{"id":127429,"date":"2024-11-18T20:36:23","date_gmt":"2024-11-18T20:36:23","guid":{"rendered":"https:\/\/todaysveterinarynurse.com\/?p=127429"},"modified":"2024-11-18T20:36:23","modified_gmt":"2024-11-18T20:36:23","slug":"food-and-enrichment-it-can-be-a-puzzle","status":"publish","type":"post","link":"https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/nutrition\/food-and-enrichment-it-can-be-a-puzzle\/","title":{"rendered":"Food and Enrichment: It Can Be a Puzzle"},"content":{"rendered":"<div class=\"su-spacer\" style=\"height:20px\"><\/div><div class=\"su-note\"  style=\"border-color:#d8d8d8;border-radius:3px;-moz-border-radius:3px;-webkit-border-radius:3px;\"><div class=\"su-note-inner su-u-clearfix su-u-trim\" style=\"background-color:#f2f2f2;border-color:#ffffff;color:#333333;border-radius:3px;-moz-border-radius:3px;-webkit-border-radius:3px;\"><b>Abstract<\/b><\/p>\n<p class=\"p1\">Clients consider their pet a member of the family. The veterinary team has opportunities to educate clients on enriching the home environment in a way that encourages and permits their pets\u2019 natural behaviors. Environmental enrichment is fundamental to ensuring animal welfare. Nondomesticated animals forage for food to fulfill their caloric needs; thus, for domesticated dogs and cats, it is advisable to provide tools and enrichment that encourage foraging behavior and cognitive stimulation. A great resource for providing pets with cognitive stimulation and increasing their activity and for enabling clients to more closely monitor their pet\u2019s food intake is the food puzzle.<\/p>\n<p><b>Take-Home Points <\/b><\/p>\n<ul>\n<li class=\"p1\">Environmental enrichment is fundamental to ensuring animal welfare.<\/li>\n<li class=\"p1\">Food puzzles provide a safe and simple way to increase the activity of indoor cats and dogs and may help clients adhere to their pet\u2019s weight-management programs.<\/li>\n<li class=\"p1\">Food puzzles also provide cognitive stimulation, an outlet for instinctual behaviors, and a way to monitor caloric intake.<\/li>\n<li class=\"p1\">A food puzzle can be any object containing food that requires the pet to find a way to get to that food.<\/li>\n<li class=\"p1\">Communication plays a large role in client compliance. Regardless of diagnosis, clients must understand the diagnosis, what it means for their pet, how to manage the condition, and what tools are available to help manage the condition along with an understanding of how those tools work (e.g., obesity and how food puzzles work).<\/li>\n<\/ul>\n<\/div><\/div>\n<p class=\"p1\"><span class=\"s1\">G<\/span><span class=\"s1\">lobally, 94% of pet owners consider their pet a member of the family.<sup>1<\/sup> The human\u2013animal bond is strong and results in healthier pets and people. In fact, 98% of pet owners globally report receiving 1 or more health benefits from their pet, including increased happiness, reduced loneliness, and decreased stress.<sup>1<\/sup> Many cat owners keep their cat strictly indoors and many dog owners relegate their sofas to their dogs, which is great for human\u2013animal bonding but further removes the animal from the natural habitat and behaviors of its wild ancestors.\u00a0The veterinary team has the opportunity to educate clients on how to create a household environment that mimics the pet\u2019s ancestral habitat and permits and encourages natural behaviors. <\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">Environmental enrichment encourages species-typical behaviors<sup>2<\/sup> and may improve animals\u2019 welfare through offering greater control and choice in their environment.<sup>2-4<\/sup> Foraging for food to fulfill their caloric needs is natural for nondomesticated animals;<sup>2<\/sup> thus, providing tools and enrichment that encourage foraging behavior for domesticated household pets is advisable. One tool for enriching an animal\u2019s environment is the food puzzle, which gives the pet an outlet for instinctual behaviors and cognitive stimulation and also gives the client a way to monitor their pet\u2019s caloric intake.<\/span><\/p>\n<h2 class=\"p3\">What Are Food Puzzles?<\/h2>\n<p class=\"p2\"><span class=\"s1\">A food puzzle can be any object containing food that requires the pet to find a way to get to that food.<sup>5<\/sup> Food puzzles come in a wide variety of options. Puzzles range from simply scattering the food so the pet needs to \u201chunt\u201d to complex and expensive puzzles available at pet stores and online.<sup>6<\/sup> Clients can also make do-it-yourself food puzzles. <\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">A simple way to make a food puzzle is to take a muffin tin, put the kibble (or a dollop of canned food) in one of the muffin areas, and place a square piece of paper or cardboard over the top of the opening. The dog or cat must remove the covering to get to the food underneath. Simple. Inexpensive. Encourages activity and provides cognitive stimulation for the pet. <\/span><\/p>\n<h2 class=\"p3\">What Are the Benefits of Food Puzzles?<\/h2>\n<p class=\"p2\"><span class=\"s1\">Food puzzles provide environmental enrichment for the pet in the form of cognitive stimulation and increased activity. They also enable clients to closely monitor their pet\u2019s food intake. Some pets may be genetically susceptible to weight gain. However, most obese pets consume excessive calories and\/or do not get enough exercise; thus, the key to treating obesity is reducing caloric intake and increasing physical activity. Food puzzles can help with both.<\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">Obesity is among the leading preventable causes of illness\/death and is associated with several disease conditions and reduced lifespan. Dogs and cats are considered overweight if they weigh 10% to 19% more than the optimal weight for their breed and obese if they weigh 20% or more above their optimum weight.<sup>7<\/sup><\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">In the United States, an estimated 35% to 40% of adult pets and 50% of senior pets (older than 7 years) are overweight or obese.<sup>7-9<\/sup> In 2022, the Association for Pet Obesity Prevention reported that 59% of dogs and 61% of cats were classified as overweight or obese in the United States.<sup>10<\/sup> Food-dispensing toys such as food puzzles not only get pets moving<sup>5,11 <\/sup>but also help with owner compliance in weight management programs.<\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">Food puzzles can transform food into an interactive activity, not simply a source of nutrition. With indoor cats, for example, play enrichment may lead to increased activity levels. However, it has been shown that owners of overweight cats do not play with them as often as do owners of cats in ideal body condition.<sup>11,12<\/sup> Thus, a safe and simple way to increase activity for indoor cats is to offer food puzzles. <\/span><\/p>\n<h2 class=\"p3\">How Do I Describe the Benefits to Clients?<\/h2>\n<p class=\"p2\"><span class=\"s1\">Communication plays a large role in client compliance. To achieve what the veterinary team believes to be best for the patient (e.g., compliance), the team must educate the client. The client must understand what is being diagnosed by the veterinarian (e.g., overweight\/obesity), what that means for their pet, how to manage the condition, and what tools are available to aid in managing the pets\u2019 specific condition (e.g., food puzzles), along with an understanding of how those tools help manage the condition. Without a specific recommendation and communication of that recommendation, the client may not understand and thus not accept the recommendation, which can be detrimental to the patient.<sup>13<\/sup> As pet obesity has dramatically risen over the past several decades, weight management and obesity prevention must be among the top health issues that veterinary teams discuss with every client.<\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">Keep the conversation at the client\u2019s level. Veterinary team members often talk in medical language because that is how we were taught. The following are hypothetical conversation scenarios related to food puzzles and tips for communicating with clients on this topic.<\/span><\/p>\n<h3 class=\"p4\">Conversation Scenario No. 1<\/h3>\n<p class=\"p5\"><span class=\"s1\">\u201cMr. Jones, I understand that your cat Fluffy is not very active at home, and he has a body condition score of 7 out of 9. This means that Fluffy is above his ideal body condition, which puts him at higher risk of developing conditions such as lameness, urinary issues, and\/or diabetes. You report that you make sure Fluffy\u2019s bowl is always full. It is obvious that you want the best for him. It is natural behavior for Fluffy to eat a lot of small meals throughout the day. It is also natural for Fluffy to hunt for these meals. But now that he is an indoor cat, his nutritional needs are being met without him needing to do anything. <\/span><\/p>\n<p class=\"p6\"><span class=\"s1\">\u201cFluffy\u2019s environment would benefit from enrichment. We want to replicate his natural feeding behavior in the home and recommend providing Fluffy\u2019s food in a food puzzle. Food puzzles do not need to be expensive. You can make a food puzzle by simply using an empty water bottle with a small hole cut out, which is where the kibble will come out. Fluffy will need to move the water bottle for the kibble to fall out. However, I can also show you some food puzzles that you can purchase. Puzzle feeders will help ensure that Fluffy receives the calories he needs each day, while getting him moving because he has to work the puzzle to get his food to come out. Thus, his instinctual behavior needs are being met and he no longer has unlimited access to food.\u201d <\/span><\/p>\n<p class=\"p2\"><span class=\"s2\"><b>Communication Tip:<\/b><\/span><span class=\"s1\"> Stop here to ensure that Mr.\u00a0Jones understands that his cat is overweight and at risk of developing other disease conditions. In addition to changing to a weight-loss food, the veterinary team should recommend that he offer food puzzles to Fluffy to increase his activity and cognitive stimulation and to enable Mr. Jones to be sure Fluffy is getting only the calories he needs each day. Give Mr. Jones opportunities to ask questions. Observe his body language. Avoiding eye contact or speaking softly may indicate that Mr. Jones does not fully understand the discussion or that perhaps he is reticent to ask clarifying questions. Not checking for understanding will stop the recommended plan here before it even starts. Compliance fails. That is not in Fluffy\u2019s best interest. Proper communication results in shared understanding. Use language and open-ended questions such as, \u201cI have given you a lot of information. What questions do you have for me or the team to be sure that Fluffy is properly provided the food puzzles? Tell me what obstacles you think you might encounter with our enrichment plan.\u201d<\/span><\/p>\n<h3 class=\"p4\">Conversation Scenario No. 2<\/h3>\n<p class=\"p5\"><span class=\"s1\">\u201cMs. Smith, thank you for letting us know that your work schedule has changed and that you are now back in the office and no longer work from home. I understand that your dog Rocky appears more stressed now that he is home alone while you are at work. You report increased vocalization, panting, and Rocky appearing \u2018down.\u2019 His diagnostic tests are within normal limits, so I would like to discuss environmental enrichment with you because the change in his everyday routine may have resulted in stress. Individual play or problem solving could improve Rocky\u2019s physical and cognitive capabilities and subsequently his welfare.<\/span><span class=\"s3\"><sup>14<\/sup><\/span><span class=\"s1\"> Studies show that when problem-solving confidence is high, negative emotions are lower.<\/span><span class=\"s3\"><sup>15<\/sup><\/span><span class=\"s1\"> Consequently, dogs appear to be calmer,<\/span><span class=\"s3\"><sup>16<\/sup><\/span><span class=\"s1\"> and this is what we would like for Rocky. <\/span><\/p>\n<p class=\"p5\"><span class=\"s1\">\u201cProviding interactive toys, such as a food puzzle, should be beneficial and help alleviate his stress. I would start with a snuffle mat. Before leaving for work in the morning, put some kibbles in the snuffle mat and leave it out for Rocky. He will have to \u2018root through\u2019 the mat to find the kibble pieces, which should take him a little bit of time. After returning home, you can try a puzzle toy in which you add his food and he has to move it around the house to get the food out. Both types of puzzle allow for his daily allotment of calories to be met by solving the food puzzles. You can also switch those around, or we can substitute another puzzle feeder in place of one of them. <\/span><\/p>\n<p class=\"p6\"><span class=\"s1\">\u201cIt is best that you be home with Rocky when you offer the food puzzles the first couple of times to be sure he is working on problem solving without feeling distressed and\/or frustrated and that he is able to get the food from the toys. Problem-solving tasks such as food puzzles will help Rocky to be self-confident and less stressed.\u201d<\/span><\/p>\n<p class=\"p2\"><span class=\"s2\"><b>Communication Tip: <\/b><\/span><span class=\"s1\">Stop here to be sure Ms. Smith understands that Rocky is facing stress from a change in routine. \u201cWhat questions do you have for me or the veterinary team? Tell me your understanding of how the food puzzles will help Rocky.\u201d <\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">For both communication scenarios, remember to address any obstacles, gain buy-in from clients, document the conversation in the medical record, and provide written instructions for everything discussed and recommended. When introducing food puzzles, ask clients to be sure to be home during the first few uses to ensure their pet does not become distressed or frustrated if unable to get food from the puzzle. Follow up within 48 hours to determine if any questions are lingering and to see how the plan is progressing.<\/span><\/p>\n<h2 class=\"p3\">Summary<\/h2>\n<p class=\"p2\"><span class=\"s1\">Nondomesticated animals forage for food to fulfill their caloric needs. Thus, as people keep their domesticated pets indoors, they should provide tools and enrichment that encourage foraging behavior and provide cognitive stimulation. Food puzzles are a great resource for giving a pet emotional stimulation, increasing the pet\u2019s activity, and enabling clients to closely monitor their pet\u2019s food intake. However, simply telling a client to provide food puzzles is not always enough. Regardless of<span class=\"Apple-converted-space\">\u00a0 <\/span>what condition is being discussed, client communication involves educating clients with regard to their pet\u2019s diagnosis, what that means for their pet, how to manage the condition, and what tools are available to help manage the pets\u2019 specific condition, along with an understanding of how those tools help manage the condition. Thus, the veterinary team must make a specific recommendation and be sure the client understands the recommendation; otherwise, the client may not accept the recommendation and the patient will not receive the care the healthcare team believes is best. <\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Food puzzles are a great resource for giving a pet emotional stimulation, increasing the pet\u2019s activity, and enabling clients to closely monitor their pet\u2019s food intake.<\/p>\n","protected":false},"author":236,"featured_media":127430,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"iawp_total_views":0,"footnotes":""},"categories":[806],"tags":[145],"class_list":["post-127429","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-winter-2025","tag-peer-reviewed","column-nutrition_notes","clinical_topics-nutrition"],"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 v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Food and Enrichment: It Can Be a Puzzle | Today&#039;s Veterinary Nurse<\/title>\n<meta name=\"description\" content=\"Food puzzles are a great resource for giving a pet emotional stimulation, increasing the pet\u2019s activity, and enabling clients to closely monitor their 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