Caring for Patients 4-H Veterinary Science Extension Veterinary Medicine  Texas AgriLife Extension Service College of Vete...
Objectives <ul><li>Discuss the importance of patient care </li></ul><ul><li>Describe techniques for caring for various typ...
Introduction <ul><li>Animals entering a hospital can exhibit </li></ul><ul><ul><li>Fear </li></ul></ul><ul><ul><li>Over ex...
<ul><li>3 Systems </li></ul><ul><ul><li>Clinical services </li></ul></ul><ul><ul><li>Clinical services support </li></ul><...
Clinical Services <ul><li>Fundamental skills and services inherent to the treatment, support and care of a hospitalized pa...
Community Practice and General Medicine Specialties  <ul><ul><li>Internal medicine </li></ul></ul><ul><ul><li>Dermatology ...
<ul><li>First assessment of the patients problem </li></ul><ul><ul><li>Physical exam </li></ul></ul><ul><ul><li>Blood, fec...
Clinical Services Support <ul><li>Diagnostic testing and patient treatment or nursing </li></ul>
<ul><li>Support for in-patient admissions </li></ul><ul><ul><li>Diagnostic and patient treatment </li></ul></ul><ul><ul><l...
Ancillary Services <ul><li>Operational support for clinical services and clinical service support </li></ul>
<ul><li>Provide operational support to the entire hospital system </li></ul><ul><ul><li>Physical facilities </li></ul></ul...
Staff <ul><li>Technical staff  </li></ul><ul><ul><li>Proficiency in a skill and technique </li></ul></ul><ul><ul><li>Detai...
<ul><li>Hospital staff provide </li></ul><ul><ul><li>Health care </li></ul></ul><ul><ul><li>Enhancement in quality of life...
Quality of Life Enhancement <ul><li>Hospitalization and medical care </li></ul><ul><ul><li>Professional diagnosis </li></u...
<ul><li>Highly variable </li></ul><ul><ul><li>Simple </li></ul></ul><ul><ul><ul><li>Temperature of hospital </li></ul></ul...
<ul><li>Physical variables </li></ul><ul><ul><li>Microenvironment (inside the cage) </li></ul></ul><ul><ul><ul><li>Provide...
<ul><li>Behavioral socialization requirements </li></ul><ul><li>Long term planning </li></ul><ul><ul><li>Must be safe </li...
<ul><li>Preferential handling is the safe method for socializing needs </li></ul><ul><ul><li>Personalized for each patient...
<ul><li>Behavioral requirements </li></ul><ul><ul><li>Housing should suit animals </li></ul></ul><ul><ul><ul><li>Cats have...
Handling of Patient Animals <ul><li>Risk of injury to handler and animal </li></ul><ul><ul><li>Restraint </li></ul></ul><u...
<ul><li>Questions to ask when handling a patient </li></ul><ul><ul><li>What are the conditions of the scenario the handler...
<ul><li>Know behavioral signs of all species </li></ul><ul><ul><li>Anger and aggression </li></ul></ul><ul><ul><li>Warning...
Dog Body Language Defensive Threat Dominant or Aggression/ Offensive Threat Active Submission Stressed Passive Submissive ...
Cat Body Language
Cat Body Language
Cat Body Language
Horse Body Language
<ul><li>Tolerance limits must be identified </li></ul><ul><ul><li>Physically </li></ul></ul><ul><ul><li>Behaviorally </li>...
<ul><li>Restraint must be applied ALL THE TIME </li></ul><ul><ul><li>Specific to animal species </li></ul></ul><ul><ul><li...
<ul><li>Purpose of restraint </li></ul><ul><ul><li>Restrict movement </li></ul></ul><ul><ul><li>Avoid injury to patient an...
Summary <ul><li>Caring for patients requires </li></ul><ul><ul><li>Sensitivity </li></ul></ul><ul><ul><li>Empathy </li></u...
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4-H Vet Science: Caring for Patients

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4-H Vet Science: Caring for Patients

  1. 1. Caring for Patients 4-H Veterinary Science Extension Veterinary Medicine  Texas AgriLife Extension Service College of Veterinary Medicine and Biomedical Science Texas A&M System http:// aevm.tamu.edu
  2. 2. Objectives <ul><li>Discuss the importance of patient care </li></ul><ul><li>Describe techniques for caring for various types of animals </li></ul><ul><li>Describe basic necessities required for patient care </li></ul><ul><li>Discuss the laws regarding patient care </li></ul>
  3. 3. Introduction <ul><li>Animals entering a hospital can exhibit </li></ul><ul><ul><li>Fear </li></ul></ul><ul><ul><li>Over excitement </li></ul></ul><ul><ul><li>Anxiety </li></ul></ul><ul><ul><li>Defensiveness </li></ul></ul>
  4. 4. <ul><li>3 Systems </li></ul><ul><ul><li>Clinical services </li></ul></ul><ul><ul><li>Clinical services support </li></ul></ul><ul><ul><li>Ancillary services </li></ul></ul>
  5. 5. Clinical Services <ul><li>Fundamental skills and services inherent to the treatment, support and care of a hospitalized patient </li></ul>
  6. 6. Community Practice and General Medicine Specialties <ul><ul><li>Internal medicine </li></ul></ul><ul><ul><li>Dermatology </li></ul></ul><ul><ul><li>Orthopedics </li></ul></ul><ul><ul><li>Gastroenterology </li></ul></ul><ul><ul><li>General surgery </li></ul></ul><ul><ul><li>Soft Tissue surgery </li></ul></ul><ul><ul><li>Neurology or neurology surgery </li></ul></ul>
  7. 7. <ul><li>First assessment of the patients problem </li></ul><ul><ul><li>Physical exam </li></ul></ul><ul><ul><li>Blood, fecal and urinary exam </li></ul></ul><ul><li>Provide the diagnosis </li></ul><ul><ul><li>Results from exams </li></ul></ul><ul><li>Prescribe the treatment </li></ul><ul><ul><li>Medicine </li></ul></ul><ul><ul><li>Surgery </li></ul></ul><ul><ul><li>Supportive care </li></ul></ul>
  8. 8. Clinical Services Support <ul><li>Diagnostic testing and patient treatment or nursing </li></ul>
  9. 9. <ul><li>Support for in-patient admissions </li></ul><ul><ul><li>Diagnostic and patient treatment </li></ul></ul><ul><ul><li>Nursing care </li></ul></ul><ul><li>Support specialties </li></ul><ul><ul><li>Anesthesiology </li></ul></ul><ul><ul><li>Radiology </li></ul></ul><ul><ul><li>Nuclear medicine </li></ul></ul><ul><ul><li>Clinical pathology </li></ul></ul><ul><ul><li>Intensive care unit </li></ul></ul>
  10. 10. Ancillary Services <ul><li>Operational support for clinical services and clinical service support </li></ul>
  11. 11. <ul><li>Provide operational support to the entire hospital system </li></ul><ul><ul><li>Physical facilities </li></ul></ul><ul><ul><li>Individual equipment </li></ul></ul><ul><li>Direct vs. indirect </li></ul><ul><ul><li>Direct: sterile supply supports surgery </li></ul></ul><ul><ul><li>Indirect: laundry indirectly supports all units, including surgery </li></ul></ul>
  12. 12. Staff <ul><li>Technical staff </li></ul><ul><ul><li>Proficiency in a skill and technique </li></ul></ul><ul><ul><li>Detail oriented in examining </li></ul></ul><ul><ul><ul><li>Animal’s comfort </li></ul></ul></ul><ul><ul><ul><li>Physical condition </li></ul></ul></ul><ul><ul><ul><li>Behavior </li></ul></ul></ul><ul><ul><li>Make knowledgeable judgments </li></ul></ul>
  13. 13. <ul><li>Hospital staff provide </li></ul><ul><ul><li>Health care </li></ul></ul><ul><ul><li>Enhancement in quality of life </li></ul></ul><ul><ul><ul><li>Caring </li></ul></ul></ul><ul><ul><ul><li>Comfort </li></ul></ul></ul>
  14. 14. Quality of Life Enhancement <ul><li>Hospitalization and medical care </li></ul><ul><ul><li>Professional diagnosis </li></ul></ul><ul><ul><li>Quality of life enhancements </li></ul></ul><ul><ul><ul><li>Medical care received during illness </li></ul></ul></ul><ul><ul><ul><li>Individual attention </li></ul></ul></ul>
  15. 15. <ul><li>Highly variable </li></ul><ul><ul><li>Simple </li></ul></ul><ul><ul><ul><li>Temperature of hospital </li></ul></ul></ul><ul><ul><ul><li>Bedding in cage </li></ul></ul></ul><ul><ul><li>Complex </li></ul></ul><ul><ul><ul><li>Pain management </li></ul></ul></ul><ul><ul><ul><li>Euthanasia </li></ul></ul></ul><ul><ul><ul><li>Cage environment </li></ul></ul></ul>
  16. 16. <ul><li>Physical variables </li></ul><ul><ul><li>Microenvironment (inside the cage) </li></ul></ul><ul><ul><ul><li>Provide bedding </li></ul></ul></ul><ul><ul><ul><li>Clean up messes </li></ul></ul></ul><ul><ul><li>Macroenvironment (outside the cage) </li></ul></ul><ul><ul><ul><li>Adjustment of temperature </li></ul></ul></ul><ul><ul><ul><li>Exercise the animal </li></ul></ul></ul>
  17. 17. <ul><li>Behavioral socialization requirements </li></ul><ul><li>Long term planning </li></ul><ul><ul><li>Must be safe </li></ul></ul><ul><ul><ul><li>Protection from injury and infection </li></ul></ul></ul><ul><li>Physical interaction between animals is preferred </li></ul><ul><ul><li>Group exercise </li></ul></ul><ul><ul><li>Handling by care giver </li></ul></ul><ul><ul><li>Group housing </li></ul></ul>
  18. 18. <ul><li>Preferential handling is the safe method for socializing needs </li></ul><ul><ul><li>Personalized for each patient </li></ul></ul><ul><ul><ul><li>Exercise </li></ul></ul></ul><ul><ul><ul><li>Care </li></ul></ul></ul><ul><ul><ul><li>Establishes a relationship with handler </li></ul></ul></ul><ul><ul><li>Safety </li></ul></ul><ul><ul><ul><li>Protect from injury by other animals </li></ul></ul></ul><ul><ul><ul><li>Protect from disease </li></ul></ul></ul>
  19. 19. <ul><li>Behavioral requirements </li></ul><ul><ul><li>Housing should suit animals </li></ul></ul><ul><ul><ul><li>Cats have tendencies to climb; provide perch in cage </li></ul></ul></ul><ul><ul><li>Providing toys </li></ul></ul>NOT Ideal Housing
  20. 20. Handling of Patient Animals <ul><li>Risk of injury to handler and animal </li></ul><ul><ul><li>Restraint </li></ul></ul><ul><ul><li>Movement of animal </li></ul></ul><ul><ul><ul><li>Relocation </li></ul></ul></ul><ul><ul><ul><li>Clinical procedures </li></ul></ul></ul>
  21. 21. <ul><li>Questions to ask when handling a patient </li></ul><ul><ul><li>What are the conditions of the scenario the handler is approaching? </li></ul></ul><ul><ul><ul><li>What is the intended outcome? </li></ul></ul></ul><ul><ul><ul><li>What could change? </li></ul></ul></ul><ul><ul><li>What hurts? </li></ul></ul><ul><ul><li>How could the animal react? </li></ul></ul>
  22. 22. <ul><li>Know behavioral signs of all species </li></ul><ul><ul><li>Anger and aggression </li></ul></ul><ul><ul><li>Warnings </li></ul></ul><ul><ul><li>Submission </li></ul></ul><ul><ul><li>Dominance </li></ul></ul><ul><ul><li>Docile </li></ul></ul>
  23. 23. Dog Body Language Defensive Threat Dominant or Aggression/ Offensive Threat Active Submission Stressed Passive Submissive Playful
  24. 24. Cat Body Language
  25. 25. Cat Body Language
  26. 26. Cat Body Language
  27. 27. Horse Body Language
  28. 28. <ul><li>Tolerance limits must be identified </li></ul><ul><ul><li>Physically </li></ul></ul><ul><ul><li>Behaviorally </li></ul></ul><ul><li>Physical Facilities must be identified </li></ul><ul><ul><li>Avenues for escape </li></ul></ul><ul><ul><li>Obstruction to safe handling </li></ul></ul>
  29. 29. <ul><li>Restraint must be applied ALL THE TIME </li></ul><ul><ul><li>Specific to animal species </li></ul></ul><ul><ul><li>Limited to minimum to get job done </li></ul></ul><ul><li>Voice commands </li></ul><ul><ul><li>Not accepted as method of restraint </li></ul></ul><ul><ul><li>Can be effective when applied </li></ul></ul>
  30. 30. <ul><li>Purpose of restraint </li></ul><ul><ul><li>Restrict movement </li></ul></ul><ul><ul><li>Avoid injury to patient and handler </li></ul></ul><ul><ul><li>Administer treatment </li></ul></ul><ul><ul><li>Obtain samples </li></ul></ul><ul><ul><li>Control behavior </li></ul></ul><ul><ul><li>Provide security; not stress </li></ul></ul>
  31. 31. Summary <ul><li>Caring for patients requires </li></ul><ul><ul><li>Sensitivity </li></ul></ul><ul><ul><li>Empathy </li></ul></ul><ul><li>Animals coming to the hospital are subject to </li></ul><ul><ul><li>Stress </li></ul></ul><ul><ul><li>Anxiety </li></ul></ul><ul><ul><li>Discomfort </li></ul></ul><ul><li>Patient care is to minimize stress, anxiety and discomfort </li></ul>
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