS Levels and Restraints | -Relaxed to Mildly Stressed (FAS 0-3) -Mildly to Moderately Stressed (FAS 2-3) -Severely Stressed (FAS 4-5) |
| Severely Stressed (FAS 4-5) | -Consider chemical restraint -Emergent: muzzles, towels, blankets, gloves |
| Mildly to Moderately Stressed (FAS 2-3) | -Rule of twos -Dogs: standing or sitting; establishing recumbency -Cats: standing or sitting; establishing recumbency |
| Relaxed to Mildly Stressed (FAS 0-3) | -Distractions can be used effectively -Standing or sitting positions -Sternal, lateral, and dorsal recumbency |
| Special Equipment | -Muzzles for cats and dogs -Cat bags -Towels and blankets -Gloves |
| Muzzles for cats and dogs | -Examinations and short procedures -Basket muzzles, Air Muzzles, nylon or mesh -Elizabethan collar -Emergency: gauze or tape (even necktie) |
| Cat bags | -Nylon restraining sacks with closure at collar and zippers on side -Fearful cats may become more stressed in one |
| Gloves | -Combine with towels and blankets -Useful, but with shortcomings |
| Towels and blankets | -Versatile for cats and dogs -Must be thicker than length of pet’s longest tooth -Pheromone-infused |
| Scruffing Cats | -No longer routine -Increases FAS -Presents risks to handler and patient -Reserve for emergencies -Never lift or suspend a cat by the scruff |
| Medical Treatment of FAS | -Medication with behavior modification can be good long-term solution -FAS 1-2 may benefit from supplements and nutraceuticals -Discuss with client as a way to reduce fear/stress /alleviate pain -Medication/ strong physical restraint carries risk |
| Novelty | -New things can be both attractive and scary to animals -Allow time for adjustment -Acclimate when possible -Make new experiences positive |