Оглавление
Группа авторов. Pet-Specific Care for the Veterinary Team
Table of Contents
List of Tables
List of Illustrations
Guide
Pages
Pet‐Specific Care for the Veterinary Team
Contributors
Preface
Editor-in-Chief
1.1. Overview of Pet-Specific Care
BASICS. 1.1.1 Summary
1.1.2 Terms Defined
MAIN CONCEPTS
1.1.3 Why Pet‐Specific Care?
1.1.3.1 Why Pet‐Specific Care Rather than Pet‐Specific Medicine?
1.1.4 Risk Assessment
1.1.5 The Need
1.1.6 Fundamental Drivers of Pet‐Specific Care
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. Abbreviation
Recommended Reading
1.2 Providing a Lifetime of Care
BASICS. 1.2.1 Summary
1.2.2 Terms Defined
MAIN CONCEPTS
1.2.3 Risk (Needs) Assessment
1.2.4 Risk Management
1.2.5 The First Visit
1.2.6 Subsequent Visits
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS
1.2.7 Cautions
Abbreviation
Recommended Reading
1.3 Personalized Care Plans
BASICS. 1.3.1 Summary
1.3.2 Terms Defined
MAIN CONCEPTS. 1.3.3 Premise of Pet‐Specific Care
1.3.4 Practice Pet Populations
1.3.5 Components of Personalized Pet Care Plans
1.3.6 Genetic Testing and Personalized Care Plans
1.3.7 Putting DNA Testing in Perspective
1.3.8 Putting It All Together
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. 1.3.9 Cautions
Abbreviation
References
Recommended Reading
1.4 Opportunities for Pet-Specific Care
BASICS
1.4.1 Terms Defined
MAIN CONCEPTS. 1.4.2 Veterinary Teams are Teachers
1.4.3 Wellness and Prevention are Key
1.4.4 Components of Individualized Care
1.4.5 Pet‐Specific Care Takes Extra Time and Effort
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. Abbreviations
Reference
Recommended Reading
1.5 Feline-Friendly Care
BASICS. 1.5.1 Summary
1.5.2 Terms Defined
MAIN CONCEPTS. 1.5.3 The Data is for the Dogs
1.5.4 Cat Concepts in the Veterinary Clinic
1.5.5 Feline Friendliness Starts at Home
1.5.6 It's All About the Cat, and Their Person
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. 1.5.7 Cautions
Abbreviations
References
Recommended Reading
1.6 Adapting to a New Normal
BASICS. 1.6.1 Summary
1.6.2 Terms Defined
MAIN CONCEPTS. 1.6.3 Client Experience
1.6.4 Changing Practice Protocols
1.6.5 Expectations for Telehealth
1.6.6 Economic Insecurity
1.6.7 Retail Considerations
1.6.8 Vendor Relationships
1.6.9 Changing Business Models
TAKE‐AWAYS
MISCELLANEOUS. 1.6.10 Cautions
Recommended Reading
2.1 Based Veterinary Medicine and Personal Bias
BASICS. 2.1.1 Summary
2.1.2 Terms Defined
MAIN CONCEPTS. 2.1.3 What Is EBVM?
2.1.4 Why Do We Need EBVM?
2.1.5 How Does EBVM Work in Practice?
EXAMPLES
TAKE‐AWAYS
References
Recommended Reading
2.2 The Role of Incremental Care
BASICS. 2.2.1 Summary
2.2.2 Terms Defined
MAIN CONCEPTS
TAKE‐AWAYS
MISCELLANEOUS. 2.2.3 Cautions
Recommended Reading
2.3 Prevalence and Incidence
BASICS. 2.3.1 Summary
2.3.2 Terms Defined
MAIN CONCEPTS. 2.3.3 Introduction
2.3.4 Key Differences
2.3.5 Why is Incidence So Much Harder to Determine?
2.3.6 When/Why Do We Really Need Incidence?
2.3.7 Always Prevalence in Veterinary Medicine
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. Recommended Reading
2.4 Checklists in Veterinary Practice
BASICS. 2.4.1 Summary
2.4.2 Terms Defined
MAIN CONCEPTS. 2.4.3 The Need
2.4.4 The Tool
2.4.5 Checklists in Veterinary Medicine
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. 2.4.6 Cautions
Abbreviation
References
Recommended Reading
2.5 Virtual Care (Telehealth)
BASICS. 2.5.1 Summary
2.5.2 Terms Defined
MAIN CONCEPTS
2.5.3 The Marketplace
2.5.4 Professional Considerations
2.5.5 Implementation
2.5.6 Remote Monitoring
2.5.7 Financial Aspects of Virtual Care
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. 2.5.8 Cautions
Recommended Reading
2.6 Generational Considerations
BASICS. 2.6.1 Summary
2.6.2 Terms Defined
MAIN CONCEPTS
2.6.3 The Silent Generation
2.6.4 Baby Boomers
2.6.5 Generation X
2.6.6 Millennials
2.6.7 Generation Z
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. Recommended Reading
2.7 Risk Assessment
BASICS. 2.7.1 Summary
2.7.2 Terms Defined
MAIN CONCEPTS
2.7.3 Determining Risk
EXAMPLES. 2.7.4 How Common Is It?
2.7.5 How Serious Is the Problem?
2.7.6 How Diagnosable Is the Problem?
2.7.7 How Preventable Is the Problem?
2.7.8 How Treatable Is the Problem?
2.7.9 Refining Risk Assessment
2.7.10 Risk Assessment for Well Patients
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. Abbreviation
Recommended Reading
2.8 Risk Management
BASICS. 2.8.1 Summary
2.8.2 Terms Defined
MAIN CONCEPTS. 2.8.3 How Risk Management is Defined
2.8.4 Risk Management Methods
2.8.5 Why Some People are More Risk‐Averse than Others
2.8.6 The True Risk for Pet Owners
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. 2.8.7 Cautions
Reference
Recommended Reading
2.9 Anticipated Costs of Pet Care
BASICS. 2.9.1 Summary
MAIN CONCEPTS. 2.9.2 Veterinarians and Cost Discussions
2.9.3 The Do's and Don'ts of Discussing Cost of Care with Clients
2.9.4 Preparing Clients for the Cost of Care Over a Pet's Lifetime
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. References
2.10 Affordability of Veterinary Services
BASICS
MAIN CONCEPTS
Solutions to the Pet Healthcare Affordability Crisis
TAKE‐AWAYS
MISCELLANEOUS. Reference
Recommended Reading
2.11 Discounting in Veterinary Practice
BASICS. 2.11.1 Summary
2.11.2 Terms Defined
MAIN CONCEPTS
TAKE‐AWAYS
MISCELLANEOUS. Recommended Reading
2.12 Blockchain in Veterinary Medicine
BASICS. 2.12.1 Summary
2.12.2 Terms Defined
MAIN CONCEPTS
2.12.3 Healthcare Applications
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. 2.12.4 Cautions
Recommended Reading
2.13 Placebo and Nocebo
BASICS. 2.13.1 Summary
2.13.2 Terms Defined
MAIN CONCEPTS
2.13.3 Caregiver Placebo Effect
2.13.4 The Hawthorne Effect
2.13.5 Regression to the Mean
2.13.6 Honest Placebo
2.13.7 Nocebo Effect
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. Recommended Reading
2.14 Benefits of the Human–Animal Bond
BASICS. 2.14.1 Summary
2.14.2 Terms Defined
MAIN CONCEPTS
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. 2.14.3 Cautions
References
Recommended Reading
2.15 Promoting the Human–Animal Bond
BASICS. 2.15.1 Summary
2.15.2 Terms Defined
MAIN CONCEPTS. 2.15.3 The Human–Animal Bond
2.15.4 Client Education Opportunities
2.15.5 Educational Topics that Promote the Human–Animal Bond
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. Abbreviation
References
Recommended Reading
2.16 Pain and Pain Management
BASICS
2.16.1 Terms Defined
MAIN CONCEPTS
2.16.2 Recognition/Assessment of Pain
2.16.3 Prevention and Treatment of Pain
2.16.3.1 Acute Postsurgical Pain
2.16.3.2 Chronic OA Pain
2.16.3.3 Non‐OA Chronic Pain
2.16.4 Confounders of Pain
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. 2.16.5 Cautions
Abbreviation
References
Recommended Reading
2.17 Emergency Preparedness
BASICS. 2.17.1 Summary
2.17.2 Terms Defined
MAIN CONCEPTS
2.17.3 Pet‐Specific Advice for Clients
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. 2.17.4 Cautions
Recommended Reading
2.18 Population Control
BASICS. 2.18.1 Summary
2.18.2 Terms Defined
MAIN CONCEPTS. 2.18.3 The Reason for Sterilization
2.18.4 The Rise of Pediatric Neutering
2.18.5 Ovariectomy Versus Ovariohysterectomy
2.18.6 Alternatives to Permanent Sterilization
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. 2.18.7 Cautions
References
Recommended Reading
2.19 One Health
BASICS
2.19.1 Terms Defined
MAIN CONCEPTS
2.19.2 Zoonotic Diseases
2.19.3 Antibiotic Usage
2.19.4 Home‐Made Diets
2.19.5 Special Consideration for Exotic Pets and Wildlife
2.19.6 Veterinary Healthcare Team Strategies
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. Reference
2.20 Cancer Precision Medicine
BASICS. 2.20.1 Summary
2.20.2 Terms Defined
MAIN CONCEPTS. 2.20.3 Cancer is a Disease of Dysregulated Genes
2.20.3.1 Precision Medicine for Oncology
2.20.4 Cancer Precision Medicine for Individualized and Molecular Therapy
2.20.5 Challenges and Solutions for Precision Medicine and Veterinary Oncology
2.20.5.1 The Liquid Biopsy Solution
2.20.5.2 Context
2.20.6 Cancer Precision Medicine for Reverse Drug Development
2.20.7 Are You Ready to Interpret a Pmed Analysis of Disease?
TAKE‐AWAYS
MISCELLANEOUS. 2.20.7.1 Disclosure
2.20.7.2 Acknowledgments
Recommended Reading
3.1 Genetic Basics
BASICS. 3.1.1 Summary
3.1.2 Terms Defined
MAIN CONCEPTS. 3.1.3 DNA: The Fabric of Life
3.1.4 Mutations
Box 3.1.1 Story of a mutation
3.1.5 Propagation of Traits
3.1.6 Microsatellites
3.1.7 Predicting Genotype
3.1.8 Genetics Versus Genomics
3.1.9 The Impact of Breeding
TAKE‐AWAYS
MISCELLANEOUS. Abbreviations
Recommended Reading
3.2 Modes of Inheritance
BASICS. 3.2.1 Summary
3.2.2 Terms Defined
MAIN CONCEPTS
3.2.3 Recessive and Dominant Traits
3.2.4 Cytoplasmic Inheritance
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. Reference
Recommended Reading
3.3 The Genetics of Disease
BASICS. 3.3.1 Summary
3.3.2 Terms Defined
MAIN CONCEPTS
3.3.3 Dominance and Disease
3.3.4 More on Penetrance and Expressivity
3.3.5 Epistasis
3.3.6 Epigenetics
3.3.7 Genetics and Cancer
3.3.8 Genetics and Behavior
TAKE‐AWAYS
MISCELLANEOUS. Abbreviation
References
Recommended Reading
3.4 Predicting and Eliminating Disease Traits
BASICS. 3.4.1 Summary
3.4.2 Terms Defined
MAIN CONCEPTS. 3.4.3 Risk Factors
3.4.4 Genotypic and Phenotypic Testing
3.4.5 History
3.4.6 Counseling
3.4.7 Checklists
3.4.8 Predicting Outcomes
3.4.9 Hardy–Weinberg Law
3.4.10 Preserving Genetic Diversity
3.4.11 Bias
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. Abbreviation
Recommended Reading
3.5 Conformation Extremes and the Veterinary Team
BASICS. 3.5.1 Summary
3.5.2 Terms Defined
MAIN CONCEPTS. 3.5.3 The Origin of the Problem
3.5.4 Consequences of Extreme Conformation
3.5.5 What the Veterinary Team Can Do. 3.5.5.1 Make Sure You All Agree!
3.5.5.2 Social Media
3.5.5.3 Prepurchase Advice
3.5.5.4 First Visits
3.5.5.5 Ongoing Care and End of Life
TAKE‐AWAYS
MISCELLANEOUS. Recommended Reading
3.6 Genetic Testing
BASICS. 3.6.1 Summary
3.6.2 Terms Defined
MAIN CONCEPTS
3.6.3 Phenotypic Tests
3.6.4 Genotypic Tests
3.6.4.1 Direct Mutation‐Based Tests
3.6.4.2 Linked Marker‐Based Tests
3.6.4.3 Breed‐Specific Genetic Testing
3.6.5 Availability of Genetic Tests
3.6.5.1 Genetic Panel (Multiplex) Testing
3.6.5.2 Mixed‐Breed and Purebred Testing
3.6.5.3 Genetic Diversity Testing
3.6.5.4 Estimated Breeding Values
3.6.5.5 Genomic Breeding Values
3.6.5.5.1 Tissue Testing
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. 3.6.6 Cautions
Recommended Reading
3.7 Genetic Health Registries and Research Organizations
BASICS. 3.7.1 Summary
3.7.2 Terms Defined
MAIN CONCEPTS. 3.7.3 The Need
3.7.4 Genetic Health Registries
3.7.5 Research Organizations
3.7.6 Utility
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. 3.7.7 Cautions
Abbreviation
Recommended Reading
3.8 Genetic Counseling
BASICS. 3.8.1 Summary
3.8.2 Terms Defined
MAIN CONCEPTS
3.8.3 On a Client Acquiring a New Pet
3.8.4 Genetic Counseling in Owned Animals
3.8.5 Breeding Recommendations
EXAMPLES. Example 1
Example 2
Example 3
TAKE‐AWAYS
MISCELLANEOUS. Abbreviations
Recommended Reading
3.9 Purebreds, Mixed‐Breeds, and Hybrids
BASICS. 3.9.1 Summary
3.9.2 Terms Defined
MAIN CONCEPTS
3.9.3 Purebreds
3.9.4 Hybrids
3.9.5 Mixed‐Breeds
TAKE‐AWAYS
MISCELLANEOUS. Recommended Reading
3.10 Advising Clients on Selecting an Appropriate Pet
BASICS. 3.10.1 Summary
3.10.2 Terms Defined
MAIN CONCEPTS. 3.10.3 Acquiring a Pet
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. References
Recommended Reading
3.11 Integrating Genotypic and Phenotypic Testing
BASICS. 3.11.1 Summary
3.11.2 Terms Defined
MAIN CONCEPTS
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. Abbreviation
Recommended Reading
3.12 Orthopedic Screening
BASICS. 3.12.1 Summary
MAIN CONCEPTS
3.12.2 Congenital and Acquired Orthopedic Conditions Can Be Common. 3.12.2.1 Canine Hip Dysplasia (HD)
3.12.2.2 Canine Elbow Dysplasia (ED)
3.12.2.3 Canine Osteoarthritis (OA)
3.12.2.4 Feline Osteoarthritis (OA)
3.12.3 Diagnostic Methods for Screening for Orthopedic Disease and Risk Factors
3.12.3.1 Pain Assessment Questionnaires
3.12.3.2 Palpation and ROM
3.12.3.3 Gait Analysis
3.12.3.4 Radiographs
3.12.3.5 Genetic Testing
3.12.4 Incorporating Orthopedic Screening into Your Practice Workflow and Client Recommendations
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. References
Recommended Reading
3.13 Breed Predisposition
BASICS. 3.13.1 Summary
MAIN CONCEPTS
3.13.2 Screening for Genetic Diseases
3.13.3 Breed‐Specific Risk Assessment
3.13.4 Developing a Breed‐Specific Wellness Program
3.13.5 Marketing Breed‐Specific Wellness
EXAMPLES
3.13.6 DNA Testing Recommendation Scripts. 3.13.6.1 Mixed‐Breed Composition
3.13.6.2 Acute Ventricular Dysrhythmia Syndrome
3.13.6.3 Hemophilia and von Willebrand Disease
3.13.6.4 MDR1
TAKE‐AWAYS
MISCELLANEOUS. Abbreviations
Reference
Recommended Reading
3.14 Breed‐Specific Variants in Laboratory Testing
BASICS. 3.14.1 Summary
3.14.2 Terms Defined
MAIN CONCEPTS
3.14.3 Sighthounds
3.14.4 Akitas, Jindos, Shiba Inus, and the Chinese Shar Pei
3.14.5 Cavalier King Charles Spaniels
3.14.6 Maltese Dogs
3.14.7 Canine Elliptocytosis
3.14.8 Breed‐Specific Hematological and Biochemical Variations in Cats
TAKE‐AWAYS
MISCELLANEOUS. 3.14.9 Cautions
References
Recommended Reading
3.15 Breed‐Related Anesthetic Considerations
BASICS. 3.15.1 Summary
MAIN CONCEPTS
3.15.2 True Breed Sensitivities to Anesthetic Drugs. 3.15.2.1 Greyhounds
3.15.2.2 Collies and Other Herding Breeds
3.15.3 Controversial “Sensitivity” 3.15.3.1 Boxers
3.15.4 Breeds with Common Underlying Conditions That Can Impact Anesthesia. 3.15.4.1 Brachycephalic Breeds
3.15.4.2 Breeds Prone to Other Airway Abnormalities
3.15.4.3 Breeds Prone to Cardiovascular Disease
3.15.4.4 Breeds Prone to Hepatic Disease
3.15.4.5 Breeds Prone to Renal Disease
3.15.4.6 Breeds Prone to von Willebrand Factor Deficiency
3.15.4.7 Others
3.15.5 Impact of Breed‐Related Size and Temperament. 3.15.5.1 Breed‐Related Size as a Complication of Anesthesia
3.15.6 Breed‐Related Temperament as a Risk Factor
3.15.7 Decreasing Anesthetic Risk – Breed or Otherwise
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. References
Recommended Reading
3.16 Breed‐Related Drug Sensitivities
BASICS. 3.16.1 Summary
3.16.2 Terms Defined
MAIN CONCEPTS. 3.16.3 Basic Genetic Concepts
3.16.4 Pharmacogenetics of Drug Metabolism
3.16.5 Pharmacogenetics and the P‐Glycoprotein Drug Transporter
3.16.6 P‐Glycoprotein and Drug Absorption
3.16.7 P‐Glycoprotein and Drug Absorption
3.16.8 P‐glycoprotein and Drug Absorption
3.16.9 Pharmacogenetics and Hypersensitivity Reactions
TAKE‐AWAYS
MISCELLANEOUS. Recommended Reading
3.17 Breed‐Related Nutritional Issues
BASICS. 3.17.1 Summary
MAIN CONCEPTS
EXAMPLES
3.17.2 Nutritional Assessment
3.17.3 Discussion
3.17.4 Nutritional Recommendation and Plan
TAKE‐AWAYS
MISCELLANEOUS. References
Recommended Reading
3.18 Breed‐Related Eye Conditions
BASICS. 3.18.1 Summary
3.18.2 Terms Defined
MAIN CONCEPTS. 3.18.3 Cataract
3.18.4 Collie Eye Anomaly (Choroidal Hypoplasia)
3.18.5 Lens Luxation
3.18.6 Progressive Retinal Atrophy
3.18.7 Glaucoma
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. Recommended Reading
3.19 Mixed‐Breed Considerations
BASICS. 3.19.1 Summary
3.19.2 Terms Defined
MAIN CONCEPTS
3.19.3 Hybrid Vigor
3.19.4 Health Considerations
3.19.5 Practical Implications
3.19.6 Genetic Testing
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. Recommended Reading
4.1 Canine and Feline Life Stages
BASICS. 4.1.1 Summary
MAIN CONCEPTS
4.1.2 Veterinary Care for All Life Stages
4.1.3 Canine Life Stages
4.1.4 Feline Life Stages
4.1.5 Ensure Everyone is on Board
TAKE‐AWAYS
MISCELLANEOUS. Abbreviations
References
4.2 Gender‐Related Considerations
BASICS. 4.2.1 Summary
4.2.2 Terms Defined
MAIN CONCEPTS
4.2.3 Sex‐Linked Traits
4.2.4 Mitochondrial Inheritance
4.2.5 Sex‐Limited Traits
4.2.6 Gender Predisposition
4.2.7 Abnormalities in Sexual Differentiation
4.2.8 Spay/Neuter
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. Abbreviation
Recommended Reading
4.3 Prevention and Control of Infectious Diseases
BASICS. 4.3.1 Summary
4.3.2 Terms Defined
MAIN CONCEPTS. 4.3.3 Introduction
4.3.4 Pathogen Factors Influencing Disease. 4.3.4.1 Ability to Spread and Cause Disease
4.3.4.2 Stability in the Environment
4.3.4.3 Route of Transmission
4.3.5 Pet‐Specific Factors Influencing Disease. 4.3.5.1 Nutrition
4.3.5.2 Preventive Veterinary Care
4.3.5.3 Reproductive Control
4.3.6 Environment‐Specific Factors Contributing to Disease. 4.3.6.1 Maintaining a Clean Environment
4.3.6.2 Wildlife Interaction
4.3.6.3 Introducing a New Pet to the Household
4.3.6.4 Socialization and Group Events
4.3.7 Conclusion
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. References
Recommended Reading
4.4 Preventing Infectious Diseases in the Small Animal Veterinary Hospital
BASICS. 4.4.1 Summary
4.4.2 Terms Defined
MAIN CONCEPTS. 4.4.3 Overview of Common Hospital‐Acquired Infections
4.4.4 Infection Control Program Goals
4.4.5 Prevention of Pathogen Introduction
4.4.6 Hand Hygiene
4.4.7 General Animal Handling
4.4.8 Handling Animals with Infectious Disease
Box 4.4.1 Dogs or Cats Infected or Suspected to Be Infected with These Pathogens Should be Handled with Strict Isolation Protocols
4.4.9 Environmental Cleaning
4.4.10 Surgical Preparation
4.4.11 Conclusion
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. References
Recommended Reading
4.5 Prevention and Control of Parasites
BASICS. 4.5.1 Summary
4.5.2 Terms Defined
MAIN CONCEPTS. 4.5.3 The Need
4.5.4 The Products
4.5.4.1 Standards of Care and Recommendations
4.5.5 Compliance
4.5.6 Staff Training
4.5.7 Client–Staff Interaction
EXAMPLES. Example 1: A 4‐year‐old pet: biannual visit with immunizations
Example 2: An 8‐week‐old pet: first visit to veterinarian
TAKE‐AWAYS
MISCELLANEOUS. 4.5.8 Caution
Recommended Reading
4.6 Role of the Microbiome
BASICS. 4.6.1 Summary
4.6.2 Terms Defined
MAIN CONCEPTS. 4.6.3 The Microbiome Defined
4.6.4 Functions of the Microbiome
4.6.5 Microbiomes of the Body
4.6.6 Maintaining a Healthy Microbiome
4.6.7 The Future of Microbiome Work
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. References
Recommended Reading
4.7 Embracing Early Detection
BASICS. 4.7.1 Summary
4.7.2 Terms Defined
MAIN CONCEPTS
4.7.3 Practical Applications
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. Recommended Reading
4.8 Pet‐Specific Relevance of Reference Intervals
BASICS. 4.8.1 Summary
4.8.2 Terms Defined
MAIN CONCEPTS
4.8.3 Establishing Reference Intervals
4.8.4 The Statistics Underlying Reference Intervals
4.8.5 Patient‐Specific Varations in Reference Intervals
4.8.6 Retest When Presented with Unusual or Unexpected Results
4.8.7 The Impact of Panel Testing on Reference Intervals
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. 4.8.8 Cautions
References
4.9 Periodontal Disease
BASICS. 4.9.1 Summary
4.9.2 Terms Defined
MAIN CONCEPTS
4.9.3 Attachment Loss
4.9.4 Stages of Periodontal Disease [1]
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. 4.9.5 Cautions
Reference
Recommended Reading
4.10 Environmental Considerations
BASICS. 4.10.1 Summary
4.10.2 Terms Defined
MAIN CONCEPTS. 4.10.3 Thermal Challenges
4.10.3.1 Heatstroke
4.10.3.2 Hypothermia
4.10.4 Toxin Exposure
4.10.4.1 Nephrotoxins
4.10.4.2 Cardiac Toxins
4.10.4.3 Neurotoxins
4.10.4.4 Carcinogenic Toxins
4.10.4.5 Other Toxins
4.10.5 Other Reasons to Pet‐Proof the Home
4.10.6 Exposure to Infectious Diseases
4.10.6.1 Borreliosis
4.10.6.2 Leptospirosis
4.10.6.3 Systemic Fungal Infections
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. 4.10.7 Cautions
References
Recommended Reading
4.11 Environmental Enrichment
BASICS. 4.11.1 Summary
4.11.2 Terms Defined
MAIN CONCEPTS
4.11.3 Feline Environmental Needs
4.11.4 Complications Associated with Indoor Living for Cats
4.11.5 Outdoor Living for Cats
4.11.6 Outdoor Exposure in Dogs
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. 4.11.7 Cautions
References
Recommended Reading
4.12 Homeowner Insurance Considerations
BASICS. 4.12.1 Summary
4.12.2 Terms Defined
MAIN CONCEPTS. 4.12.3 Homeowner’s Insurance
4.12.4 The Application Process
4.12.5 The Underwriting Process
4.12.6 Dog Breed Exclusions
4.12.7 Damages Caused by Pets
4.12.8 Why Every Pet Owner Should Purchase Higher Limits of Liability Insurance
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. 4.12.9 Cautions
Reference
Recommended Reading
5.1 Pet‐Specific Customer Service
BASICS. 5.1.1 Summary
5.1.2 Terms Defined
MAIN CONCEPTS
5.1.3 Getting a Good History
5.1.4 Consistency of Care
5.1.5 Team Training
5.1.6 Value Statements
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. 5.1.7 Cautions
Recommended Reading
5.2 Meeting Client Needs
BASICS. 5.2.1 Summary
5.2.2 Terms Defined
MAIN CONCEPTS. 5.2.3 What Do Clients Need?
5.2.4 Consistency
5.2.4.1 Compassion
5.2.4.2 Customer Service
5.2.4.3 Convenience
5.2.4.4 Competence
5.2.4.5 Cost
EXAMPLES
CAUTIONS
TAKE‐AWAYS
MISCELLANEOUS. Recommended Reading
5.3 What Clients Expect from the Veterinary Team
BASICS. 5.3.1 Summary
5.3.2 Terms Defined
MAIN CONCEPTS. 5.3.3 Determining Expectations
5.3.4 Clear Communication
5.3.5 Value Delivery and Affordability
5.3.6 Advocacy
5.3.7 Confidentiality and Privacy
TAKE‐AWAYS
MISCELLANEOUS. 5.3.8 Cautions
References
Recommended Reading
Note
5.4 The Changing Nature of Pet Owners
BASICS. 5.4.1 Summary
5.4.2 Terms Defined
MAIN CONCEPTS
5.4.3 Medicalization
5.4.4 Demographics and Psychographics
5.4.5 Spending
TAKE‐AWAYS
MISCELLANEOUS. 5.4.6 Cautions
References
Recommended Reading
5.5 Meeting the Needs of Pet Parents
BASICS. 5.5.1 Summary
5.5.2 Terms Defined
MAIN CONCEPTS. 5.5.3 Identify The Needs of Pet Parents
5.5.4 Adopt a Holistic Approach to Pet Healthcare
5.5.5 Enhance Client Education About Quality Medical Care
5.5.6 Provide Convenience and Personalized Service
5.5.7 Empower Pet Parents
5.5.8 Focus on Affordability and Cost Savings
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. Recommended Reading
5.6 Adoption Source Options
BASICS. 5.6.1 Summary
5.6.2 Terms Defined
MAIN CONCEPTS
5.6.3 Bricks‐and‐Mortar Animal Shelters
5.6.3.1 Important Considerations Before Adopting from An Animal Shelter
5.6.4 Foster‐Based Pet Rescues
5.6.4.1 Important Considerations Before Adopting from a Pet Rescue
5.6.5 Breeders
5.6.5.1 Important Considerations Before Purchasing from a Breeder
5.6.6 Pet Stores
TAKE‐AWAYS
MISCELLANEOUS. Recommended Reading
5.7 Preadoption Counseling
BASICS. 5.7.1 Summary
MAIN CONCEPTS
5.7.2 Proper Pet Hygiene
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. References
5.8 The Biology of Marketing
BASICS. 5.8.1 Summary
5.8.2 Terms Defined
MAIN CONCEPTS. 5.8.3 Evolutionary Psychology
5.8.4 The Sales Funnel. 5.8.4.1 Discovery
5.8.4.2 Consideration
5.8.4.3 Action
5.8.5 Cementing the Bond
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. Recommended Reading
5.9 Dealing with Breeders
BASICS. 5.9.1 Summary
5.9.2 Terms Defined
MAIN CONCEPTS. 5.9.3 Mutual Benefit
5.9.4 Entanglement and Trust
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. Recommended Reading
5.10 Discussing Pet‐Specific Care
BASICS. 5.10.1 Summary
5.10.2 Terms Defined
MAIN CONCEPTS. 5.10.3 Genetic Risk Factors
5.10.4 Lifestyle Management
5.10.5 Life Stage Management
5.10.6 Parasite Control
5.10.7 Vaccination
5.10.8 Oral Care
5.10.9 Discussion
EXAMPLES. Example 1
Example 2
TAKE‐AWAYS
MISCELLANEOUS. 5.10.10 Cautions
References
Recommended Reading
5.11 Discussing Finances for Pet‐Specific Care
BASICS. 5.11.1 Summary
5.11.2 Terms Defined
MAIN CONCEPTS. 5.11.3 The Challenge
5.11.4 Client Expectations
5.11.5 Education and Training
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. References
5.12 Discussing Anesthetic Risk
BASICS. 5.12.1 Summary
MAIN CONCEPTS. 5.12.2 Decreasing Anesthetic Risk
5.12.3 Client Communication Regarding Anesthesia and Anesthetic Risk for their Pet
5.12.4 Frequently Asked Questions
TAKE‐AWAYS
MISCELLANEOUS. Reference
Recommended Reading
5.13 Improving Client Engagement Through Technology
BASICS. 5.13.1 Summary
5.13.2 Terms Defined
MAIN CONCEPTS. 5.13.3 The Need
5.13.4 Opportunities. 5.13.4.1 Social Media
5.13.4.2 Apps and Push Notifications
5.13.4.3 Digital Client Communications
5.13.4.4 Website Offerings
5.13.4.4.1 Client Portals
5.13.4.4.2 Online Scheduling
5.13.4.4.3 Pet Health Information
5.13.4.4.4 Online Store
5.13.4.5 Patient Update Notifications
5.13.5 Reputation Management
5.13.6 Telemedicine
5.13.7 Remote Patient Monitoring
TAKE‐AWAYS
MISCELLANEOUS. References
Recommended Reading
5.14 Client Education Materials
BASICS. 5.14.1 Summary
MAIN CONCEPTS
5.14.2 Relevance
5.14.3 Distribution
5.14.4 Confirmation
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. 5.14.5 Cautions
Recommended Reading
5.15 Client Appointment Scheduling
BASICS. 5.15.1 Summary
5.15.2 Terms Defined
MAIN CONCEPTS
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. 5.15.3 Cautions
Recommended Reading
5.16 Maintaining Client Contact Between Appointments
BASICS
5.16.1 Terms Defined
MAIN CONCEPTS
5.16.2 Branding
5.16.3 Customer Success
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. 5.16.4 Cautions
Recommended Reading
5.17 Ensuring and Measuring Client Satisfaction
BASICS. 5.17.1 Summary
MAIN CONCEPTS. 5.17.2 The Need
5.17.3 Ensuring Client Satisfaction in a Pet‐Specific Care Practice
5.17.4 Measuring Client Satisfaction
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. References
Recommended Reading
5.18 Lifetime Support – Pet Trusts and Wills
BASICS. 5.18.1 Summary
5.18.2 Terms Defined
MAIN CONCEPTS. 5.18.3 Wills
5.18.4 Trusts
TAKE‐AWAYS
MISCELLANEOUS. 5.18.5 Cautions
Abbreviation
Reference
Recommended Reading
6.1 Normal Development Stages of Dogs and Cats
BASICS. 6.1.1 Summary
6.1.2 Terms Defined
MAIN CONCEPTS
6.1.2.1 Neonatal Stage
6.1.2.2 Transitional Stage
6.1.2.3 Socialization Period
6.1.2.4 Juvenile Stage and Puberty
6.1.2.5 Social Maturation
6.1.2.6 Geriatric
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. References
6.2 How Animals Learn
BASICS. 6.2.1 Summary
6.2.2 Terms Defined
MAIN CONCEPTS
6.2.3 Classical Conditioning
6.2.4 Operant Conditioning
6.2.5 Counterconditioning. 6.2.5.1 Classical Counterconditioning (CCC)
6.2.5.2 Operant Counterconditioning (OCC)
6.2.5.3 Desensitization (DS)
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. 6.2.6 Cautions
References
Recommended Reading
6.3 Managing Life Changes with Pets
BASICS. 6.3.1 Summary
6.3.2 Terms Defined
MAIN CONCEPTS
6.3.3 Moving House
6.3.4 Introducing New Partners
6.3.5 Melding Pet Families
6.3.6 Babies and Children
6.3.6.1 Mobile Baby
6.3.6.2 Children
6.3.7 Co‐parenting
6.3.8 Leaving/Death/Family Breakdown
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. 6.3.9 Cautions
References
Recommended Reading
6.4 Creating a Pet‐Specific User's Manual
BASICS. 6.4.1 Summary
MAIN CONCEPTS. 6.4.2 What is a User's Manual for Pets?
6.4.3 Getting Started
6.4.4 Putting Together the User's Manual
6.4.4.1 Frequently Asked Questions
6.4.4.2 Oh My Gosh
6.4.5 Real Benefit
EXAMPLES
Table of Contents
6.4.5.1 Puppy to Nine Months User’s Manual Action Items
6.4.5.2 Sample Information Sheet
● Discussions:
TAKE‐AWAYS
MISCELLANEOUS. Recommended Reading
6.5 Opportunities and Challenges of Providing Services for Low‐Income Clients
BASICS. 6.5.1 Summary
6.5.2 Terms Defined
MAIN CONCEPTS
TAKE‐AWAYS
MISCELLANEOUS. 6.5.3 Cautions
Recommended Reading
6.6 Fear Free® Concepts
BASICS
6.6.1 Terms Defined
MAIN CONCEPTS
6.6.2 Getting Started with Fear Free Visits
6.6.3 The Pet's Perspective
6.6.4 Fear Free Takes a Team
6.6.5 Examining the Exam
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. Reference
Recommended Reading
6.7 Cooperative Care
BASICS. 6.7.1 Summary
6.7.2 Terms Defined
MAIN CONCEPTS
6.7.3 Foundation Skills for New Learners
6.7.4 Teaching Consent
6.7.5 Teaching Targets
6.7.6 Responding to Cue
6.7.7 Training Process
6.7.8 Husbandry Behavior
6.7.9 What to Do with Wrong Choices
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. 6.7.10 Cautions
References
Recommended Reading
6.8 Managing Routine Procedures to Minimize Problems
BASICS. 6.8.1 Summary
6.8.2 Terms Defined
MAIN CONCEPTS
6.8.2.1 The Clinical Examination
6.8.2.2 The Vaccination
6.8.2.3 Ear Examination
6.8.2.4 Blood Collection
6.8.2.5 Catheter Placement
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. 6.8.2.6 Cautions
References
Recommended Reading
6.9 Preventing Behavior Problems
BASICS. 6.9.1 Summary
6.9.2 Terms Defined
MAIN CONCEPTS
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. Recommended Reading
6.10 Behavior Problems – Advice
BASICS. 6.10.1 Summary
6.10.2 Terms Defined
MAIN CONCEPTS
6.10.3 Normal Behavior
6.10.4 Mental Illness
6.10.5 Recognition of Mental Illnesses May Be Hampered by Several Factors
6.10.6 Safe Advice
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. 6.10.7 Cautions
Reference
Recommended Reading
6.11 Treating Animals with Behavior Problems
BASICS. 6.11.1 Summary
6.11.2 Terms Defined
MAIN CONCEPTS
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. Recommended Reading
6.12 New Puppy/Kitten Considerations
BASICS. 6.12.1 Summary
MAIN CONCEPTS. 6.12.2 Tailoring Care to the Individual
6.12.3 Breed‐Specific Considerations
6.12.4 Behavior Considerations
6.12.5 Dietary Considerations
6.12.6 Reproductive Health
6.12.7 Dental Prophylaxis
6.12.8 Parasite Control
6.12.9 Vaccine Considerations
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. 6.12.10 Cautions
References
Recommended Reading
6.13 Delivering Feline‐Friendly Care
BASICS. 6.13.1 Summary
6.13.2 Terms Defined
MAIN CONCEPTS. 6.13.3 The Ecology of the Cat
6.13.3.1 The Keys to Cat Health – Physical, Mental, and Social Health
6.13.3.2 Feeding
6.13.3.3 Parasite Control
6.13.3.4 Clean Toilet
6.13.4 Transport – The Biggest Barrier to Feline Healthcare?
6.13.5 Mental and Social Health – Starts Young and Is Critical for Future Behavior and Adaptability
6.13.5.1 Sampling Methods in a Feline‐Friendly Fashion
EXAMPLES. 6.13.6 Fractious Cats
TAKE‐AWAYS
MISCELLANEOUS. 6.13.7 Cautions
Reference
6.14 Pain Prevention, Management, and Conditioning
BASICS. 6.14.1 Summary
6.14.2 Terms Defined
MAIN CONCEPTS. 6.14.3 Introduction
6.14.4 Pain Prevention Strategy #1: Keep Them Lean
6.14.5 Pain Prevention Strategy #2: Keep Them Active
6.14.6 Pain Prevention Strategy #3: Keep Them Strong
6.14.7 Once Pain Is Present
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. 6.14.8 Cautions
Abbreviations
Recommended Reading
6.15 Approaching Obesity on a Pet‐Specific Basis
BASICS. 6.15.1 Summary
6.15.2 Terms Defined
MAIN CONCEPTS
6.15.3 Health Effects of Obesity
6.15.4 Challenges to the Diagnosis and Treatment of Obesity
6.15.5 Recognition of Overweight and Obesity
6.15.6 Patient‐First Language
6.15.7 Narrative Nutritional History
6.15.8 Treating Obesity and Excess Body Fat
6.15.9 Physical Activity
EXAMPLES
6.15.10 Conversation Invitation
6.15.11 Pivot and Acquiring Trust
6.15.12 Active Listening
6.15.13 Elaboration
TAKE‐AWAYS
MISCELLANEOUS. References
6.16 Assessing Blood Pressure as an Early Indicator of Disease
BASICS. 6.16.1 Summary
6.16.2 Terms Defined
MAIN CONCEPTS. 6.16.3 Measuring BP in the Dog and Cat
6.16.4 Normal BP in the Dog and Cat
6.16.5 Causes of Secondary Hypertension in the Dog and Cat
6.16.6 Adverse Effects of Persistent Systemic Hypertension
6.16.7 Screening for Systemic Hypertension
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. 6.16.8 Cautions
Abbreviation
References
Recommended Reading
6.17 Senior Care
BASICS. 6.17.1 Summary
6.17.2 Terms Defined
MAIN CONCEPTS
6.17.3 Nutrition and Body Condition
6.17.4 Pain in Senior Pets
6.17.5 Senior Behavioral Issues
6.17.6 Senior Dental Care
6.17.7 Senior Care Program
6.17.8 Pet Owner Advocates
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. Abbreviations
References
Recommended Reading
6.18 Aging Gracefully
BASICS. 6.18.1 Summary
6.18.2 Terms Defined
MAIN CONCEPTS
6.18.3 Aging
6.18.4 Helping Pets Age Gracefully
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. References
Recommended Reading
6.19 Problem Aging
BASICS. 6.19.1 Summary
6.19.2 Terms Defined
MAIN CONCEPTS
6.19.3 Causes
6.19.4 Presentation and Diagnosis
6.19.5 Treatment
6.19.5.1 Environmental Enrichment
6.19.5.2 Diets
6.19.5.3 Medications
6.19.5.4 Medications to Avoid
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. References
Recommended Reading
6.20 Quality of Life and End of Life Issues
BASICS. 6.20.1 Summary
6.20.2 Terms Defined
MAIN CONCEPTS. 6.20.3 Why Do Caregivers Need to Understand Quality of Life?
6.20.4 What is Quality of Life?
6.20.5 Quality of Death
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. Recommended Reading
7.1 Creating a Client‐Centered Hospital
BASICS. 7.1.1 Summary
7.1.2 Terms Defined
MAIN CONCEPTS. 7.1.3 The Value of Being a Client‐Centered Hospital
7.1.4 Creating a Client‐Centered Culture
7.1.5 Focus on Enhancing Client Engagement
7.1.6 Team Approach to Care
7.1.7 Implement Client‐Focused Systems and Standards
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. Recommended Reading
7.2 Managing the Pet‐Specific Workplace
BASICS. 7.2.1 Summary
7.2.2 Terms Defined
MAIN CONCEPTS. 7.2.3 Attitudinal Differences
7.2.4 Business Model Differences
7.2.5 Pet‐Specific Considerations
7.2.6 Generational Differences
7.2.7 Gender Differences
7.2.8 Open‐Book Management
7.2.9 Change Management
7.2.10 Work–Life Balance
7.2.11 Regulatory Compliance
TAKE‐AWAYS
MISCELLANEOUS. 7.2.12 Cautions
References
Recommended Reading
7.3 Leading the Change Towards Pet‐Specific Care
BASICS. 7.3.1 Summary
MAIN CONCEPTS
7.3.2 Insight
7.3.3 Involvement
7.3.4 Focus
7.3.5 Practice
7.3.6 Environment
EXAMPLES
TAKE‐AWAYS
7.4 Getting Informed Consent
BASICS. 7.4.1 Summary
MAIN CONCEPTS. 7.4.2 “Informed Consent” Versus “Owner's Consent”
7.4.3 “Consent” Comes in Different Forms – Direct, Implied, Verbal or Written
7.4.4 All “Consents” are Not the Same
7.4.5 What is Required for “Informed Consent”?
7.4.6 Not all Consents are Legally Enforceable
TAKE‐AWAYS
MISCELLANEOUS. 7.4.7 Cautions – Do Statutory Requirements Open Doors to Public Lawsuits?
7.4.8 Disclaimer
Recommended Reading
7.5 Connecting with Clients Through Social Media
BASICS. 7.5.1 Summary
7.5.2 Terms Defined
MAIN CONCEPTS. 7.5.2.1 The Need
7.5.3 Platforms. 7.5.3.1 Facebook
7.5.3.2 Instagram
7.5.3.3 Other Platforms
7.5.4 Strategies to Connect. 7.5.4.1 Providing Valuable Content
7.5.4.2 Video
7.5.4.2.1 Example Video Prompts
7.5.4.3 Targeted Advertising
7.5.4.4 Messaging
7.5.4.4.1 Facebook Messenger
7.5.4.4.2 Instagram Direct
7.5.4.5 Social Media Reviews
7.5.4.6 Call‐to‐Action Buttons
7.5.4.7 Online Scheduling
7.5.5 Strategies to Connect with More Clients
TAKE‐AWAYS
MISCELLANEOUS. 7.5.6 Cautions
Abbreviations
References
Recommended Reading
7.6 Privacy and Confidentiality
BASICS. 7.6.1 Summary
MAIN CONCEPTS. 7.6.2 Balancing Interests
7.6.3 Privacy, Confidentiality, and the Law
7.6.3.1 Individuals' Right to Privacy and Confidentiality
TAKE‐AWAYS
MISCELLANEOUS. 7.6.4 Cautions
Recommended Reading
7.7 Puppy and Kitten Classes
BASICS. 7.7.1 Summary
7.7.2 Terms Defined
MAIN CONCEPTS
7.7.3 Resources Needed
7.7.4 Structure. 7.7.4.1 Puppy Classes
7.7.4.2 Kitten Classes
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. 7.7.5 Cautions
References
7.8 Providing Care for Those Unable or Unwilling to Pay
BASICS. 7.8.1 Summary
7.8.2 Terms Defined
MAIN CONCEPTS. 7.8.3 Prioritizing Patient Care
7.8.4 The Cost of Care
7.8.5 Options for Financing Care
7.8.6 The Role of Communication
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. 7.8.7 Cautions
References
Recommended Reading
7.9 Using Practice Management Software to Personalize Care
BASICS. 7.9.1 Summary
7.9.2 Terms Defined
MAIN CONCEPTS. 7.9.3 Planning
7.9.4 Encoding and Integrating Data
7.9.5 Sharing Results
TAKE‐AWAYS
MISCELLANEOUS. 7.9.6 Cautions
7.10 Analytics and Informatics
BASICS. 7.10.1 Summary
7.10.2 Terms Defined
MAIN CONCEPTS. 7.10.3 The Difference Between Analytics and Informatics
7.10.4 The Opportunity: Analytics and Informatics for Pet‐Specific Care
7.10.5 Interoperability
7.10.6 Privacy, Security, and Ethics
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. 7.10.7 Cautions
Recommended Reading
7.11 Client Safety
BASICS. 7.11.1 Summary
7.11.2 Terms Defined
MAIN CONCEPTS. 7.11.3 The Veterinary Hospital
7.11.4 Emergency Situations
7.11.5 Medications
7.11.6 Zoonotic Diseases
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. Reference
7.12 Patient Safety
BASICS. 7.12.1 Summary
7.12.2 Terms Defined
MAIN CONCEPTS
7.12.3 Creating a Patient Safety Culture
7.12.4 The Multidisciplinary Team
7.12.5 Support, Report, and Learn
7.12.6 Patient Safety Investigations
7.12.7 Embracing Client Complaints
7.12.8 Speaking Out
7.12.9 Near‐Misses
7.12.10 Shared Learning
7.12.11 Pet‐Specific Care
7.12.12 Think Big
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. Recommended Reading
7.13 Keeping Client Information Secure
BASICS. 7.13.1 Summary
7.13.2 Terms Defined
MAIN CONCEPTS. 7.13.3 Defining “Confidential” Information
7.13.4 The Importance of Keeping Information Secure
7.13.5 How Data Breaches Can Occur
7.13.5.1 Best Practices
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. 7.13.6 Cautions
7.14 Premise Disinfection
BASICS. 7.14.1 Summary
7.14.2 Terms Defined
MAIN CONCEPTS
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. 7.14.3 Cautions
References
Recommended Reading
8.1 Delivering Pet‐Specific Care as a Team
BASICS. 8.1.1 Summary
8.1.2 Terms Defined
MAIN CONCEPTS. 8.1.3 Get the Team on the Same Page
8.1.4 Schedule for Success
8.1.5 Focus on the Care Plan
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. Recommended Reading
8.2 Developing Staff Competencies
BASICS. 8.2.1 Summary
8.2.2 Terms Defined
MAIN CONCEPTS
8.2.3 Pet‐Specific Opportunities
8.2.4 Goal Setting
8.2.5 Performance Management
8.2.6 Core Competencies
8.2.7 Individual Development Plans (IDP)
8.2.8 70/20/10
8.2.9 Career Ladders
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. 8.2.10 Cautions
References
Recommended Reading
8.3 The Importance of Accountability in Pet‐Specific Care
BASICS. 8.3.1 Summary
8.3.2 Terms Defined
MAIN CONCEPTS
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. 8.3.3 Cautions
References
Recommended Reading
8.4 Alignment – The Key to Implementing Pet‐Specific Care
BASICS. 8.4.1 Summary
8.4.2 Terms Defined
MAIN CONCEPTS
8.4.3 Strategic Planning
TAKE‐AWAYS
MISCELLANEOUS. Recommended Reading
8.5 How Important Is Emotional Intelligence?
BASICS. 8.5.1 Summary
8.5.2 Terms Defined
MAIN CONCEPTS. 8.5.3 Models
8.5.4 Concerns
8.5.5 Recommendations for Veterinary Practices
8.5.6 360° Feedback
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. 8.5.7 Cautions
References
Recommended Reading
8.6 Nursing Leadership
BASICS. 8.6.1 Summary
8.6.2 Terms Defined
MAIN CONCEPTS
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. Recommended Reading
8.7 Nursing Care Plans
BASICS. 8.7.1 Summary
8.7.2 Terms Defined
MAIN CONCEPTS
8.7.3 Assessment
8.7.4 Planning
8.7.5 Implementation
8.7.6 Evaluation
8.7.7 Continuity of Care
8.7.8 Nursing Education
8.7.9 Clinical Governance
8.7.10 How to Write a Nursing Care Plan
8.7.10.1 Design
8.7.10.2 Language
8.7.10.3 Practicalities
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. Reference
Recommended Reading
8.8 Care Bundles
BASICS. 8.8.1 Summary
8.8.2 Terms Defined
MAIN CONCEPTS
8.8.3 Reduction of the Gap between Theory and Practice
8.8.4 Teamwork
8.8.5 Patient Safety
8.8.6 Measuring Patient Care
8.8.7 Education
8.8.8 Writing Care Bundles
8.8.9 Implementation of a Care Bundle
8.8.10 Keeping it Pet Specific
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. Reference
Recommended Reading
8.9 Procedure Manuals
BASICS. 8.9.1 Summary
8.9.2 Terms Defined
MAIN CONCEPTS. 8.9.3 Developing A Manual
EXAMPLES
CAUTIONS
TAKE‐AWAYS
MISCELLANEOUS
Recommended Reading
8.10 Patient and Procedure Logs
BASICS. 8.10.1 Summary
8.10.2 Terms Defined
MAIN CONCEPTS. 8.10.3 Creating a Log
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. 8.10.4 Cautions
Recommended Reading
8.11 Dental Charting
BASICS. 8.11.1 Summary
8.11.2 Terms Defined
MAIN CONCEPTS
TAKE‐AWAYS
MISCELLANEOUS. 8.11.3 Cautions
Recommended Reading
8.12 Preventing Animal‐Related Injuries
BASICS. 8.12.1 Summary
8.12.2 Terms Defined
MAIN CONCEPTS. 8.12.3 Prevent Injuries by Maintaining a Safe Working Environment
8.12.4 Preventing Injuries to Employees
8.12.5 Owner's/Possessor's Responsibilities
8.12.6 Preventing Injuries to Client
8.12.7 Educate Clients and Employees about the Potential Spread of Zoonotic Diseases
8.12.8 Conclusion
TAKE‐AWAYS
MISCELLANEOUS. 8.12.9 Cautions
Recommended Reading
8.13 Hospice and Palliative Care
BASICS. 8.13.1 Summary
8.13.2 Terms Defined
MAIN CONCEPTS
8.13.3 When is Hospice the Right Choice?
8.13.4 The Five Steps to a Hospice Plan
8.13.5 The Interdisciplinary Team (IDT)
8.13.6 Is Hospice Instead of Euthanasia?
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. Recommended Reading
8.14 Appropriate Handling of Medical Errors
BASICS. 8.14.1 Summary
8.14.2 Terms Defined
MAIN CONCEPTS. 8.14.3 Incidence of Medical Errors in Veterinary Practice
8.14.4 Causes of Medical Error in Veterinary Practice
8.14.5 Appropriate Handling of Medical Errors
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. 8.14.6 Cautions
References
Recommended Reading
8.15 Delivering Information to Clients
BASICS. 8.15.1 Summary
8.15.2 Terms Defined
MAIN CONCEPTS. 8.15.3 General Communication
8.15.4 Gaining Compliance
8.15.5 Breaking Bad News
8.15.6 Technology and Communication
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. References
8.16 Dealing with Compassion Fatigue and Burnout
BASICS. 8.16.1 Summary
8.16.2 Terms Defined
MAIN CONCEPTS
8.16.3 Compassion Fatigue
8.16.4 Burnout
8.16.5 Solutions
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. 8.16.6 Cautions
References
Recommended Reading
8.17 Dealing with Compromise Fatigue
BASICS. 8.17.1 Summary
8.17.2 Terms Defined
MAIN CONCEPTS. 8.17.3 Recognition
8.17.4 Dealing with Compromise Fatigue
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. 8.17.5 Cautions
References
Recommended Reading
8.18 Team Strategies for Atopic Dermatitis
BASICS. 8.18.1 Summary
8.18.2 Terms Defined
MAIN CONCEPTS. 8.18.3 It's Complicated
8.18.4 Getting Specific
8.18.5 Can We Prevent Allergic Manifestations?
8.18.6 Using Early Detection Effectively
8.18.7 Managing the Allergic Pet
TAKE‐AWAYS
MISCELLANEOUS. Recommended Reading
8.19 Team Strategies for Periodontal Disease
BASICS. 8.19.1 Summary
8.19.2 Terms Defined
MAIN CONCEPTS
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. 8.19.3 Cautions
References
Recommended Reading
8.20 Team Strategies for Osteoarthritis
BASICS. 8.20.1 Summary
8.20.2 Terms Defined
MAIN CONCEPTS. 8.20.3 The Problem
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. 8.20.4 Cautions
References
Recommended Reading
8.21 Team Strategies for Pain Management
BASICS. 8.21.1 Summary
MAIN CONCEPTS
8.21.2 Educating the Entire Veterinary Team
American Veterinary Medical Association Statement on Pain in Animals
8.21.3 Role of the Receptionist/Front Office Staff
8.21.4 Role of the Veterinary Nurse/Technician
8.21.5 Role of the Veterinarians
8.21.5.1 Knowledge
8.21.5.2 Leadership and Development
8.21.6 Role of the Pet Owner
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS
References
Recommended Reading
8.22 Team Strategies for Feline Retroviral Diseases
BASICS. 8.22.1 Summary
8.22.2 Terms Defined
MAIN CONCEPTS. 8.22.3 The Pathogenesis of Feline Leukemia Virus
8.22.4 Feline Leukemia Virus Outcomes: It's Complicated!
8.22.5 The Pathogenesis of Feline Immunodeficiency Virus
8.22.6 The Seroprevalence of FeLV and FIV
8.22.7 The “So What?” Factor
8.22.8 Prevention Requires Dialogue with the Client
8.22.9 Prevention Requires Discussion About Risk Factors
8.22.10 Prevention Requires Early Detection
8.22.11 Confirmatory Testing for FeLV and FIV
8.22.12 Prevention Against FeLV Requires Vaccination
8.22.13 What About Vaccinating Against FIV?
8.22.14 Prevention Requires Environmental Management at Home
8.22.15 Prevention Requires Environmental Management at the Clinic
8.22.16 Prevention Requires Hospital Protocols for Blood Transfusions
TAKE‐AWAYS
MISCELLANEOUS. References
8.23 Team Strategies for Recurrent Pyoderma
BASICS. 8.23.1 Summary
8.23.2 Terms Defined
MAIN CONCEPTS. 8.23.3 It's Not Just About Bacteria
8.23.4 Approach to Pyodermas
8.23.5 Getting Specific
8.23.6 Using Early Detection Effectively
8.23.7 Managing the Pet with Recurrent Pyoderma
8.23.8 The Issue of Resistance
TAKE‐AWAYS
MISCELLANEOUS. Recommended Reading
8.24 Team Strategies for Otitis Externa
BASICS. 8.24.1 Summary
8.24.2 Terms Defined
MAIN CONCEPTS
8.24.3 Understanding the Anatomy and Physiology of the Ear
8.24.4 It's Not Just About Microbes
8.24.5 Getting Specific
8.24.6 Using Early Detection Effectively
8.24.7 Managing the Pet with Otitis Externa
8.24.8 The Issue of Resistance
TAKE‐AWAYS
MISCELLANEOUS. Recommended Reading
8.25 Team Strategies for Weight Management
BASICS. 8.25.1 Summary
8.25.2 Terms Defined
MAIN CONCEPTS
8.25.3 Causes of Obesity
8.25.4 Health Risks Associated with Obesity
8.25.5 The Team Approach to Evaluating Weight and Nutrition
8.25.6 Weight Management Program
TAKE‐AWAYS
MISCELLANEOUS. References
Recommended Reading
8.26 Team Strategies for Glaucoma
BASICS. 8.26.1 Summary
8.26.2 Terms Defined
MAIN CONCEPTS
8.26.3 Feline Patients
8.26.4 Treatments
8.26.5 Vision‐Sparing Procedures
8.26.6 Comfort‐Restoring Procedures
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. 8.26.7 Cautions
Recommended Reading
8.27 Team Strategies for Diabetes Mellitus
BASICS. 8.27.1 Summary
8.27.2 Terms Defined
MAIN CONCEPTS. 8.27.3 The Classic Picture of Diabetes Mellitus in Clinical Practice
8.27.4 What Does an Unmanaged Diabetic Patient Look Like?
8.27.5 Risk Factors for Diabetes Mellitus
8.27.6 Client Considerations: Making the Diagnosis
8.27.7 Client Considerations: Avoid Assumptions
8.27.8 Client Considerations: Addressing Management Options
8.27.9 Getting on the Same Page Concerning Management
8.27.9.1 Diet
8.27.9.2 Blood Glucose
8.27.10 Client Education
8.27.11 What is a Realistic Goal of Treatment?
TAKE‐AWAYS
MISCELLANEOUS. 8.27.12 Cautions
References
Recommended Reading
8.28 Team Strategies for Cancer
BASICS. 8.28.1 Summary
8.28.2 Terms Defined
MAIN CONCEPTS. 8.28.3 The Problem
8.28.4 The Solution
8.28.5 Building an MDT
8.28.6 Additional Benefits
8.28.7 Barriers to an MDT
8.28.8 The Future
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. 8.28.9 Cautions
Recommended Reading
9.1 Medical Records
BASICS. 9.1.1 Summary
9.1.2 Terms Defined
9.1.3 What to Include in the Medical Record
9.1.4 What Not to Include in the Medical Record
9.1.5 Confidentiality of Veterinary Medical Records
9.1.6 Format of Veterinary Medical Records
EXAMPLES. 9.1.7 Example of SOAP Formatted Veterinary Medical Record
TAKE‐AWAYS
MISCELLANEOUS. Abbreviation
Recommended Reading
9.2 Asking Good Questions
BASICS. 9.2.1 Summary
9.2.2 Terms Defined
MAIN CONCEPTS. 9.2.3 The Power of Asking Questions
9.2.4 Questions to Increase Client Engagement
9.2.5 Questions to Enhance Client Education
9.2.6 Questions to Discover Underlying Feelings and Motivations
9.2.7 Questions to Help Pet Owners Make Decisions
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. Recommended Reading
9.3 Guidelines
BASICS. 9.3.1 Summary
9.3.2 Terms Defined
MAIN CONCEPTS
TAKE‐AWAYS
MISCELLANEOUS. Recommended Reading
9.4 Standards of Care
BASICS. 9.4.1 Summary
9.4.2 Terms Defined
MAIN CONCEPTS. 9.4.3 Standards of Care (Protocols)
TAKE‐AWAYS
MISCELLANEOUS. 9.4.4 Cautions
Recommended Reading
9.5 A Different Perspective on Standard of Care
BASICS. 9.5.1 Summary
9.5.2 Terms Defined
MAIN CONCEPTS
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. Abbreviation
References
Recommended Reading
9.6 Care Pathways
BASICS. 9.6.1 Summary
9.6.2 Terms Defined
MAIN CONCEPTS
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. 9.6.3 Cautions
Abbreviation
Recommended Reading
9.7 Continuum of Care and Convergence Schedules
BASICS. 9.7.1 Summary
9.7.2 Terms Defined
MAIN CONCEPTS. 9.7.3 Continuum of Care
9.7.4 Convergence Schedules
TAKE‐AWAYS
MISCELLANEOUS. 9.7.5 Cautions
Abbreviations
Recommended Reading
9.8 Ensuring Consistency of Care
BASICS. 9.8.1 Summary
9.8.2 Terms Defined
MAIN CONCEPTS
9.8.3 Review or Create a Mission Statement, Core Values, and Vision for the Clinic
9.8.4 Establish Standards of Care and Care Pathways
9.8.5 Messaging
9.8.6 Care Pathways
9.8.7 Service Standards
9.8.8 Training
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. Recommended Reading
9.9 Continuity of Care
BASICS. 9.9.1 Summary
9.9.2 Terms Defined
MAIN CONCEPTS
9.9.3 Process
TAKE‐AWAYS
MISCELLANEOUS
9.9.4 Cautions
Recommended Reading
9.10 Dispensing and Prescribing
BASICS. 9.10.1 Summary
9.10.2 Terms Defined
MAIN CONCEPTS
9.10.3 The Pharmacy as Profit Center
9.10.4 Pricing
9.10.5 Managing Inventory Costs
9.10.6 Partnering with an Online Pharmacy
9.10.7 Hospital Team Considerations
TAKE‐AWAYS
MISCELLANEOUS. Recommended Reading
9.11 Vaccination
BASICS. 9.11.1 Summary
9.11.2 Terms Defined
MAIN CONCEPTS
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. References
Recommended Reading
9.12 Judicious Use of Antimicrobials
BASICS. 9.12.1 Summary
9.12.2 Terms Defined
MAIN CONCEPTS. 9.12.3 Considerations Before Starting Antimicrobial Therapy. 9.12.3.1 Does the Diagnosis Warrant Antimicrobial Therapy?
9.12.3.2 What Pathogens Are Likely to Be Involved?
9.12.3.3 What is the In Vitro Antimicrobial Susceptibility of the Pathogen?
9.12.3.4 In What Part of the Body or Tissue is the Infection Located? Will the Antimicrobial Reach the Site of Infection in Effective Concentrations?
9.12.3.5 Will the Antimicrobial Be Effective in the Local Environment of the Pathogen?
9.12.3.6 What Adverse Drug Reaction or Toxicities May Occur? Do the Benefits of Treatment Outweigh the Risks?
9.12.3.7 What Drug Formulation and Dosage Regimen will Maintain the Appropriate Antimicrobial Concentrations for the Proper Duration of Time?
9.12.4 Antimicrobial Dosage Design
9.12.4.1 Concentration‐Dependent Antimicrobials
9.12.4.2 Time‐Dependent Antimicrobials
9.12.5 Concurrent Use of Additional Antimicrobials
9.12.6 Prophylactic Antimicrobial Therapy
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. Recommended Reading
9.13 Preanesthetic Considerations
BASICS. 9.13.1 Summary
MAIN CONCEPTS
9.13.2 Preanesthetic Patient Preparation at Home
9.13.2.1 Preanesthetic Patient Preparation in the Hospital
9.13.3 Preanesthetic Preparation of Equipment
9.13.3.1 Preanesthetic Selection of All Anesthetic Drugs and Calculation of Dosages
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. References
Recommended Reading
9.14 New Treatment Modalities
BASICS. 9.14.1 Summary
9.14.2 Terms Defined
MAIN CONCEPTS. 9.14.3 Biopharmaceuticals
9.14.4 Biosimilars
9.14.5 Biological Response Modifiers
9.14.6 Immunotherapies
9.14.7 Checkpoint Inhibitors
9.14.8 Stem Cell Therapies
9.14.9 Gene Therapies
9.14.10 Gene Silencers (RNA Interference)
9.14.11 Genomic Selection of Therapies
9.14.12 Helminthic Therapies
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. Recommended Reading
9.15 Nutritional Counseling
BASICS. 9.15.1 Summary
9.15.2 Terms Defined
MAIN CONCEPTS
9.15.3 Nutritional Evaluation
9.15.3.1 Nutritional Calculations
9.15.3.2 Body Condition Scoring
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. References
Recommended Reading
9.16 The Role of Nutritional Supplements in Pet‐Specific Care
BASICS. 9.16.1 Summary
9.16.2 Terms Defined
MAIN CONCEPTS
9.16.3 Functional Foods and Supplements
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. 9.16.4 Cautions
References
9.17 Improving Compliance and Adherence with Pet‐Specific Care
BASICS. 9.17.1 Summary
9.17.2 Terms Defined
MAIN CONCEPTS
9.17.3 Standards of Care
9.17.4 Staff Training
9.17.5 Client Education and Engagement Strategies
9.17.6 Data Mining
EXAMPLES
9.17.6.1 Intestinal Parasite Screening
TAKE‐AWAYS
MISCELLANEOUS. 9.17.7 Cautions
References
Recommended Reading
10.1 Strategies for Success with Pet-Specific Care
BASICS. 10.1.1 Summary
10.1.2 Terms Defined
MAIN CONCEPTS. 10.1.2.1 Client Education is Crucial
10.1.2.1.1 Strategies and Tools to Educate Clients on PSC
10.1.2.2 Make it Easier for your Clients to Say “Yes”
10.1.2.2.1 Strategies to Help Clients Say “Yes”
10.1.2.3 Gather as Much Data as Possible (and as Early as Possible)
10.1.2.3.1 Strategies and Tools to Gather More and Better Data
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. Recommended Reading
10.2 The Importance of Practice Differentiation
BASICS. 10.2.1 Summary
10.2.2 Terms Defined
MAIN CONCEPTS. 10.2.3 The Veterinary Marketplace
10.2.4 The Retail World
10.2.5 Pareto Principle
10.2.6 Making Differentiation Work
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. 10.2.7 Cautions
Recommended Reading
10.3 Pet‐Specific Outreach
BASICS. 10.3.1 Summary
10.3.2 Terms Defined
MAIN CONCEPTS
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. Abbreviation
References
10.4 Client and Patient Segmentation
BASICS. 10.4.1 Summary
10.4.2 Terms Defined
MAIN CONCEPTS
TAKE‐AWAYS
CAUTIONS
MISCELLANEOUS. Recommended Reading
10.5 Early Detection Campaigns
BASICS. 10.5.1 Summary
10.5.2 Terms Defined
MAIN CONCEPTS
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. Recommended Reading
10.6 Target Marketing and Targeted Client Outreach
BASICS. 10.6.1 Summary
10.6.2 Terms Defined
MAIN CONCEPTS
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. 10.6.3 Cautions
Recommended Reading
10.7 Breed‐Specific Marketing
BASICS. 10.7.1 Summary
10.7.2 Terms Defined
MAIN CONCEPTS. 10.7.3 Foundation
10.7.4 What is Breed‐Specific Marketing?
10.7.5 Why Breed‐Specific Marketing?
10.7.6 How to Do Breed‐Specific Marketing
10.7.6.1 What, Who, When, How to Perform Breed‐Specific Marketing
10.7.6.2 Action Items
10.7.6.3 External Marketing
10.7.7 Final Thoughts
10.7.8 Future Thoughts
TAKE‐AWAYS
MISCELLANEOUS. 10.7.9 Cautions
Abbreviations
Recommended Reading
10.8 Using Practice Data as a Credibility‐Boosting Tool
BASICS. 10.8.1 Summary
10.8.2 Terms Defined
MAIN CONCEPTS
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. References
Recommended Reading
10.9 Laboratory Considerations
BASICS. 10.9.1 Summary
10.9.2 Terms Defined
MAIN CONCEPTS
10.9.3 Cost
10.9.4 Accuracy
10.9.5 Efficiency
10.9.6 The Argument for Outsourcing
10.9.7 The Argument for In‐House Testing
10.9.8 Best Mix for the Hospital
TAKE‐AWAYS
MISCELLANEOUS. Reference
Recommended Reading
10.10 Making Referrals Work
BASICS. 10.10.1 Summary
10.10.2 Terms Defined
MAIN CONCEPTS
10.10.3 The Process
TAKE‐AWAYS
MISCELLANEOUS. 10.10.4 Cautions
Recommended Reading
10.11 Financial Benefits of Pet‐Specific Care
BASICS. 10.11.1 Summary
10.11.2 Terms Defined
MAIN CONCEPTS
10.11.3 Fewer Pets Receiving Care
10.11.4 Growing Gap Implications
EXAMPLES. 10.11.5 Financial Impacts of Pet Specific Care
TAKE‐AWAYS
MISCELLANEOUS. References
10.12 Dashboards and Key Performance Indicators
BASICS. 10.12.1 Summary
10.12.2 Terms Defined
MAIN CONCEPTS
EXAMPLES. 10.12.3 Financial KPIs. 10.12.3.1 Days Cash on Hand
10.12.3.2 Current Ratio
10.12.3.3 Profit Centers
10.12.3.4 Production Per Veterinarian
10.12.3.5 Average Transaction Charge (ATC) or Revenue Per Patient Visit
10.12.3.6 Number of Transactions
10.12.3.7 New Patients
10.12.3.8 Building Capacity Ratio
10.12.3.9 Equipment Utilization and Payback Time
10.12.4 Medical/Clinical KPIs. 10.12.4.1 Medical Errors
10.12.4.2 Wellness Compliance
10.12.4.3 Medication/Infusion Errors
10.12.4.4 Active Patients Percentage
10.12.4.5 Canine/Feline Comparison
10.12.4.6 Patient Versus Staff Ratio
10.12.4.7 Patients Who Leave Without Being Seen
10.12.4.8 No‐Shows
10.12.4.9 Unfilled Schedule Slots
10.12.4.10 Average Patient Rooms in Use at One Time
10.12.4.11 Patient Wait Time
10.12.4.12 Pet Owner Satisfaction
TAKE‐AWAYS
MISCELLANEOUS. 10.12.5 Cautions
Reference
Recommended Reading
10.13 Approach to Pricing
BASICS. 10.13.1 Summary
10.13.2 Terms Defined
MAIN CONCEPTS
10.13.3 Mark‐Up
10.13.4 Margin
10.13.5 Value Pricing
TAKE‐AWAYS
MISCELLANEOUS. References
Recommended Reading
10.14 Providing Cost‐Effective Care for Those in Need
BASICS. 10.14.1 Summary
10.14.2 Terms Defined
MAIN CONCEPTS. 10.14.3 The Problem
10.14.4 The Solution
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. References
Recommended Reading
10.15 Putting Price into Perspective
BASICS. 10.15.1 Summary
10.15.2 Terms Defined
MAIN CONCEPTS. 10.15.3 Allowing Clients to Make Informed Choices
10.15.4 Payment at Time of Service
10.15.5 Delivering Value
10.15.6 Including Pet Owners in the Healthcare Team
10.15.7 Milestones for Payment
10.15.8 Accommodate Clients' Financial Needs
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. 10.15.9 Cautions
Recommended Reading
10.16 Pet Health Insurance
BASICS. 10.16.1 Summary
10.16.2 Terms Defined
MAIN CONCEPTS. 10.16.3 Why Should We Make Clients Aware of Pet Health Insurance?
10.16.4 What is Pet Health Insurance?
10.16.5 What Gets Reimbursed?
10.16.6 Integrating Insurance Into Practice Standards
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS
10.16.7 Cautions
References
Recommended Reading
10.17 Payment and Wellness Plans
BASICS. 10.17.1 Summary
10.17.2 Terms Defined
MAIN CONCEPTS. 10.17.3 Premise
10.17.4 Implementation
10.17.5 Administration
EXAMPLES
TAKE‐AWAYS
MISCELLANEOUS. 10.17.6 Cautions
Abbreviation
References
Recommended Reading
10.18 Financing Veterinary Care
BASICS. 10.18.1 Summary
10.18.2 Terms Defined
MAIN CONCEPTS. 10.18.3 Risk Management
10.18.4 Options Available
10.18.4.1 Third‐Party Financing
10.18.4.1.1 Veterinary‐Specific Credit Cards
10.18.4.1.2 Loans and Payment Plans
10.18.4.2 Other Veterinary Assistance Programs
TAKE‐AWAYS
MISCELLANEOUS. 10.18.5 Cautions
Recommended Reading
11.1 Finding More Information on Pet‐Specific Care Topics
Additional Book Resources
Website Resources
Pet Information and Images
11.2 Abbreviations
11.3 Heritable Health Conditions – By Disease
Recommended Reading
11.4 Heritable Health Conditions by Breed
Recommended Reading
11.5 Life Planning by Breed
Recommended Reading
11.6 Glossary
Index. a
b
c
d
e
f
g
h
i
j
k
l
m
n
o
p
q
r
s
t
u
v
w
x
y
z
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