Pet-Specific Care for the Veterinary Team

ISBN-13: 9781119540663 / Angielski / Twarda / 2021 / 1104 str.

Lowell Ackerman

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Contributors xixPreface xxiiiEditor-in-Chief xxvSection 1 Overview 11.1 Overview of Pet-Specific Care 3Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS1.2 Providing a Lifetime of Care 9Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS1.3 Personalized Care Plans 15Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS1.4 Opportunities for Pet-Specific Care 23Nan Boss, DVM1.5 Feline-Friendly Care 27Jane Brunt, DVM1.6 Adapting to a New Normal 31Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVSSection 2 Concepts and Prospects 372.1 Evidence-Based Veterinary Medicine and Personal Bias 39Brennen McKenzie, MA, MSc, VMD2.2 The Role of Incremental Care 43David Haworth, DVM, PhD2.3 Prevalence and Incidence 47Samuel Stewart, DVM, DACVECC and Chand Khanna, DVM, PhD, DACVIM (Onc), DACVP (Hon)2.4 Checklists in Veterinary Practice 51Ryane E. Englar, DVM, DABVP (Canine and Feline Practice)2.5 Virtual Care (Telehealth) 59Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS2.6 Generational Considerations 65Kurt A. Oster, MS, SPHR, SHRM-SCP2.7 Risk Assessment 69Nan Boss, DVM2.8 Risk Management 75Tara Harmon, APR2.9 Anticipated Costs of Pet Care 79Sarah Rumple2.10 Affordability of Veterinary Services 83Patricia Khuly, VMD, MBA2.11 Discounting in Veterinary Practice 87Mark J. McGaunn, CPA/PFS, CFP(r)2.12 Blockchain in Veterinary Medicine 91Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS2.13 Placebo and Nocebo 95Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS2.14 Benefits of the Human-Animal Bond 99Jacqui Ley, BVSc (Hons), PhD, DECAWBM, FANZCVS (Veterinary Behaviour)2.15 Promoting the Human-Animal Bond 103Sarah Rumple2.16 Pain and Pain Management 107Mark E. Epstein, DVM, DABVP (Canine/Feline), CVPP2.17 Emergency Preparedness 113Lori Massin Teller, DVM, BS (Vet Sci), DABVP (Canine/Feline Practice)2.18 Population Control 117Ryane E. Englar, DVM, DABVP (Canine and Feline Practice)2.19 One Health 121Donna L. Harris, DVM, MBA, MS(Strategic Foresight)2.20 Cancer Precision Medicine 125Anna Katogiritis, BSc, DVM and Chand Khanna, DVM, PhD, DACVIM (Onc), DACVP (Hon)Section 3 Hereditary Considerations 1293.1 Genetic Basics 131Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS3.2 Modes of Inheritance 137Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS3.3 The Genetics of Disease 141Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS3.4 Predicting and Eliminating Disease Traits 147Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS3.5 Conformation Extremes and the Veterinary Team 153Emma Goodman Milne, BVSc, MRCVS3.6 Genetic Testing 157Jerold S. Bell, DVM3.7 Genetic Health Registries and Research Organizations 163Anita M. Oberbauer, PhD3.8 Genetic Counseling 169Jerold S. Bell, DVM3.9 Purebreds, Mixed-Breeds, and Hybrids 175Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS3.10 Advising Clients on Selecting an Appropriate Pet 179Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS3.11 Integrating Genotypic and Phenotypic Testing 183Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS3.12 Orthopedic Screening 189Jason C. Nicholas, BVETMED (Hons)3.13 Breed Predisposition 193Nan Boss, DVM3.14 Breed-Specific Variants in Laboratory Testing 199Ryane E. Englar, DVM, DABVP (Canine and Feline Practice)3.15 Breed-Related Anesthetic Considerations 203Tamara Grubb, DVM, PhD, DACVAA3.16 Breed-Related Drug Sensitivities 209Patricia Dowling, DVM, MSc, DACVIM (LAIM), DACVCP3.17 Breed-Related Nutritional Issues 213Kara M. Burns, MS, MEd, LVT, VTS (Nutrition)3.18 Breed-Related Eye Conditions 217D. J. Haeussler, Jr., BS, MS, DVM, DACVO3.19 Mixed-Breed Considerations 223Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVSSection 4 Nonhereditary Considerations 2274.1 Canine and Feline Life Stages 229Sarah Rumple4.2 Gender-Related Considerations 237Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS4.3 Prevention and Control of Infectious Diseases 241Krystle L. Reagan, DVM, PhD, DACVIM (SAIM) and Jane Sykes, BVSc, PhD, DACVIM (SAIM)4.4 Preventing Infectious Diseases in the Small Animal Veterinary Hospital 247Krystle L. Reagan, DVM, PhD, DACVIM (SAIM) and Jane Sykes, BVSc, PhD, DACVIM (SAIM)4.5 Prevention and Control of Parasites 253I. Craig Prior, BVSc, CVJ4.6 Role of the Microbiome 259Natalie Stilwell, DVM, MS, PhD4.7 Embracing Early Detection 263Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS4.8 Pet-Specific Relevance of Reference Intervals 267Ryane E. Englar, DVM, DABVP (Canine and Feline Practice)4.9 Periodontal Disease 271Heidi B. Lobprise, DVM, DAVDC and Jessica Johnson, DVM4.10 Environmental Considerations 277Ryane E. Englar, DVM, DABVP (Canine and Feline Practice)4.11 Environmental Enrichment 283Ryane E. Englar, DVM, DABVP (Canine and Feline Practice)4.12 Homeowner Insurance Considerations 287Tara Harmon, APRSection 5 Client Service Considerations 2915.1 Pet-Specific Customer Service 293Nan Boss, DVM5.2 Meeting Client Needs 299Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS5.3 What Clients Expect from the Veterinary Team 303Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS5.4 The Changing Nature of Pet Owners 307Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS5.5 Meeting the Needs of Pet Parents 311Amanda L. Donnelly, DVM, MBA5.6 Adoption Source Options 315Sarah Rumple5.7 Preadoption Counseling 319Kara M. Burns, MS, MEd, LVT, VTS (Nutrition)5.8 The Biology of Marketing 323Robert Sanchez5.9 Dealing with Breeders 327Maria Inês Ferreira, DVM, MTB5.10 Discussing Pet-Specific Care 331Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS5.11 Discussing Finances for Pet-Specific Care 337Brandon Hess, CVPM, CCFP5.12 Discussing Anesthetic Risk 341Tamara Grubb, DVM, PhD, DACVAA5.13 Improving Client Engagement Through Technology 347Caitlin DeWilde, BS, DVM5.14 Client Education Materials 353Peter Alberti, BSBA5.15 Client Appointment Scheduling 357Kurt A. Oster, MS, SPHR, SHRM-SCP5.16 Maintaining Client Contact Between Appointments 361Robert Sanchez5.17 Ensuring and Measuring Client Satisfaction 365Caitlin DeWilde, BS, DVM5.18 Lifetime Support - Pet Trusts and Wills 371Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVSSection 6 Pet-Specific Considerations 3756.1 Normal Development Stages of Dogs and Cats 377Jacqui Ley, BVSc (Hons), PhD, DECAWBM, FANZCVS (Veterinary Behaviour)6.2 How Animals Learn 383Alicea Howell, LVT, VTS (Behavior), KPA, CTP6.3 Managing Life Changes with Pets 387Jacqui Ley, BVSc (Hons), PhD, DECAWBM, FANZCVS (Veterinary Behaviour)6.4 Creating a Pet-Specific User's Manual 391Peter Weinstein, DVM, MBA6.5 Opportunities and Challenges of Providing Services for Low-Income Clients 399David Haworth, DVM, PhD6.6 Fear Free(r) Concepts 403Marty Becker, DVM6.7 Cooperative Care 409Alicea Howell, LVT, VTS (Behavior), KPA, CTP6.8 Managing Routine Procedures to Minimize Problems 413Jacqui Ley, BVSc (Hons), PhD, DECAWBM, FANZCVS (Veterinary Behaviour)6.9 Preventing Behavior Problems 417Kymberley C. McLeod, DVM6.10 Behavior Problems - Advice 421Jacqui Ley, BVSc (Hons), PhD, DECAWBM, FANZCVS (Veterinary Behaviour)6.11 Treating Animals with Behavior Problems 425Kymberley C. McLeod, DVM6.12 New Puppy/Kitten Considerations 429Ryane E. Englar, DVM, DABVP (Canine and Feline Practice)6.13 Delivering Feline-Friendly Care 433Kim Kendall, BVSc, MANZCVS (Cat Medicine and Animal Behaviour)6.14 Pain Prevention, Management, and Conditioning 439Robin Downing, DVM, MS, DAAPM, DACVSMR, CVPP, CCRP6.15 Approaching Obesity on a Pet-Specific Basis 445Ernie Ward, DVM, CVFT (Certified Veterinary Food Therapist)6.16 Assessing Blood Pressure as an Early Indicator of Disease 455Ryane E. Englar, DVM, DABVP (Canine and Feline Practice)6.17 Senior Care 459Heidi B. Lobprise, DVM, DAVDC6.18 Aging Gracefully 465Jacqui Ley, BVSc (Hons), PhD, DECAWBM, FANZCVS (Veterinary Behaviour)6.19 Problem Aging 469Jacqui Ley, BVSc (Hons), PhD, DECAWBM, FANZCVS (Veterinary Behaviour)6.20 Quality of Life and End of Life Issues 473Mary Craig, DVM, MBA, CHPVSection 7 Hospital Considerations 4777.1 Creating a Client-Centered Hospital 479Amanda L. Donnelly, DVM, MBA7.2 Managing the Pet-Specific Workplace 483Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS7.3 Leading the Change Towards Pet-Specific Care 489Randy Hall7.4 Getting Informed Consent 493Betsy Choder, JD, MS7.5 Connecting with Clients Through Social Media 497Caitlin DeWilde, BS, DVM7.6 Privacy and Confidentiality 505Betsy Choder, JD, MS7.7 Puppy and Kitten Classes 509Jacqui Ley, BVSc (Hons), PhD, DECAWBM, FANZCVS (Veterinary Behaviour)7.8 Providing Care for Those Unable or Unwilling to Pay 513Ryane E. Englar, DVM, DABVP (Canine and Feline Practice)7.9 Using Practice Management Software to Personalize Care 517Peter Alberti, BSBA7.10 Analytics and Informatics 521Peter Alberti, BSBA7.11 Client Safety 525Saya Press, BVSc, MS, DACVECC7.12 Patient Safety 529Helen Ballantyne, PG Dip, BSc (Hons), RN, RVN7.13 Keeping Client Information Secure 535Peter Alberti, BSBA7.14 Premise Disinfection 539Kara M. Burns, MS, MEd, LVT, VTS (Nutrition)Section 8 Hospital Team Considerations 5438.1 Delivering Pet-Specific Care as a Team 545Jason C. Nicholas, BVETMED (Hons)8.2 Developing Staff Competencies 549Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS8.3 The Importance of Accountability in Pet-Specific Care 555Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS8.4 Alignment- The Key to Implementing Pet-Specific Care 559Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS8.5 How Important Is Emotional Intelligence? 563Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS8.6 Nursing Leadership 567Helen Ballantyne, PG Dip, BSc (Hons), RN, RVN8.7 Nursing Care Plans 573Helen Ballantyne, PG Dip, BSc (Hons), RN, RVN8.8 Care Bundles 579Helen Ballantyne, PG Dip, BSc (Hons), RN, RVN8.9 Procedure Manuals 585Kurt A. Oster, MS, SPHR, SHRM-SCP8.10 Patient and Procedure Logs 589Kurt A. Oster, MS, SPHR, SHRM-SCP8.11 Dental Charting 593Heidi B. Lobprise, DVM, DAVDC and Jessica Johnson, DVM8.12 Preventing Animal-Related Injuries 599Betsy Choder, JD, MS8.13 Hospice and Palliative Care 603Mary Craig, DVM, MBA, CHPV8.14 Appropriate Handling of Medical Errors 607Ryane E. Englar, DVM, DABVP (Canine and Feline Practice)8.15 Delivering Information to Clients 611Brandon Hess, CVPM, CCFP8.16 Dealing with Compassion Fatigue and Burnout 615JoAnna Pendergrass, DVM8.17 Dealing with Compromise Fatigue 619Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS8.18 Team Strategies for Atopic Dermatitis 623Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS8.19 Team Strategies for Periodontal Disease 631Heidi B. Lobprise, DVM, DAVDC and Jessica Johnson, DVM8.20 Team Strategies for Osteoarthritis 637Mark E. Epstein, DVM, DABVP (Canine/Feline), CVPP8.21 Team Strategies for Pain Management 643Tamara Grubb, DVM, PhD, DACVAA8.22 Team Strategies for Feline Retroviral Diseases 649Ryane E. Englar, DVM, DABVP (Canine and Feline Practice)8.23 Team Strategies for Recurrent Pyoderma 653Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS8.24 Team Strategies for Otitis Externa 659Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS8.25 Team Strategies for Weight Management 667Kara M. Burns, MS, MEd, LVT, VTS (Nutrition)8.26 Team Strategies for Glaucoma 673D. J. Haeussler, Jr., BS, MS, DVM, DACVO8.27 Team Strategies for Diabetes Mellitus 679Ryane E. Englar, DVM, DABVP (Canine and Feline Practice)8.28 Team Strategies for Cancer 685Samuel Stewart, DVM, DACVECC and Chand Khanna, DVM, PhD, DACVIM (Onc), DACVP (Hon)Section 9 Medical Management Considerations 6919.1 Medical Records 693Cindy Trice, DVM9.2 Asking Good Questions 697Amanda L. Donnelly, DVM, MBA9.3 Guidelines 701Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS9.4 Standards of Care 711Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS9.5 A Different Perspective on Standard of Care 715Gary Block, DVM, MS, DACVIM9.6 Care Pathways 719Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS9.7 Continuum of Care and Convergence Schedules 723Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS9.8 Ensuring Consistency of Care 727I. Craig Prior, BVSc, CVJ9.9 Continuity of Care 731Kurt A. Oster, MS, SPHR, SHRM-SCP9.10 Dispensing and Prescribing 735Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS9.11 Vaccination 739Lori Massin Teller, DVM, BS (Vet Sci), DABVP (Canine/Feline Practice)9.12 Judicious Use of Antimicrobials 745Patricia Dowling, DVM, MSc, DACVIM (LAIM), DACVCP9.13 Preanesthetic Considerations 749Tamara Grubb, DVM, PhD, DACVAA9.14 New Treatment Modalities 755Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS9.15 Nutritional Counseling 759Kara M. Burns, MS, MEd, LVT, VTS (Nutrition)9.16 The Role of Nutritional Supplements in Pet-Specific Care 763Kara M. Burns, MS, MEd, LVT, VTS (Nutrition)9.17 Improving Compliance and Adherence with Pet-Specific Care 767I. Craig Prior, BVSc, CVJSection 10 Practice Management Considerations 77310.1 Strategies for Success with Pet-Specific Care 775Jason C. Nicholas, BVETMED (Hons)10.2 The Importance of Practice Differentiation 779Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS10.3 Pet-Specific Outreach 783Linda Wasche, MBA, MA10.4 Client and Patient Segmentation 787Linda Wasche, MBA, MA10.5 Early Detection Campaigns 793Linda Wasche, MBA, MA10.6 Target Marketing and Targeted Client Outreach 797Linda Wasche, MBA, MA10.7 Breed-Specific Marketing 801Peter Weinstein, DVM, MBA10.8 Using Practice Data as a Credibility-Boosting Tool 807Linda Wasche, MBA, MA10.9 Laboratory Considerations 811Kara M. Burns, MS, MEd, LVT, VTS (Nutrition)10.10 Making Referrals Work 815Suzanne Russo, DVM, MS10.11 Financial Benefits of Pet-Specific Care 819Michael R. Dicks10.12 Dashboards and Key Performance Indicators 825Mark J. McGaunn, CPA/PFS, CFP(r)10.13 Approach to Pricing 831Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS10.14 Providing Cost-Effective Care for Those in Need 835Gary Block, DVM, MS, DACVIM10.15 Putting Price into Perspective 839Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS10.16 Pet Health Insurance 843Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS10.17 Payment and Wellness Plans 849Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS10.18 Financing Veterinary Care 853Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVSSection 11 Appendices 85711.1 Finding More Information on Pet-Specific Care Topics 859Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS11.2 Abbreviations 863Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS11.3 Heritable Health Conditions - By Disease 869Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS11.4 Heritable Health Conditions by Breed 951Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS11.5 Life Planning by Breed 987Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS11.6 Glossary 1003Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVSIndex 1051

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The editorLowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS, is an independent consultant, author, and lecturer in Westborough, Massachusetts, USA.