{"id":75310,"date":"2023-12-01T00:00:22","date_gmt":"2023-12-01T05:00:22","guid":{"rendered":"https:\/\/todaysveterinarybusiness.com\/?p=75310"},"modified":"2024-03-15T09:40:25","modified_gmt":"2024-03-15T13:40:25","slug":"clinic-consult-sedation-1223","status":"publish","type":"post","link":"https:\/\/navc.sitepreview.app\/todaysveterinarybusiness.com\/clinic-consult-sedation-1223\/","title":{"rendered":"It Takes a Village"},"content":{"rendered":"<p style=\"font-weight: 400;\">Pre-visit sedation can be extremely beneficial for fearful, anxious or aggressive pets. A successful sedation and analgesia program has many critical components, from ensuring the veterinary team understands the chosen messaging to customizing the protocol for each patient to encouraging client administration of medication before check-in.<\/p>\n<p style=\"font-weight: 400;\">Tasha McNerney, a certified veterinary technician specializing in anesthesia, said the process should involve the entire team, including client service representatives, technicians, assistants, veterinarians, and kennel and grooming staff.<\/p>\n<hr \/>\n<h3 style=\"font-weight: 400;\"><span style=\"color: #000000;\"><strong>EDITOR\u2019S NOTE<\/strong><\/span><\/h3>\n<p style=\"font-weight: 400;\">This is the second in a <a href=\"https:\/\/todaysveterinarybusiness.com\/veterinary-sedation-1023\/\">three-part series<\/a> on using sedation and analgesics to improve veterinary care and boost the bottom line. This Clinic Consult series is brought to you by <a href=\"https:\/\/www.dechra-us.com\/our-products\/us\/companion-animal\/dog\/prescription\/zenalpha-medetomidine-and-vatinoxan-hydrochlorides-injection\" target=\"_blank\" rel=\"noopener\">Dechra<\/a>.<\/p>\n<hr \/>\n<p style=\"font-weight: 400;\">\u201cOnce everyone is trained on recognizing signs of stress and anxiety, we can communicate these concepts better to owners and advocate for pre-visit sedation or sedation,\u201d she said.<\/p>\n<h3 style=\"font-weight: 400;\"><strong>Defining Your Philosophy<\/strong><\/h3>\n<p style=\"font-weight: 400;\">The foundation for a pre-visit sedation program involves evaluating your hospital\u2019s layout, staff, clients and patients. Sedation won\u2019t be effective if your team members don\u2019t react calmly when they recognize stress signs in pets. In addition, your clients must understand the advantages of pet sedation; otherwise, they might not be receptive to your suggestions.<\/p>\n<p style=\"font-weight: 400;\">Strategies for a successful sedation and analgesia program include:<\/p>\n<ul>\n<li>Explain to clients the reasons for and the elements of pre-visit sedation.<\/li>\n<li>Ensure team members are well-versed in the information they provide so that all pet owners hear a consistent message.<\/li>\n<li>Educate team members on how a stressed, anxious patient presents and how they should respond.<\/li>\n<li>Encourage a team member who is especially good with problem pets to help handle your most challenging patients.<\/li>\n<li>Have clients perform a trial run before a scheduled visit so you know the medication\u2019s effect on the pet and so the client is prepared for the pet\u2019s reaction.<\/li>\n<li>Reassure clients that a pet\u2019s sleepy response is normal.<\/li>\n<li>Ensure that patient records clearly show the medication, dose and effect so you can adjust the dose the next time, if necessary.<\/li>\n<li>Advise clients to keep their pets in a safe, quiet spot at home until the sedative wears off.<\/li>\n<\/ul>\n<h3 style=\"font-weight: 400;\"><strong>How the Team Benefits<\/strong><\/h3>\n<p style=\"font-weight: 400;\">For team members, pre-visit sedation can lead to:<\/p>\n<ul>\n<li><strong>Reduced injury risk:<\/strong> Frightened, stressed pets often become aggressive and bite or scratch anyone restraining them. Pre-visit sedation helps mitigate the problem and reduces workers\u2019 compensation claims.<\/li>\n<li><strong>Improved efficiency:<\/strong> Controlling an aggressive or fearful patient might require several team members, but minimal restraint is needed when a pet is adequately sedated.<\/li>\n<li><strong>Better morale:<\/strong> Team members don\u2019t like wrestling with patients. Morale rises when they can successfully examine a pet, perform diagnostics and administer treatments.<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\">\u201cSedation forms the cornerstone of low-stress handling for pets, offering a humane solution that mitigates anxiety and facilitates smoother veterinary procedures for everyone involved,\u201d McNerney said.<\/p>\n<h3 style=\"font-weight: 400;\"><strong>Determining Pre-Visit Protocols<\/strong><\/h3>\n<p style=\"font-weight: 400;\">Dr. Alicia Karas, a veterinarian with Tufts Veterinary Emergency Treatment and Specialties, said tailoring pre-visit sedation isn\u2019t all that different from a custom anesthesia protocol.<\/p>\n<p style=\"font-weight: 400;\">\u201cWe as veterinarians need to avoid one-size-fits-all protocols because our patients vary in size, shape and age,\u201d she said.<\/p>\n<p style=\"font-weight: 400;\">When devising a pre-visit sedation protocol, consider the patient\u2019s American Society of Anesthesiologists (ASA) status, including their signalment and any concurrent diseases. (Learn more at <a href=\"http:\/\/bit.ly\/3Me40Lk\">bit.ly\/3Me40Lk<\/a>.) Young and middle-aged patients generally tolerate higher sedation doses, while senior pets are more sensitive to many medications.<\/p>\n<p style=\"font-weight: 400;\">Also, consider how a patient\u2019s breed, demeanor and health status might impact the prescribed dose. For example, extremely stressed patients will likely need a higher dose at home or injectable sedation in the exam room. Brachycephalic or airway-impaired pets should be sedated because panic inhibits their breathing ability.<\/p>\n<p style=\"font-weight: 400;\">Include clients in the decision making to confirm they are physically able to medicate and handle the pet. For example, the owner of a heavily sedated large dog might have difficulty getting the patient into and out of a car.<\/p>\n<p style=\"font-weight: 400;\">Remember that anxiety and fear can exacerbate a pet\u2019s pain response, so include analgesia in your sedation protocol in certain situations. For example, analgesia can be helpful when<\/p>\n<p style=\"font-weight: 400;\">performing a painful procedure, such as cleaning an <a href=\"https:\/\/todaysveterinarybusiness.com\/otitis-pets\/\">infected ear<\/a> or examining a sore body part.<\/p>\n<p style=\"font-weight: 400;\">\u201cBe empathetic to pain, understand that it may be present, and if you know there is pain, include a pain medication,\u201d Dr. Karas said.<\/p>\n<h3 style=\"font-weight: 400;\"><strong>Teaching Your Staff<\/strong><\/h3>\n<p style=\"font-weight: 400;\">You must educate all team members \u2014 from receptionists to veterinarians \u2014 so they successfully communicate the need for pre-visit sedation and encourage compliance. Also, prepare your team to respond to client questions, fears and concerns with understanding and empathy. Ensure that everyone uses simple, compassionate language that stresses you recommend sedation for the pet\u2019s benefit and not because the patient is a \u201cbad dog.\u201d<\/p>\n<p style=\"font-weight: 400;\">Be aware that some clients are averse to seeing their pets sedated. Managing client expectations is crucial. What can help is to have team members explain enthusiastically how a sedated pet better tolerated a blood draw or nail trim, for example.<\/p>\n<h3 style=\"font-weight: 400;\"><strong>Educating Clients<\/strong><\/h3>\n<p style=\"font-weight: 400;\">Many clients who hear \u201csedation\u201d get nervous because they think it means putting a pet under general anesthesia. Explain that sedation causes mild to moderate relaxation and reduced anxiety and that the pet typically remains conscious and responds to stimuli. In contrast, anesthesia induces a controlled, deeper state of unconsciousness.<\/p>\n<p style=\"font-weight: 400;\">When you implement a successful pre-visit sedation and analgesia protocol and educate clients, you greatly benefit the veterinary team and alleviate patient stress and anxiety, allowing pets to receive the care they need.<\/p>\n<hr \/>\n<h3 style=\"font-weight: 400;\"><span style=\"color: #008000;\"><strong>FINDING THE RIGHT WORDS<\/strong><\/span><\/h3>\n<p style=\"font-weight: 400;\">Dr. Alicia Karas recommends using simple language to ensure clients understand and agree with your recommendations for pre-visit sedation. For example:<\/p>\n<ul>\n<li>Say, \u201cLet\u2019s give your pet something to make them a little sleepy,\u201d rather than, \u201cLet\u2019s sedate your pet.\u201d<\/li>\n<li>Use \u201cpain management\u201d or \u201cpain medication\u201d instead of \u201canalgesia,\u201d a term some pet owners might not understand.<\/li>\n<li>Avoid phrases such as \u201cknock them out,\u201d which can sound violent and crude.<\/li>\n<li>Avoid saying, \u201cPut to sleep,\u201d when talking about general anesthesia so clients don\u2019t think \u201ceuthanasia.\u201d<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\">Take a soft approach and focus on the benefits to the pet when introducing the idea of pre-visit sedation. For example:<\/p>\n<ul>\n<li>\u201cMs. Smith, I think we can help Fluffy with her nervousness during her veterinary visit next week. Would you be interested in giving her something to calm her before leaving the house?\u201d<\/li>\n<li>\u201cPre-visit sedation has helped many other cats and dogs who find veterinary visits difficult. It would be a great option for your pet.\u201d<\/li>\n<li>\u201cWe recommend pre-visit sedation for Rover because veterinary appointments cause him so much stress.\u201d<\/li>\n<li>\u201cI know how upset Spot gets about his blood draws. Would you be interested in something that can help decrease his anxiety?\u201d<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Use consistent messaging to develop a successful sedation and analgesia program and help clients make informed decisions.<\/p>\n","protected":false},"author":456,"featured_media":75311,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"iawp_total_views":0,"footnotes":""},"categories":[412],"tags":[],"class_list":["post-75310","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-december-2023-january-2024","clinical_topics-patient-care"],"acf":{"hide_sidebar":false,"hide_sidebar_ad":false,"hide_all_ads":false},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.7 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>It Takes a Village | Today&#039;s Veterinary 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