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Journal articles on the topic 'Veterinary consultation'

Author: Grafiati

Published: 25 May 2024

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1

Corah, Louise, Liz Mossop, Kate Cobb, and Rachel Dean. "Measuring the success of specific health problem consultations in cats and dogs: a systematic review." Veterinary Record 183, no. 1 (March 15, 2018): 22. http://dx.doi.org/10.1136/vr.104759.

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Consultations are complex interactions, are central to achieving optimal outcomes for all stakeholders, yet what constitutes a successful consultation has not been defined. The aim of this systematic review was to describe the scope of the literature available on specific health problem consultations and appraise their identified success measures. Searches of CAB Abstracts and MEDLINE were performed in May 2016 using species and consultation terms. Systematic sorting of the results allowed identification of consultation ‘success factors’ cited in peer-reviewed veterinary literature which were appraised using an appropriate critical appraisal tool (AXIS). Searches returned 11 330 results with a total of 17 publications meeting the inclusion criteria, of which four measured consultation success. Journal of the American Veterinary Medical Association was the most common journal of publication (9 of 17) and the majority of included papers had been published since 2010 (12 of 17). Success factors measured were compliance, client satisfaction and veterinary surgeon satisfaction, and publications primarily used communication analysis tools to measure success. The review highlights the paucity of peer-reviewed literature examining small animal, health problem veterinary consultations. The available evidence is of variable quality and provides weak evidence as to which factors contribute to a successful consultation.

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2

Everitt, Sally. "Consultation on veterinary medicines." BSAVA Companion 2015, no. 10 (October 1, 2015): 4–5. http://dx.doi.org/10.22233/20412495.1015.4.

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3

Ackerman, Nicola. "Consultation skills for veterinary nurses." Veterinary Nursing Journal 26, no. 10 (October 2011): 368–71. http://dx.doi.org/10.1111/j.2045-0648.2011.00097.x.

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4

Corah, Louise, Liz Mossop, Rachel Dean, and Kate Cobb. "Measuring satisfaction in the small animal consultation and its relationship to consult length." Veterinary Record 187, no. 11 (August 6, 2020): 446. http://dx.doi.org/10.1136/vr.105910.

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BackgroundMeasuring satisfaction is a useful metric of success of any interaction, but very few validated instruments exist for measuring the satisfaction of the veterinary surgeon (vet) and the client in veterinary consultations. Additionally, there has been no research examining the impact of consultation length on satisfaction. The aim of this observational study was to investigate the use of a single-question graphic scale to assess vet and client satisfaction and the impact of consultation length on satisfaction.MethodsInformation on consultation timing was collected for 65 health problem consultations across six practices. These measurements were compared with postconsultation measurements of client and vet satisfaction.ResultsA comparison between the long-form and single-question satisfaction instruments demonstrated significant correlation for both vet and client tools (ρ=0.609, P<0.005 and ρ=0.483, P<0.005, respectively). The average client satisfaction with the consultation was high; however, vet satisfaction levels were significantly lower (U=1073, P<0.005). Increased consult length was associated with increased vet satisfaction (ρ=0.332, P=0.007) but not increased client satisfaction.ConclusionThese results demonstrate that the graphic scale is an appropriate proxy for the pre-existing long-form questionnaires available for both vets and clients. Further research is required to examine the disparity identified between vet and client satisfaction.

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Ozkul, T., S. V. Genc, O. Dogan, and A. Ozen. "Views of Turkish veterinary practitioners on the veterinary consultation." Veterinary Record 163, no. 6 (August 9, 2008): 189. http://dx.doi.org/10.1136/vr.163.6.189.

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6

Haas, Kenneth B. "Backyard consultation." Journal of the American Veterinary Medical Association 198, no. 6 (March 15, 1991): 977–79. http://dx.doi.org/10.2460/javma.1991.198.06.977.

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7

Spagnuolo-Weaver, M. "Informal consultation on amended veterinary medicines guidance notes." Veterinary Record 169, no. 7 (August 12, 2011): 187. http://dx.doi.org/10.1136/vr.d5101.

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8

Jeffery, Andrea. "The veterinary nursing code of conduct — under consultation." Veterinary Nurse 2, no. 7 (September 2011): 424. http://dx.doi.org/10.12968/vetn.2011.2.7.424.

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Manning, Paul R. "Consultation skills." Veterinary Record 183, no. 4 (July 27, 2018): 135. http://dx.doi.org/10.1136/vr.k3232.

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Petrovski, Kiro R., and Michelle McArthur. "The Art and Science of Consultations in Bovine Medicine: Use of Modified Calgary – Cambridge Guides." Macedonian Veterinary Review 38, no. 2 (October 1, 2015): 137–47. http://dx.doi.org/10.14432/j.macvetrev.2015.05.044.

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Abstract This article describes few steps of the application of the modified Calgary-Cambridge Guides (CCG) to consultations in bovine medicine. A review of pertinent clinical communication skills literature in human medicine was integrated with the burgeoning research within veterinary medicine. In particular, there are more recent studies examining companion animal veterinarian’s communication skills and outcomes which can be extrapolated to practitioners. This was integrated into a teaching example of a reproductive case consultation. The first article deals with the 1) Preparation, 2) Initiating the Session and 3) Gathering Information sections. The aim of the modified CCG is to provide a set of skills to facilitate a relationship-centred approach to consultations in bovine medicine, both at the individual animal and population level. They were initially developed for human medicine and expanded recently for use in veterinary medicine. The CCG enable the practitioner to facilitate interacting with that particular client at the time of the consultation. It is likely that the majority of practitioners do use many of the skills recommended by the modified CCG. These skills are often gained through experience. However, they may not use the skills intentionally and with purpose for a specific communication goal or outcome. Practitioners can improve their communication skills using the set of skills as recommended by the modified CCG. They allow the practitioner to gain insight into the client’s understanding of the problem, including underlying aetiology, epidemiology and pathophysiology. The guides also provide opportunity to understand client’s expectations regarding the outcome, motivation and willingness to change and adherence.

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Tenis, A. Aldo. "Compassionate Veterinary Care Platform." International Journal for Research in Applied Science and Engineering Technology 12, no. 4 (April 30, 2024): 5464–66. http://dx.doi.org/10.22214/ijraset.2024.61130.

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Abstract: This paper proposes a digital appointment booking system for pet clinics, aimed at enhancing convenience and efficiency. Through the system's user-friendly interface, pet owners can easily schedule appointments for their beloved friends. Users can choose desired time slots, see which veterinarians are available, and indicate if they are there for an emergency consultation, vaccine, or routine check-up. The system also makes it possible for clinic employees to effectively manage appointments, which lowers wait times and improves efficiency.

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12

Harwood, Mark. "Consultation times: what pays?" In Practice 37, no. 8 (September 2015): 422–26. http://dx.doi.org/10.1136/inp.h4655.

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13

Gray, C. A., and P. J. Cripps. "'Typical' veterinary consultation in the United Kingdom and Ireland." Veterinary Record 156, no. 12 (March 19, 2005): 381. http://dx.doi.org/10.1136/vr.156.12.381.

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14

Pereira, Joana Soares, Sara Fragoso, Alexandra Beck, Stephane Lavigne, Artur Severo Varejão, and Gonçalo da Graça Pereira. "Improving the feline veterinary consultation: the usefulness of Feliway spray in reducing cats’ stress." Journal of Feline Medicine and Surgery 18, no. 12 (July 10, 2016): 959–64. http://dx.doi.org/10.1177/1098612x15599420.

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Objectives Going to the veterinary clinic is a stressful experience for most cats as they feel threatened when entering a new and confined environment. The aim of this research was to investigate if Feliway spray, when used on the table in the consultation room, can decrease cats’ stress and ease their handling. Methods A randomised, double-blind, placebo-controlled clinical trial was developed, using a total sample of 87 cats of both sexes, castrated or intact, of any breed, aged >26 weeks. A Feliway spray and a placebo solution spray were tested in two different consultation rooms. During the first phase, Feliway spray was applied to the examination table of one room and the placebo spray in the other. After a washout period of 15 days the spray allocation was switched. After the first 15 mins of general questioning and physical examination carried out by the veterinarian, the observer assessed the stress levels of the cats based on a seven-level ‘cat stress score’, and the ease of handling based on a five-point ‘scale of handling’ developed by the authors. Results The study demonstrated that the use of Feliway spray leads to significant ( P = 0.01) differences in cats’ usual behaviour, according to their owners. With regard to stress, animals exposed to Feliway spray showed significantly lower stress levels than those treated with placebo ( P = 0.02). Regarding the scale of handling, the scoring did not differ significantly between cats under the effect of Feliway spray and cats receiving placebo ( P = 0.01). Conclusions and relevance This research shows that the use of Feliway spray on the examination table improves the welfare of cats by reducing their stress during veterinary consultations. Feliway spray significantly changed the behaviour of the cats in this study, and offers a simple and effective way to help decrease stress in cats during the consultation.

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Daykin, J., B. Pepper, R. Green, C. Howe, and O. Swarbrick. "Badger culling consultation." Veterinary Record 159, no. 7 (August 12, 2006): 220. http://dx.doi.org/10.1136/vr.159.7.220-a.

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Roberts, Claire. "Dog consultation survey." Veterinary Record 182, no. 7 (February 15, 2018): 200.2–201. http://dx.doi.org/10.1136/vr.k679.

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Wensley, Sean. "Prepurchase consultation resources." Veterinary Record 184, no. 17 (April 25, 2019): 529.3–529. http://dx.doi.org/10.1136/vr.l1858.

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18

Littlewood, Katherine E., Ngaio J. Beausoleil, Kevin J. Stafford, Christine Stephens, Teresa Collins, Anne Fawcett, Susan Hazel, et al. "Exploring how end-of-life management is taught to Australasian veterinary students. Part 1: technical euthanasia." Veterinary Record 183, no. 22 (November 19, 2018): 691. http://dx.doi.org/10.1136/vr.104775.

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This descriptive study explored how end-of-life management was taught to students in all eight Australasian veterinary schools. A questionnaire-style interview guide was used by a representative at each university to conduct structured interviews with educators in a snowball sampling approach. Four categories of animals were addressed: livestock, equine, companion and avian/wildlife. This article focuses on the first part of the questionnaire: teaching the technical aspects of euthanasia. Euthanasia techniques were taught at more universities in clinical years than preclinical years. Clinical teaching relied on opportunities presenting, for example, euthanasia consultations. Few universities gave students a chance to practise euthanasia during a consultation and those that did were all with livestock. Competency in euthanasia techniques is an important aspect of clinical practice and these findings can be used to inform curriculum reviews of veterinary training.

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Bleuer-Elsner, Stephane, Anna Zamansky, Asaf Fux, Dmitry Kaplun, Sergey Romanov, Aleksandr Sinitca, Sylvia Masson, and Dirk van der Linden. "Computational Analysis of Movement Patterns of Dogs with ADHD-Like Behavior." Animals 9, no. 12 (December 13, 2019): 1140. http://dx.doi.org/10.3390/ani9121140.

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Computational approaches were called for to address the challenges of more objective behavior assessment which would be less reliant on owner reports. This study aims to use computational analysis for investigating a hypothesis that dogs with ADHD-like (attention deficit hyperactivity disorder) behavior exhibit characteristic movement patterns directly observable during veterinary consultation. Behavioral consultations of 12 dogs medically treated due to ADHD-like behavior were recorded, as well as of a control group of 12 dogs with no reported behavioral problems. Computational analysis with a self-developed tool based on computer vision and machine learning was performed, analyzing 12 movement parameters that can be extracted from automatic dog tracking data. Significant differences in seven movement parameters were found, which led to the identification of three dimensions of movement patterns which may be instrumental for more objective assessment of ADHD-like behavior by clinicians, while being directly observable during consultation. These include (i) high speed, (ii) large coverage of space, and (iii) constant re-orientation in space. Computational tools used on video data collected during consultation have the potential to support quantifiable assessment of ADHD-like behavior informed by the identified dimensions.

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Pellett, Sarah, and Livia Benato. "The common marmoset (Callithrix jacchus) consultation." Companion Animal 24, no. 6 (June 2, 2019): 329–37. http://dx.doi.org/10.12968/coan.2019.24.6.329.

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Common marmosets (Callithrix jacchus) can sometimes be seen in general practice and it is essential to be aware of their nutritional, environmental and medical requirements. The keeping of common marmosets as pets is not recommended; they can be aggressive and unpredictable, and many are subjected to suboptimal husbandry. They are social species with psychological needs and good welfare is often difficult to achieve. This article summarises the basic care of common marmosets, discusses the approach to veterinary care, and highlights some important diseases that the clinician may see.

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Quain, Anne, Siobhan Mullan, and Michael P. Ward. "Low and No-Contact Euthanasia: Associated Ethical Challenges Experienced by Veterinary Team Members during the Early Months of the COVID-19 Pandemic." Animals 12, no. 5 (February 23, 2022): 560. http://dx.doi.org/10.3390/ani12050560.

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Background: During the ongoing COVID-19 pandemic, many veterinary practices around the world have shifted to a low or no-contact consultation model to ensure the safety of their team members and clients, and comply with public health orders, while continuing to provide veterinary care. Methods: We performed reflexive thematic analysis on a subset of data collected using a mixed-methods survey of veterinary team members globally. Results: There were 540 valid responses available for analysis. Low and no-contact euthanasia we raised as a common and/or stressful ethical challenge for 22.8% of respondents. We identified five key themes: no-contact euthanasia as a unique ethical challenge; balancing veterinary team safety with the emotional needs of clients; low and no-contact protocols may cause or exacerbate fear, anxiety and distress in veterinary patients; physical distancing was more challenging during euthanasia consultations; and biosecurity measures complicated communication around euthanasia and end-of-life decision making. Recommendations: In light of concerns highlighted by respondents, we recommend the development of a toolkit of protocols that will assist veterinary team members in performing low-contact euthanasia in a range of circumstances, in alignment with their values and professional ethical codes. Professional bodies may be involved in developing, updating and disseminating this information, and ensuring a continuous supply chain of PPE.

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Adin, Christopher A., Jeannine L. Moga, Bruce W. Keene, Callie A. Fogle, Heather R. Hopkinson, Charity A. Weyhrauch, Steven L. Marks, Rachel J. Ruderman, and Philip M. Rosoff. "Clinical ethics consultation in a tertiary care veterinary teaching hospital." Journal of the American Veterinary Medical Association 254, no. 1 (January 2019): 52–60. http://dx.doi.org/10.2460/javma.254.1.52.

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23

Crowther, E., K. Hughes, I. Handel, R. Whittington, M. Pryce, S. Warman, S. Rhind, and S. Baillie. "Stakeholder consultation on tracking in UK veterinary degrees: part 2." Veterinary Record 175, no. 4 (May 12, 2014): 87. http://dx.doi.org/10.1136/vr.102341.

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Crowther, E., K. Hughes, I. Handel, R. Whittington, M. Pryce, S. Warman, S. Rhind, and S. Baillie. "Stakeholder consultation on tracking in UK veterinary degrees: part 1." Veterinary Record 175, no. 4 (May 16, 2014): 86. http://dx.doi.org/10.1136/vr.102342.

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Hardefeldt, Laura, Brian Hur, Karin Verspoor, Timothy Baldwin, Kirsten E. Bailey, Ri Scarborough, Suzanna Richards, Helen Billman-Jacobe, Glenn Francis Browning, and James Gilkerson. "Use of cefovecin in dogs and cats attending first-opinion veterinary practices in Australia." Veterinary Record 187, no. 11 (August 21, 2020): e95-e95. http://dx.doi.org/10.1136/vr.105997.

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BackgroundCefovecin is a long-acting third-generation cephalosporin commonly used in veterinary medicine. Third-generation cephalosporins are critically important antimicrobials that should only be used after culture and susceptibility testing. The authors describe the common indications for cefovecin use in dogs and cats, and the frequency of culture and susceptibility testing.Materials and methodsA cross-sectional study was performed using clinical records extracted from VetCompass Australia. A previously described method was used to identify records containing cefovecin. The reason for cefovecin use was annotated in situ in each consultation text.ResultsOver a six-month period (February and September 2018), 5180 (0.4 per cent) consultations involved cefovecin administration, of which 151 were excluded. Cats were administered cefovecin more frequently than dogs (1.9 per cent of cat consultations and 0.1 per cent of dog consultations). The most common reasons for cefovecin administration to cats were cat fight injuries and abscesses (28 per cent) and dermatitis (13 per cent). For dogs, the most common reasons for cefovecin administration were surgical prophylaxis (24 per cent) and dermatitis (19 per cent). Culture and susceptibility testing were reported in 16 cases (0.3 per cent).ConclusionCefovecin is used in many scenarios in dogs and cats where antimicrobials may be either not indicated or where an antimicrobial of lower importance to human health is recommended.

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van Gelderen (Mabin), Ingrid, and Rosanne Taylor. "Developing Communication Competency in the Veterinary Curriculum." Animals 13, no. 23 (November 27, 2023): 3668. http://dx.doi.org/10.3390/ani13233668.

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Veterinary graduates require effective clinical communication skills for a successful transition to practice. The ways of teaching and assessing veterinary communication skills have developed and are increasingly supported by research. However, some students have difficulty applying the skills learned in a simulated consultation to working with real clients, particularly in the second part of a standard consultation, where the student communicates the reasons for their clinical decision making and assists the client’s treatment decisions. The authors explore three key developments in communication skills training in the Doctor of Veterinary Medicine program since 2015 at the University of Sydney: (1) Workshops were designed to include communication scenarios that were contextualised in ways that embraced a spectrum of care. These were facilitated within a clinical skills laboratory, and student surveys were used to evaluate this teaching and learning activity; (2) student and facilitator perceptions of the value of online communication skills training were evaluated using surveys; and (3) perceptions of the gap between pre-clinical training and the demonstration of communication competency in authentic clinical settings were evaluated using a survey. We conclude that the communications curriculum can be made more engaging and effective by student-centred design, which increases the realism and authenticity of the student’s experience.

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Robinson, Natalie Jane, Zoe Belshaw, Marnie Louise Brennan, and Rachel S. Dean. "Topics discussed, examinations performed and strategies implemented during canine and feline booster vaccination consultations." Veterinary Record 184, no. 8 (February 18, 2019): 252. http://dx.doi.org/10.1136/vr.104835.

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Vaccination consultations account for a large proportion of the small animal veterinary caseload. The aim of this study was to determine the content of canine and feline booster vaccination consultations and gather opinions on strategies used to optimise these consultations. An online survey of UK veterinarians was conducted. Respondents were asked about the clinical examination performed and the topics discussed during vaccination consultations, as well as any strategies used to optimise these consultations. Finally, respondents were asked about the practicality and effectiveness of various potential strategies. A total of 662 responses were received. Most respondents always auscultated the chest during vaccination consultations (n=603/621, 97.1% canine consultations; n=587/610, 96.2% feline consultations). Microchipping was discussed more frequently during canine versus feline consultations (P<0.001). Over half of respondents (n=323/597; 54.1%) had tried strategies to optimise consultations, with supplementary reading material tried most frequently (n=203/597; 34.0%). There were a range of opinions around practicality and effectiveness of these strategies. The results from this novel study suggest that vaccination consultations vary in terms of the clinical examination performed, topics discussed and strategies used to optimise the consultation. This study has implications for practice by identifying potential ways to maximise the benefits of vaccination consultations.

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Cooper, Paul. "Consultation on rescheduling ketamine." Veterinary Record 174, no. 2 (January 10, 2014): 52.1–52. http://dx.doi.org/10.1136/vr.g85.

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Marshall, F. J. "Honing basic consultation skills." Veterinary Record 170, no. 9 (March 3, 2012): 235.2–236. http://dx.doi.org/10.1136/vr.e1511.

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Faulkner, Brian. "Five steps to a successful consultation." In Practice 37, no. 3 (March 2015): 146–49. http://dx.doi.org/10.1136/inp.h989.

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31

Hussein Jamal, Noorjan, Mei Yuit Chan, Shameem Rafik-Galea, Ngee Thai Yap, Geok Imm Lee, and Puteri Azaziah Megat Abd Rani. "Question design in veterinary consultations: Question forms and client responses in accomplishing problem presentation in a Malaysian context." Discourse and Interaction 15, no. 1 (July 7, 2022): 51–76. http://dx.doi.org/10.5817/di2022-1-51.

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Question design by medical practitioners has been shown to have important consequences on how patients present their problems in clinical consultations. Linguistic structure of questions as part of question design implements different communicative and pragmatic functions, and hence, affects patients’ response in different ways. This study examined types of questions asked by veterinarians in the problem presentation phase of the clinical consultation in relation to their linguistic forms and functions. Veterinary illness consultations were video-recorded and veterinarians’ question types, their linguistic forms and clients’ response in the interaction were identified and examined. The results show that the general inquiry question implemented using the open-ended wh-question structure and the closed-ended declarative interrogative are the preferred forms used by veterinarians to solicit patients’ presenting problems from clients. Also, alignment of the linguistic form of questions with their pragmatic functions and the discourse goal of problem presentation affects clients’ ascription of veterinarians’ actions. The findings from the study can inform veterinarian communication training for more effective veterinarian-client communication to accomplish problem presentation in clinical consultations.

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Bard, Alison M., David C. J. Main, Anne M. Haase, Helen R. Whay, and Kristen K. Reyher. "Veterinary communication can influence farmer Change Talk and can be modified following brief Motivational Interviewing training." PLOS ONE 17, no. 9 (September 12, 2022): e0265586. http://dx.doi.org/10.1371/journal.pone.0265586.

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Current veterinary communication skills training often focuses on the strategies necessary to successfully transfer information and promote shared decision making rather than inspiring client motivation to engage in behaviour change(s). One evidence-based communication methodology with a specific focus on enhancing conversations about change is Motivational Interviewing (MI), which is perceived by veterinarians to be highly relevant to their profession. We examined whether veterinarians who experienced brief (4–5 hours) MI training (BMIT) were able to change their communication behaviours to be more MI consistent. Fourteen veterinarians recorded 31 veterinary herd health consultations before (n = 15) and after (n = 16) BMIT to allow pre-post intervention analysis of veterinarian and farmer verbal behaviour. Additionally, using a sequential linguistic analysis of 3885 veterinarian-farmer communication events within these consultations, the influence of veterinarians’ verbal behaviours on farmers’ response language was explored. Analysis of veterinary consultations undertaken before and after BMIT revealed that veterinarians changed their communication style to be more consistent with the MI methodology, including more use of reflection statements, a more empathic and partnership-oriented consultation style and greater emphasis on clients’ own language in favour of change goals. In response, farmers contributed more to the conversation and discussed more herd health-related changes. Sequential linguistic analysis suggested that following a veterinarian emphasising something positive about the farmer (e.g. efforts, strengths), seeking collaboration or emphasising farmer choice, farmers were subsequently more likely to express arguments in favour of change (‘Change Talk’), especially phrases indicative of commitment. This study offers the first evidence of the potential value of a BMIT experience to enhance veterinary communication skills, although conscious and disciplined use of MI principles, strategies and Spirit–an ethos of compassion, acceptance, partnership and evocation—requires longer and more complex training. Further studies examining the longevity and consistency of these verbal behaviour changes following BMIT are required.

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Ramsden, Sarah. "Dentistry for veterinary nurses: what you can see in the consultation room." Veterinary Nurse 13, no. 3 (April 2, 2022): 112–13. http://dx.doi.org/10.12968/vetn.2022.13.3.112.

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Registered veterinary nurses provide the tools for oral care, whether that be in the consulting room or in a dental suite. It is their job to make sure owners understand the importance of maintaining good oral hygiene to help their pet live a pain free life. This is done through dental clinics and being confident in the products and services being offered. Veterinary nurses can educate owners on the facts of dental disease and help them understand that most of the dental disease is below the gum line. It is also important to have sound knowledge on what normal looks like so that abnormalities can be detected.

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Ramsden, Sarah. "Dentistry for veterinary nurses: what you can see in the consultation room." Veterinary Nurse 13, no. 3 (April 2, 2022): 112–13. http://dx.doi.org/10.12968/vetn.2022.13.3.112.

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Registered veterinary nurses provide the tools for oral care, whether that be in the consulting room or in a dental suite. It is their job to make sure owners understand the importance of maintaining good oral hygiene to help their pet live a pain free life. This is done through dental clinics and being confident in the products and services being offered. Veterinary nurses can educate owners on the facts of dental disease and help them understand that most of the dental disease is below the gum line. It is also important to have sound knowledge on what normal looks like so that abnormalities can be detected.

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35

Ramsden, Sarah. "Dentistry for veterinary nurses: what you can see in the consultation room." Veterinary Nurse 13, no. 3 (April 2, 2022): 112–13. http://dx.doi.org/10.12968/vetn.2022.13.3.112.

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Registered veterinary nurses provide the tools for oral care, whether that be in the consulting room or in a dental suite. It is their job to make sure owners understand the importance of maintaining good oral hygiene to help their pet live a pain free life. This is done through dental clinics and being confident in the products and services being offered. Veterinary nurses can educate owners on the facts of dental disease and help them understand that most of the dental disease is below the gum line. It is also important to have sound knowledge on what normal looks like so that abnormalities can be detected.

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36

Downing, Robin, and Sean Philpott-Jones. "Translating the Human Clinical Ethics Consultation Committee Model for Veterinary Applications." American Journal of Bioethics 18, no. 2 (February 2018): 54–55. http://dx.doi.org/10.1080/15265161.2017.1409829.

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37

Dijkstra, E., E. Teske, and V. Szatmári. "Respiratory rate of clinically healthy cats measured in veterinary consultation rooms." Veterinary Journal 234 (April 2018): 96–101. http://dx.doi.org/10.1016/j.tvjl.2018.02.014.

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38

Kendall, Lon V., Elaine K. Kim, James R. Owiny, and Jessica D. Ayers. "Veterinary Verification and Consultation: implementation of OLAW guidance on significant changes." Lab Animal 46, no. 3 (March 2017): 63–65. http://dx.doi.org/10.1038/laban.1201.

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Ramsey, Noel B. "The Appropriate Use of the Veterinary Verification and Consultation (VVC) Process." Lab Animal 52, no. 12 (November 28, 2023): 282–83. http://dx.doi.org/10.1038/s41684-023-01294-y.

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Mills, Georgina. "‘Pivotal’ equine ID consultation launched." Veterinary Record 190, no. 8 (April 2022): 308. http://dx.doi.org/10.1002/vetr.1695.

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Rance, L. "Approaching a small animal consultation." Veterinary Record 167, no. 11 (September 11, 2010): i. http://dx.doi.org/10.1136/vr.g7041.

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Loeb, Josh. "VMD launches vet medicines consultation." Veterinary Record 192, no. 4 (February 2023): 142. http://dx.doi.org/10.1002/vetr.2735.

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Loeb, Josh. "Government responds to VMR consultation." Veterinary Record 194, no. 4 (February 16, 2024): 130. http://dx.doi.org/10.1002/vetr.3958.

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Fraser, Mary. "An overview of decision making in veterinary nursing." Veterinary Nurse 10, no. 9 (November 2, 2019): 460–64. http://dx.doi.org/10.12968/vetn.2019.10.9.460.

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Decision making takes place in all aspects of veterinary care. Throughout any consultation, work up, hospitalisation or ongoing home care, decisions need to be made about the next step to be taken. Clinical decision making is influenced by many different factors including past experience, emotions, owner wishes, financial concerns and communication skills. Within the veterinary team, it is important that everyone understands the factors influencing decisions. Decision making can follow a paternalistic, guardian or shared approach, which tends to be dominant in veterinary practice. Where practices adopt standard operating procedures, the use of clinical evidence and clear non-biased decisions need to be made.

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Hale, Helena, Emily Blackwell, Claire Roberts, Emma Roe, and Siobhan Mullan. "Broadening the Veterinary Consultation: Dog Owners Want to Talk about More than Physical Health." Animals 13, no. 3 (January 24, 2023): 392. http://dx.doi.org/10.3390/ani13030392.

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Few veterinary professionals use formal quality of life (QOL) assessment tools despite their recommendation from veterinary governing bodies to enable holistic welfare assessments and target welfare improvement strategies. Perceived barriers include resistance from owners, and this study aimed to elucidate understanding of dog owner engagement with conversations and tools relating to QOL. An online survey that investigated owner experience, comfort, and opinions about vet-client discussions on topics connected to canine health and well-being, including QOL, was completed by 410 owners. Almost all owners (95.8%) were reportedly comfortable discussing QOL, yet only 32% reported their vets had addressed it. A high proportion of owners (70.8%) expressed interest in assessment tools, but only 4.4% had experienced one, none of which were QOL tools per se. Semi-structured interviews of a sub-set of four owners provided a more in-depth examination of their experience of a health and well-being assessment tool. Thematic analysis generated three themes: ‘Use of assessment tools supports client-vet relationship and empowers owners’, ‘Owners want to talk about holistic dog care’, and ‘Owner feelings on the wider application of assessment tools’. Overall, our findings suggest that owners want to broaden the veterinary consultation conversation to discuss QOL and are interested in using tools, and therefore veterinary perceptions of owner-related barriers to tool application appear unfounded. Indeed, tool uptake appears to improve the vet-client relationship and boost owner confidence.

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Schramm, Andreina, and Peter Hendrik Kook. "A Descriptive Study on the Extent of Dietary Information Obtained during Consultations at a Veterinary Teaching Hospital." Animals 12, no. 5 (March 6, 2022): 661. http://dx.doi.org/10.3390/ani12050661.

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The majority of dogs with chronic idiopathic gastrointestinal (GI) disease respond to diet. So far, no study has assessed how much dietary information is obtained during consultations. We retrospectively evaluated what dietary information was available from dogs presenting to our Gastroenterology (GE), and Internal Medicine (IM) Service between 10/2017 and 01/2020. Data from 243 dogs presenting for first GE consultations were compared to 239 dogs presenting with chronic GI signs for first IM consultations. Referrals comprised 131 (54%) GE dogs and 112 (47%) IM dogs. Referral documents specified the previously fed diet in 53/131 (40%) GE and 14/112 (13%) IM dogs. No dog had received more than one previous diet trial for chronic GI signs. Irrespective of referral status, diet trials had been performed in 127/199 (64%) GE, and 56/156 (36%) IM dogs. The specific diet fed at the time of consultation could only be named by 106/199 (53%) GE and 40/156 (26%) IM dog owners. Data on response to subsequent newly prescribed diets were available from 86 GE dogs and 88 IM dogs. A positive response to diet was noted in 50/86 (58%) GE and 26/88 (30%) IM dogs. A further 23/35 (66%) GE dogs and 12/21 (57%) IM dogs responded positively to a second diet trial, and 4/9 GE dogs (44%) and 6/7 (86%) IM dogs responded positively to a third diet trial. In conclusion, overall dietary information gained from referring veterinarians and owners was often incomplete. More dietary information could be gained during GE consultations compared to IM consultations for chronic GI signs. A positive response to diet can still be seen after two diet failures. Further studies will help to ascertain if the percentage of diet-responsive GI disease increases when more complete dietary information is obtained at the time of consultations.

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Schramm, Andreina, and Peter Hendrik Kook. "Evaluation of dietary histories in cats presenting with chronic gastrointestinal clinical signs to a veterinary teaching hospital." Journal of Feline Medicine and Surgery 25, no. 2 (February 2023): 1098612X2311544. http://dx.doi.org/10.1177/1098612x231154466.

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Objectives Although less frequently described than in dogs, it is also well recognised in cats that chronic gastrointestinal (GI) disease can fully respond to dietary changes only. So far, no study has assessed how much dietary information can be obtained during veterinary consultations. Methods We retrospectively evaluated how much dietary information was available when owners presenting their cats to our gastroenterology (GE) and internal medicine (IM) service between October 2017 and January 2020 were questioned during consultations. Because of the larger IM caseload, for each week the first two cats presenting with chronic GI signs were selected for the IM group. Data from 80 cats presenting for first GE consultations were compared with data from 84 cats presenting with chronic GI signs for first IM consultations. Results Referrals comprised 42/80 (53%) GE cats and 53/84 (63%) IM cats. Referral documents mentioned the previously fed diet in 12/42 (29%) GE and 4/53 (8%) IM cats, and response to that previous diet trial was recorded in the referral documents of 4/12 (33%) GE and 3/4 (75%) IM cats. No cat had received more than one previous diet trial. During consultations, owners of 61/80 (76%) GE and 53/84 (63%) IM cats were asked about diet. Irrespective of referral status, previous dietary trials had been performed in 27/61 (44%) GE and 19/53 (36%) IM cats. The specific diet fed at the time of consultation could be named by 37/61 (61%) GE and 11/53 (21%) IM cat owners. Conclusions and relevance Overall dietary information gained from referring veterinarians and owners was often incomplete. Although more information could be gained from owners during GE consultations vs IM consultations, awareness of the importance of diet in cats with GI disease still appears to be low among veterinarians and cat owners. Future studies need to assess if more complete dietary information can be obtained at the time of consultations with a prospective study design.

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Loeb, Josh. "Under care consultation a ‘missed opportunity’." Veterinary Record 191, no. 6 (September 2022): 234. http://dx.doi.org/10.1002/vetr.2240.

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Forsythe, Peter J. "Acute otitis externa: the successful first‐opinion ear consultation." In Practice 38, S2 (April 29, 2016): 2–6. http://dx.doi.org/10.1136/inp.i412.

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Pinillos, Rebeca García. "Consultation to define a One Welfare framework." Veterinary Record 180, no. 7 (February 17, 2017): 184.2–184. http://dx.doi.org/10.1136/vr.j827.

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