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3.13.3 Breed‐Specific Risk Assessment
ОглавлениеMuch of our work in veterinary medicine hinges around the concept of reducing risk (see 2.7 Risk Assessment). Vaccinations reduce the risk of infection, parasite preventives reduce the risk for parasites, senior screening reduces the risk that we will fail to detect a disease process early, and so on. Client education follows risk assessment and management. We teach the clients about topics that pertain to their pet – for which the pet is at risk (see 10.5 Early Detection Campaigns).
When it comes to hip dysplasia in at‐risk breeds, we would want to do screening radiographs and educate pet owners about arthritis diagnosis and treatment (see 3.12 Orthopedic Screening).
Breed‐specific wellness is the next big leap for educating clients once all the basics have been covered. Breed tendencies for disease can jump right to the top of a “diseases or problems that could be fatal” list. For example, cardiomyopathy is common and deadly in boxers but occurs later and in a milder form in some other breeds. The more common and the more severe the risk, the more you need to talk about it early and often, so for a boxer owner annual screening should be a big priority. For a Dalmatian, one might choose something else to talk about, like bladder stones. Instead of electrocardiogram (ECG) screening, one might discuss feeding a special diet and an annual urinalysis.
Practicing high‐quality medicine is all about being a better teacher. This is as simple as putting a handout in every file before the appointment, so we remember to discuss the topic with the client and send them home with written information. Preparing and preloading your patient files ahead of each visit is a very important step.
Have a system. If this is the year you want to educate every client on dental disease, load a dental brochure in every file. If you want to talk about breed‐specific wellness care or healthcare plans, you need to come up with a structure for your program that makes it easy to implement. Specific recommendations and client education topics should be developed and used for every breed.
The following are links to some client education videos that can be helpful in practice. They also serve to illustrate what a breed risk discussion with a client might look like.
Breed risks in bulldogs: www.youtube.com/watch?v=Kgz3xCzlM_c
Eye diseases: www.youtube.com/watch?v=d_RGk2UEdgs
Foreign body (FB) ingestion: www.youtube.com/watch?v=VYNJrVS3u8g
Gastric dilation‐volvulus (GDV): www.youtube.com/watch?v=CrX2BJ7EI‐o
GDV and von Willebrand disease in Dobermans: www.youtube.com/watch?v=7l_gL0_6cOA
Glomerulonephropathy (GN) in wheaten terriers: www.youtube.com/watch?v=eTwyUbiFPbU
Hemangiosarcoma: www.youtube.com/watch?v=9HBPwYG5CW4
Hip dysplasia and arthritis: www.youtube.com/watch?v=VgAJeeSE‐GA
MDR1 testing in herding breeds: www.youtube.com/watch?v=F7D3d3Rgm7U
Intervertebral disc disease (IVDD): www.youtube.com/watch?v=vZqXvkN67rM