It was the only organisation from the veterinary profession to be shortlisted.
The Antibiotic Guardian Awards were introduced this year by Public Health England (PHE) and aim to champion UK organisations and individuals who have demonstrated achievement in tackling antimicrobial resistance at a local, regional or national level.
BEVA first launched its Protect ME antimicrobial campaign in 2012 to coincide with European Antimicrobial Awareness day. The Association has launched additional resources each year to facilitate compliance and educate the public about the importance of antimicrobial awareness.
Mark Bowen, President of BEVA and co-author of the Protect ME toolkit, said: "It is a great achievement for a veterinary organisation to be recognised alongside the human health sector which invariably has significantly more resources to support antimicrobial stewardship. Protect ME has had a fantastic uptake from the equine profession and are proud of the impact that it is having. BEVA is grateful to all who have contributed to its success, especially Wendy Furness and Jacky Paton of the Scarsdale veterinary group, Derby who trialled it prior to launch and adopted it fully within the practice."
The BEVA Protect ME toolkit is free to BEVA members and can be downloaded at www.beva.org.uk.
The online academy offers a range of materials to help veterinary surgeons, nurses and receptionists further their knowledge of obesity as a disease, support the running of weight clinics and ultimately help reduce the number of overweight cats and dogs.
The academy includes Weight Management Online, an interactive course which is designed to improve the management of obesity in practice. The course offers eight hours of CPD and additional support from Royal Canin's dedicated Weight Management Team via an online forum.
The course modules are: Obesity is a disease; Body Condition Scoring; Feeding for weight loss diets; Communicating the positives of weight loss; Running a weight loss clinic; and Success is a team effort.
Each module contains additional downloadable reading material and/or learning tools.
Courses run from 11th September to 1st October 2017 and 13th November to 3rd December, with three weeks given to complete the six modules.
Louise Brennan, a Weight Management Specialist at Royal Canin, said: "The prevalence of pet obesity is increasing in the UK, with at least 59% of all dogs and 39% of all cats overweight or obese¹. We have recognised the need to provide further education to help veterinary staff understand the seriousness of the disease and how to communicate this to owners."
Veterinary surgeons and RVNs that complete Weight Management Online within a three week time frame will be invited to complete the second stage, allowing them to become a Royal Canin Weight Management Counsellor.
For more information, contact your Royal Canin Veterinary Business Manager.
Reference
Vet Futures, the joint initiative by the RCVS and BVA to stimulate debate about the future of the profession, has opened a new discussion hospice care, and whether it it will become mainstream in veterinary medicine.
This month's Vet Futures guest blogger, Kath Dyson, a former veterinary surgeon who qualified from Glasgow in 1989, writes that veterinary palliative care, while a relatively recent phenomenon, has been growing in stature, particularly in the United States, with symposia and conferences on the subject as well as webinars and chapters in text books.
She notes the increasing number of UK vets offering hospice care, highlighting the differences between palliative services offered in human and veterinary medicine as well as debates within the profession over the advantages and disadvantages of palliative care versus euthanasia.
She said: "In animal hospice it is the pet's owner who takes on all the financial, practical and emotional costs involved, whereas human patients have a lot more support available. Euthanasia is always an option in veterinary medicine, and indeed euthanasia of an animal can legally be carried out by anyone, so long as it is done humanely."
On the euthanasia debate she adds: "Some regard euthanasia as more of a last resort, with hospice assisted natural death being seen as more preferable and only a minority of patients requiring euthanasia. Others feel that euthanasia is more often likely to be the preferable outcome of a period of hospice care in the animal patient, even though they do not rule out a natural death."
Overall she argues that additional expertise from veterinary surgeons in end of life care will help the profession be "even better able to provide truly lifelong care to all their animal patients".
To accompany Kath Dyson's article, this month's poll asks if hospice care will become a standard part of practice.
Last month's poll asked if vets are given adequate information, guidance and support on ethnic and cultural diversity in relation to a blog written by a British Asian vet about prejudice he encountered from a client. The vast majority (90%) of the 118 people who responded to the poll thought that the profession was lacking in support when it came to diversity. Diversity in the profession and how to increase it has been a key topic identified by the project and it will be one of the issues addressed in the final Vet Futures Report published later this year.
To take part in this month's poll and to read and comment on Kathy Dyson's blog visit www.vetfutures.org.uk/discuss
NOAH’s Office Manager Joanne Jeffs said: "We know more people are accessing the site using mobile technology and in order that the site can be viewed more easily on mobile phones and tablets as well as traditional desktops, we needed to move the whole complex set of data to a new web platform.
"This is only one of the advantages of the move – it will enable us to finalise our Compendium app, for example, and further down the line will enable more bespoke information access to become available via an API* feed – and we needed to take this major step for progress to be made.
"The most important thing was to maintain the integrity of the data – prescribers and users of animal medicines rely on its accuracy to make their prescribing decisions and guide responsible use. We know this has been done.
She added: "With the move, we know there are some post launch issues that we are addressing. We are working on those as quickly as we can. We know users need to print datasheets, for example and this function will soon be back online. We welcome all feedback and thank all our users for their patience.
www.noahcompendium.co.uk
Zoetis has announced the launch of Ketavet.
The intravenous anaesthetic solution containing ketamine is available in 10ml and 50ml presentations. The new product coincides with the re-classification of ketamine as a schedule 2 drug.
Ketavet is a clear, colourless solution for injection containing ketamine 100 mg/ml (equivalent to 115.36 mg/ml ketamine hydrochloride) with benzethonium chloride 0.1 mg/ml as a preservative. It can be used to induce anaesthesia in horses in conjunction with xylazine, detomidine or romifidine.
Ketavet, along with other ketamine containing products, has been moved to Schedule 2 of the Misuse of Drugs Regulations, which took effect from 30 November 2015. This enables tighter controls on the record keeping, prescribing and safe custody of products containing this active. More information on the specific requirements which will need to be met following the schedule change can be found on the VMD website https://www.gov.uk/government/news/amendments-to-the-misuse-of-drugs-regulations-2001
Penny McCann, Equine Product Manager at Zoetis said: "Ketavet is an important product in our anaesthesia portfolio. We are keen to help veterinary surgeons keep up-to-date with the reclassification of ketamine and with this in mind our new product packaging clearly reflects ketamine’s revised status as a schedule 2 drug."
For more information, contact your Zoetis Account Manager.
The University of Liverpool's CPD Vets has designed and set up a new online course: Professional Skills for Veterinary Nurses, which it says covers many vital areas of professional development.
Jill Macdonald from the University said: "This course provides veterinary nurses with a sound background in many key areas, helping them to effectively manage other staff, create new practice policies, make informed decisions on a welfare and ethical issues, advance their own professional and personal development and ultimately enable them to be more effective in their role and deal with the everyday stresses that practice places upon us!"
She added: "You will work alongside other nurses throughout the course, which provides a valuable opportunity for fellow professionals to share problems, ideas and solutions. We use novel, exciting, practical and applicable learning and teaching methods such as discussion boards, formation of new protocols and information sheets for practice, critical reflection and journal clubs to name a few. The course is delivered and assessed 100% online over a 23 week period, which is great for busy VNs who need the flexibility to study around work and home life."
The module is also University of Liverpool approved at level 7 (Masters) and is credit bearing, meaning that credits can be accrued towards ultimately achieving a Masters degree. According to Jill, this level of CPD paves the way and opens up new opportunities for VNs to really push forward their education and career.
For more information, either contact Jill on 0151 795 6005 / jillos@liv.ac.uk or visit the CPD Vets website: www.liv.ac.uk/cpdvets
A petition to protect the title Veterinary Nurse has received an impressive 1,285 signatures, including many from veterinary surgeons, and an official response from HM Government.
The petition, which was started by VetNurse.co.uk member Nick Shackleton Dip AVN (Surgical) VN on 6th June last year, explained: "The title veterinary nurse at present is not a protected title. A lot of people who work in practice call them selves veterinary nurses, when they have no theoretical training in such a position. As qualified nurses we feel that this issue should be addressed so that the general public are no longer confused as to the qualification and hopefully make them more aware of the hard work it is to gain the qualification. As we are heading for autonomy within the profession I think it is right and fitting that the title should be protected."
The Government response, whilst predictably noncommittal, did at least seem to recognise the issue: "The Royal College of Veterinary Surgeons (RCVS) maintains the Statutory List of veterinary nurses. In order to qualify, nurses must undergo a two-year period of vocational training which is assessed at work and through examination by the RCVS Awarding Body.
On being added to the Statutory List they are entitled to undertake a range of veterinary treatments and procedures on animals under veterinary direction. Only listed nurses are entitled to use the post-nominal letters 'VN'. The RCVS are introducing new arrangements for 'registered' veterinary nurses which provides greater accountability and transparency for those nurses whose names are entered on the register. These arrangements run in parallel with the Statutory List.
Some veterinary practices may employ staff who do not carry out the duties of a veterinary nurse but possibly use that title or wear a uniform which might imply that they are a trained veterinary nurse. We appreciate that there are issues surrounding best practice that the RCVS and the Veterinary Nursing Council to address.
It is generally accepted that the arrangements for regulating veterinary nursing could be modernised. This would, in due course, help provide greater protection for the title of veterinary nurses. Although Defra currently has no plans to undertake a fundamental review of the Veterinary Surgeons Act, we are regularly in touch with the RCVS to better understand its priorities for regulatory reform.
The Kennel Club has announced the results of some research which shows that children's pester power was behind the decision to buy a dog for one in four households1.
One in ten said their children chose the breed or crossbreed that they ended up buying. One in ten also said they buy dogs as presents, something which the Kennel Club highlights as a concern in the run up to Christmas.
The Kennel Club's Discover Dogs survey, which has been conducted to highlight the event of the same name which takes place at Earls Court on 9th and 10th November, has also revealed that too many people are buying a dog without realising that there are great differences between the care needs of the different breeds and crossbreeds. One in ten admitted that they did no research about their chosen breed but bought their puppy because of the way that it looked. A further 40% said that they chose their puppy because they liked the way that the breed looked overall.
According to Kennel Club Breed Rescue organisations, 'wrong breed' and 'can't cope' account for 15% of the dogs that need to be rehomed, a situation that could be easily avoided with the right research2. Only 17% of people in the Kennel Club's Discover Dogs survey say that their choice of dog was influenced by whether it would suit their lifestyle.
To try and address this issue, the Kennel Club has launched a Discover Dogs homework pack for children, to help them to do vital research about dog ownership.
Caroline Kisko, Kennel Club Secretary, said: "Children have a major influence on their parents' decision to buy a dog in the first place, and then over which type of dog they buy. In the lead up to Christmas we want families to be thinking carefully about whether a dog is right for them, and if so which breed would suit their lifestyle, rather than buying on a whim, and this is what the Discover Dogs event is all about.
"We have released the Discover Dogs homework packs to help children get all of the information that they and their parents need to make the right choice about their lifelong companion. This ranges from the type of dog they buy, where they buy it from, and what that dog will need throughout its life."
Children under 12 years old go free to the Kennel Club's Discover Dogs event, where they will be entertained in the Young Kennel Club Kids' Zone with fun dog displays, face painting, treasure hunts and much more.
The Young Kennel Club is open to children aged 6-24 years old and it helps young dog lovers to learn new skills, understand more about dogs, to build confidence and to make new friends. The homework pack can be found at www.discoverdogs.org.uk/buyingadog.
The Veterinary Benevolent Fund (VBF) has announced that the new Vet Helpline (which is for both vets and nurses), which will now be answered by a live person 24 hours a day, has launched in time for Christmas - an especially difficult time for many people.
The new service runs on a new telephone number: 0303 040 2551. Add it to your address book now, if not for yourself, in case you need to pass on the information to a colleague who needs help.
The new Vet Helpline has been made possible with support from the new RCVS joint initiative “Mind Matters”
Rosie Allister, Chair of Vet Helpline said: “It’s so important that people who take the brave and positive step to seek help by calling Vet Helpline are able to connect with one of our trained volunteers as quickly as possible. We know many are deterred by reaching a voicemail, so connecting to a human being is vitally important and can have an important positive impact. We are so grateful for this vote of confidence in Vet Helpline from the Mind Matters initiative.
"Everyone involved in running Vet Helpline is a volunteer and the team is so incredibly passionate and keen to see the service continually improve. The launch of our confidential e-mail service last year, which hides all email addresses (accessible via www.vetlife.org.uk), was a huge positive step forward and now this evolution to live answering is another. We are adamant that although the phone number is changing, the non-judgmental, completely confidential and empathetic support that we offer will not."
As one of the four arms of support offered by the VBF, Vet Helpline sits alongside services offering financial support, help with mental health conditions, including drug and alcohol addiction, and a library of resources aimed at promoting well-being on the Vetlife website - www.vetlife.org.uk.
Dechra Veterinary Products has unveiled Understanding Exotics from A-Z a new online information resource designed to support veterinary practices treating exotic species.
The new resource includes a selection of leaflets to download or order, including frequently asked questions containing expert information to aid diagnosis and treatment, and pet care leaflets for owners.
There are also a number of questions and answers concerning real life cases posed by veterinary practices and answered by the exotics team at the Royal (Dick) School of Veterinary Studies, University of Edinburgh.
Understanding Exotics from A-Z covers small mammals such as rabbits and reptiles and the company says it will be frequently updated and reviewed.
Brand Manager Carol Morgan said: “There are more than 3 million small mammals kept as pets in the UK and 1,150,000 reptiles so there is an increasing demand for information on issues affecting exotic pets.
“The aim of Understanding Exotics from A to Z is to provide a single hub of information for veterinary professionals and owners that can complement the pharmaceutical expertise Dechra can offer.
“The new tools on the website cover a comprehensive range of animals and subjects that have been written by experts and contain recommendations for suitable treatments within our range, making it an easy way to research a particular topic and find a treatment."
For more information, visit www.dechra.co.uk/exotics.
Abbott Animal Health has announced the launch PropoFlo Plus, a 28-day preserved version of propofol intravenous anaesthetic for use in dogs and cats.
PropoFlo Plus contains benzyl alcohol, an antimicrobial preservative that provides it with a shelf life of 28 days, once opened. PropoFlo Plus is indicated for therapeutic use as a short-acting, intravenous general anaesthetic with a short recovery period. PropoFlo Plus can be used for procedures of a short duration, lasting up to approximately five minutes, and for induction of general anaesthesia where maintenance is provided by inhalation anaesthetic agents. Abbott says the extended shelf life of PropoFlo Plus provides an option for practices that may not routinely use an entire bottle of unpreserved propofol.
Jeff Schaffnit, Senior Director of Global Sales, Marketing and Business Development, Abbott Animal Health said: "Many veterinary surgeons are rightfully concerned about ways to save on costs and reduce waste in their practices, including anaesthetic waste. PropoFlo Plus is designed to minimise waste while providing veterinary surgeons with the confidence of using a familiar, trusted anaesthetic."
Abbott says that in addition to an extended shelf life, PropoFlo Plus provides the same established performance of PropoFlo, including:
The company also claims that studies show administering PropoFlo Plus results in no pain on injection.
PropoFlo Plus is available now through veterinary wholesalers. Abbott says it will be providing expert product support for PropoFlo Plus through local representatives, anaesthesia consultants and training tools for staff.
The Society of Practising Veterinary Surgeons (SPVS) reports that its annual Congress, held jointly with theVeterinary Practice Managers Association (VPMA) at the Celtic Manor Resort in Newport last week, was a sell out.
Over 470 delegates attended, of which 40% were practice owners, 40% were vets, 30% were practice managers and 10% were nurses.
Held over two days, the line-up of speakers included TV presenter, expedition leader, leadership trainer and ex-Royal Marine, Monty Halls who opened Congress with a talk on the importance of pushing your own personal boundaries. Psychiatrist, broadcaster and journalist, Dr Max Pemberton presented a guide to mental health problems for vets and managers. Celtic Manor’s head of 5 Star Service Delivery, Michael Pagnotta, explained how they ensure all their staff operate to the same consistently high level of service provision and Ian McKelvie, CEO of US consultancy, Becauz, presented a number of leadership and management sessions.
VetNurse.co.uk visited the commercial exhibition and ask a random selection of exhibitors: "What's New?"
This is what they said:
The course comprises two two-day workshops and begins by helping you understand your personal strengths and weaknesses. The course then teaches strategies for resilience, communicating with others, motivating team members, and resolving conflict.
The VDS says that the course will enable you to create a culture that strengthens and develops your practice’s veterinary team and that enables team members to fulfil their potential.
The courses take place on the 21st-22nd March, and the 12th-13th June.
For more information, visit: https://www.thevds.co.uk/training/veterinary-nurse-leadership-programme/ or email: training@vetdef.co.uk
Locums can now come and update their VetNurse Profile to display their location and a business card on a map of the UK which practices can browse when they need a locum (NB. login required to see the locums on the map).
Clicking on a locum’s flag on the VetNurse Locum Map reveals a summary profile and the distance they can travel. There are plans to add more detail in the future.
VetNurse.co.uk Editor Arlo Guthrie said: "This is all part of our programme of ongoing development with VetNurse Jobs, to make sure it remains the ‘go to’ place for anyone looking to hire a veterinary nurse or find a job.
"Whilst I’m here, I’d like to thank the practices and businesses that have already advertised on VetNurse Jobs. Your continued support is what allows us to develop these kinds of new features, all designed to help lower your recruitment costs."
Vetcel, the veterinary buying group, has announced a partnership with Training Progress, through which it will deliver its health and safety training information to member practices.
Training Progress is a training management system designed primarily so that veterinary managers can track their staff training. The company says the system empowers staff to drive their own training, and devolves training responsibility (where appropriate) away from senior team members.
The tie-up with Vetcel means member practices will be able to access Vetcel's health and safety training in their own own mini Training-Progress site, where they will be able to track their teams' progress and compliance.
Chris Bainton said: "The Vetcel group are delighted to be working with Training-Progress to provide a further benefit to our membership. We recognise that Training-Progress will help our members ensure that their team’s staff development and training is promoted and, specifically, that both the staff and the practices themselves are protected and enabled by monitoring and recording the health and safety training of the team.”
Training Progress will be at stand O54 at the London Vet Show.
Alstoe is launching Vetergesic Multidose, a 10ml version of the opiate injection, in a new multi-use vial.
Alstoe Technical Director, Dr Ian Ryder said: "In addition to the new vial size the inclusion of a preservative enables Vetergesic Multidose to be used for up to 28 days following its initial use. Also the product is now licensed for intravenous administration."
Vetergesic Multidose should drastically reduce the amount of product wasted by practices using the old, smaller, single-use vial.
Alstoe says that supplying Vetergesic in a multi-use vial was one of the first things discussed with the drug originators, Reckitt Benckiser, when it took over the marketing of the product. However, for a large scale medical pharmaceutical manufacturer to consider producing a veterinary product in a different pack and in much smaller production runs than their medical operating scales, the answer is normally no. But in this case, Reckitts gave the project its full support, so in addition to reduced wastage, the inconvenience of snapping glass necks will become a thing of the past.
Please contact Alstoe Ltd for further information at info@alstoe.co.uk or telephone 01347 878606.
Whilst trying to get a HR from your feline patients, it can be quite difficult to hear when they are purring away! A good tip I got from a vet student was to put a small amount of surgical spirit on a swab and rub it on there nose, works wonders and doesn't cause a huge amount of stress
I invited Marc Abraham to come and answer some of the concerns raised on VetSurgeon about the ITV Pets Undercover programme.
His PR agency has instead pointed me in the direction of a response he has posted on his own website this morning. Click the link below.
http://www.marcthevet.com/response-to-%e2%80%98pets-undercover%e2%80%99/
The day included a number of CPD sessions on parasitology from ESCCAP board member Dr Hany Elsheikha, Associate Professor of Veterinary Parasitology at Nottingham University. In between, delegates were put through their paces by former Bake-off winner, Nancy Birtwhistle, after which there was a competition which Derek and Vici won with their pet- and parasite-themed cup-cakes.
Josien Woolmer, Virbac Senior Territory Manager, said: "Awareness and knowledge of parasite diseases in companion animals is increasing both in Europe and in the UK so it’s more important than ever that veterinary professionals are kept up to date with the latest developments. With the start of the 2016 series only weeks away, we thought we’d ‘spice up’ this CPD session by inviting delegates to show Nancy their baking skills. We also asked them to show creativity in carrying the pets and parasites theme across to their cup-cakes and they certainly rose to this challenge!"
Picture shows: Monique Noronha MRCVS from the Park Veterinary Centre in Watford with some of her creations.
Mark Colonnese, Aquarium’s Sales and Marketing Director said: "As someone who owns two dogs, the results of the survey have not come as too much of a surprise to me, but I know that some of my colleagues were pretty surprised just how important we think our pets are."
The survey showed that the feelings were even stronger among women, 71% of whom would regard a pet death as equally upsetting to that of a family member’s, compared to 55% of men.
Mark added: "Our results really highlight the sensitivity of issues surrounding a pet’s death. While this would be obvious to, for instance, a life insurance company, our survey reinforces the need for an empathetic customer journey among pet insurers. The first step of this process is ensuring a smooth, seamless process to minimise stress for newly bereaved pet parents."
Davies says the new treatment is appropriate for dogs with severe diffuse elbow dysplasia, where cartilage wear results in bone rubbing against bone, called medial compartment disease (MCD). In these cases, Davies says that the prognosis is typically poor but now CUE is providing a promising alternative surgical option when arthroscopic and non-surgical options have failed.
The surgery involves partial resurfacing of the elbow joint. By focusing on the specific area of disease in the medial compartment, the CUE implant provides a less invasive bone-sparing option for resurfacing the bone-on-bone medial compartment while preserving the dog’s own good cartilage in the lateral compartment. Davies says that in most dogs, the technique significantly improves the pain and lameness that was caused by bone-on-bone grinding.
Unlike total elbow replacements, CUE does not require major bone cutting. On average, recovery tends to be significantly faster with progressive improvement peaking six months after surgery.
Mike Farrell, EBVS European and RCVS Specialist in Small Animal Surgery (Orthopaedics) at Davies recently performed a successful CUE procedure on Rubee, an 11-year-old Labradoodle diagnosed with severe MCD. At the recheck, six weeks after surgery Mike said: "Rubee’s early response to CUE has been nothing short of astonishing. I would have been pleased if she had made the improvement seen today after six months rather than six weeks."
Louise Clark Head of Anaesthesia and the Pain Clinic at Davies Veterinary Specialists continued: "CUE potentially provides a surgical alternative for what is currently an incredibly frustrating condition to manage and one that causes animals a lot of pain, and owners a great deal of angst.
"Arguably it is an ethically robust procedure because it can dramatically reduce patient pain with a relatively well defined risk of complications in a patient cohort that is otherwise at risk of euthanasia because of elbow disease."
For more information, visit: https://vetspecialists.co.uk/services/orthopaedics/
Virbac says there is mounting evidence of a growing change in the attitude of pet owners towards permanent castration, that research has shown that 25% of pet owners are concerned or very concerned that neutering could be harmful for their dog1. The permanency of surgery has been cited as the reason why 67% of owners with entire male dogs have not yet opted for the procedure2.
Hence the campaign to raise awareness of Suprelorin, the company's reversible alternative to surgical castration, which uses visual metaphors to explain that there is: 'more than one way to crack a nut'.
The video is also broadcast on the campaign website: www.morethanoneway.co.uk.
Veterinary practices are invited to participate in the campaign by contacting their Virbac Territory Manager to order waiting room and client materials, or to book a Suprelorin lunch meeting for their practice.
Suprelorin Product Manager Claire Lewis said: "Pet owner attitudes are definitely changing so by offering a choice when it comes to castration, veterinary practices have the opportunity to not only increase their overall castration rate, but also enhance their relationship with their clients."
References
Hill's Pet Nutrition has announced that it is developing a new webinar series for veterinary nurses.
The three webinars will all be free of charge. Although the topic of the webinars remains a closely guarded secret for now, Hill's says it is promising a sparkling line up of speakers who will help nurses to develop a different mindset about a significant number of their patients, with far reaching consequences for their clinical approach. There will also be tools, models and frameworks provided that can then be used in practice to evolve some of the services most practice offer.
There will be a CPD certificate to download after the event and the webinars will also qualify for CVE points for nurses from Ireland.
Tim Dobbins, Associate Veterinary Affairs Manager said: "The fantastic and enthusiastic response to our feline webinar series has convinced us that this technology meets the needs of veterinary professionals perfectly. The savings in time and energy are very much valued by busy professionals with work and family commitments. We have a long heritage of providing CPD for nurses through our VNA programme and we are keen to continue to support their ongoing professional development by building on those skills in relevant areas."
To be sure of grabbing a place, veterinary nurses, trainees and ANAs can send Hill's a note of interest in attending the webinars by calling 01923 814454 or emailing Jane Quail (Jane_Quail@hillspet.com). They will then be sent priority notification and full details of the webinars, as soon as the booking facility is open.
The International Society of Feline Medicine (ISFM), the veterinary division of International Cat Care, has published Consensus Guidelines on the Practical Management of Diabetes Mellitus in Cats to help veterinary teams deliver optimal management for the diabetic cats presented in practice.
The guidelines were produced by an expert panel of veterinary clinicians and academics who reviewed clinical research studies to collate the best available evidence. They've been published in the March 2015 issue of the Journal of Feline Medicine and Surgery (JFMS) and are available to download free from http://jfm.sagepub.com/content/17/3/235.full.pdf+html.
The guidelines focus on the most important aspects of managing diabetic cats including weight control, use of an appropriate diet, insulin therapy (highlighting the value of longer acting insulin preparations) and close monitoring of blood glucose concentrations (including in the home environment).
The ISFM says the guidelines recognise that good diabetic control requires a long-term commitment and one of the keys to success is finding a treatment protocol that best fits in with owners' daily lives. Furthermore, owners may give up on treatment, or even elect for euthanasia of the cat, if the disease impacts too negatively on them and their relationship with their cat. However, with appropriate support and guidance from their veterinary practice, an owner can play an invaluable role in managing diabetes. A well-regulated cat will have a better prognosis and may also be more likely to go into diabetic remission, no longer requiring ongoing insulin therapy.
Among the resources available to assist owners of diabetic cats is a series of short videos produced by International Cat Care (available at http://www.youtube.com/iCatCare) demonstrating blood glucose sampling, insulin injection, and urine collection and testing.
Compassion Understood, a new company set up to provide veterinary staff with training in how to help clients deal with pet loss, and provide owners with a new information resource on the subject, launched at BSAVA this week.
The new service has been set up partly in response to a survey which showed a disparity between what veterinary professionals think clients need in relation to euthanasia and what they actually want.
The research1 showed that 60% of owners felt their vet handled the euthanasia of their pet very well, leaving 40% who had a clear desire for veterinary staff to understand more, to help prepare them better for their loss, and to signpost where they can access more support if required.
Compassion Understood Managing Director Douglas Muir said: "Our research showed that 70% of veterinary professionals felt that further training in supporting clients through pet loss would be beneficial, and only 35% of vets felt well-equipped to answer questions from pet owners about the right time to say goodbye.
"This, coupled with a very clear need for more support expressed by the owners in our surveys, led me to see that there was a double need: more training was needed in end-of-life for the practice team, on communication as well as clinical aspects of end-of-life; also some kind of resource was needed for pet owners, so they could access clear and helpful information.
"There are some very good support sites out there, but the information is quite fragmented and not easy to find. We wanted to pull everything together in one place and from there we could signpost them to where to get further help if needed. And so Compassion Understood was born, to help veterinary practices, and pet owners."
The new Compassion Understood Pet Loss Support Training programme has been put together with the help of end-of-life and hospice vet Dr Susan Gregersen. She said: "Speaking to colleagues in the many practices we collaborate with, I’ve learned just how many feel inadequately prepared. They’re unhappy that they’re short of time – and sometimes skills – to do a good job when an often-distraught client needs them most. But if a client is left with bad memories at the end of life, they may not return to the same practice with another pet; as we know, about 1 in 5 do not¹."
The programme includes modules covering the clinical aspects of assessing quality of life, decision-making around end-of-life, pre-euthanasia preparation, and palliative and animal hospice care. Other aspects covered are the emotional and psychological aspects of losing a pet, as well as how to protect the practice team from compassion fatigue or emotional depletion.
The training programme is fully online, and can be completed at the learner’s own pace. The learning approaches and delivery have been overseen by educational expert, Dr Jenny Moffett previously of the University of Surrey, herself a veterinarian with a keen interest in communication and pet loss support.
Susan said: "Vet school training on end of life and euthanasia is still sparse, as many vets will agree. I see the online course as being about learning to care rather than to cure, giving vets the confidence and skill to show real compassion while remaining professional."
Pet Loss Survey, 2015. Compassion Understood. Data on file.