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3.12.4 Incorporating Orthopedic Screening into Your Practice Workflow and Client Recommendations
ОглавлениеSeveral suggestions for incorporating orthopedic screening into exams and practice workflows are mentioned above. Here are a few more ways to recommend and incorporate screening and monitoring of orthopedic conditions into daily practice.
Based upon each pet's age, breed, history, and other signalment and risk factors, preplan and include orthopedic screening and monitoring radiographs into each predisposed pet's long‐term care plan (see 1.3 Personalized Care Plans). Be especially forthcoming in your recommendations for these radiographs in pets that fit any of the following criteria.Overweight or obesePredisposed breedWorking dog or athletePets that are exhibiting behavioral changes, including new aggression, decreased interaction with clients, and those exhibiting new noise aversions [5]Cats with inappropriate toileting
So long as they are stable, take advantage of any pet sedated or anesthetized for procedures (e.g., spay/neuter, dental prophylaxes, ear cleanings, laceration repairs, etc.) to do a deeper, more thorough palpation and ROM testing of joints. Since it's good practice for you and also may turn up otherwise undiagnosed conditions (providing better medicine and improving comfort for your patients, and revenue generation for your practice), do these deeper orthopedic evaluations as value‐added, no‐charge components of your sedated/anesthetized procedures on all patients. However, be sure to include a section on your estimates and sedation/anesthesia consent forms offering and recommending that, so long as their pet is stable under sedation/anesthesia and based on your findings and their pet's risk factors, specific orthopedic radiographs may be recommended. Provide an estimate for such and get the owner's authorization for such in advance.