Description

Book Synopsis

A practical guide to identifying risks in veterinary patients and tailoring their care accordingly

Pet-specific care refers to a practice philosophy that seeks to proactively provide veterinary care to animals throughout their lives, aiming to keep pets healthy and treat them effectively when disease occurs.Pet-Specific Care for the Veterinary Teamoffers a practical guide for putting the principles of pet-specific care into action. Using this approach, the veterinary team will identify risks to an individual animal, based on their particular circumstances, and respond to these risks with a program of prevention, early detection, and treatment to improve health outcomes in pets and the satisfaction of their owners.

The book combines information on medicine and management, presenting specific guidelines for appropriate medical interventions and material on how to improve the financial health of a veterinary practice in the process.Comprehensive in scope

Table of Contents

Contributors xix

Preface xxiii

Editor-in-Chief xxv

Section 1 Overview 1

1.1 Overview of Pet-Specific Care 3
Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

1.2 Providing a Lifetime of Care 9
Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

1.3 Personalized Care Plans 15
Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

1.4 Opportunities for Pet-Specific Care 23
Nan Boss, DVM

1.5 Feline-Friendly Care 27
Jane Brunt, DVM

1.6 Adapting to a New Normal 31
Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

Section 2 Concepts and Prospects 37

2.1 Evidence-Based Veterinary Medicine and Personal Bias 39
Brennen McKenzie, MA, MSc, VMD

2.2 The Role of Incremental Care 43
David Haworth, DVM, PhD

2.3 Prevalence and Incidence 47
Samuel Stewart, DVM, DACVECC and Chand Khanna, DVM, PhD, DACVIM (Onc), DACVP (Hon)

2.4 Checklists in Veterinary Practice 51
Ryane E. Englar, DVM, DABVP (Canine and Feline Practice)

2.5 Virtual Care (Telehealth) 59
Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

2.6 Generational Considerations 65
Kurt A. Oster, MS, SPHR, SHRM-SCP

2.7 Risk Assessment 69
Nan Boss, DVM

2.8 Risk Management 75
Tara Harmon, APR

2.9 Anticipated Costs of Pet Care 79
Sarah Rumple

2.10 Affordability of Veterinary Services 83
Patricia Khuly, VMD, MBA

2.11 Discounting in Veterinary Practice 87
Mark J. McGaunn, CPA/PFS, CFP®

2.12 Blockchain in Veterinary Medicine 91
Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

2.13 Placebo and Nocebo 95
Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

2.14 Benefits of the Human–Animal Bond 99
Jacqui Ley, BVSc (Hons), PhD, DECAWBM, FANZCVS (Veterinary Behaviour)

2.15 Promoting the Human–Animal Bond 103
Sarah Rumple

2.16 Pain and Pain Management 107
Mark E. Epstein, DVM, DABVP (Canine/Feline), CVPP

2.17 Emergency Preparedness 113
Lori Massin Teller, DVM, BS (Vet Sci), DABVP (Canine/Feline Practice)

2.18 Population Control 117
Ryane E. Englar, DVM, DABVP (Canine and Feline Practice)

2.19 One Health 121
Donna L. Harris, DVM, MBA, MS(Strategic Foresight)

2.20 Cancer Precision Medicine 125
Anna Katogiritis, BSc, DVM and Chand Khanna, DVM, PhD, DACVIM (Onc), DACVP (Hon)

Section 3 Hereditary Considerations 129

3.1 Genetic Basics 131
Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

3.2 Modes of Inheritance 137
Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

3.3 The Genetics of Disease 141
Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

3.4 Predicting and Eliminating Disease Traits 147
Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

3.5 Conformation Extremes and the Veterinary Team 153
Emma Goodman Milne, BVSc, MRCVS

3.6 Genetic Testing 157
Jerold S. Bell, DVM

3.7 Genetic Health Registries and Research Organizations 163
Anita M. Oberbauer, PhD

3.8 Genetic Counseling 169
Jerold S. Bell, DVM

3.9 Purebreds, Mixed-Breeds, and Hybrids 175
Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

3.10 Advising Clients on Selecting an Appropriate Pet 179
Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

3.11 Integrating Genotypic and Phenotypic Testing 183
Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

3.12 Orthopedic Screening 189
Jason C. Nicholas, BVETMED (Hons)

3.13 Breed Predisposition 193
Nan Boss, DVM

3.14 Breed-Specific Variants in Laboratory Testing 199
Ryane E. Englar, DVM, DABVP (Canine and Feline Practice)

3.15 Breed-Related Anesthetic Considerations 203
Tamara Grubb, DVM, PhD, DACVAA

3.16 Breed-Related Drug Sensitivities 209
Patricia Dowling, DVM, MSc, DACVIM (LAIM), DACVCP

3.17 Breed-Related Nutritional Issues 213
Kara M. Burns, MS, MEd, LVT, VTS (Nutrition)

3.18 Breed-Related Eye Conditions 217
D. J. Haeussler, Jr., BS, MS, DVM, DACVO

3.19 Mixed-Breed Considerations 223
Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

Section 4 Nonhereditary Considerations 227

4.1 Canine and Feline Life Stages 229
Sarah Rumple

4.2 Gender-Related Considerations 237
Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

4.3 Prevention and Control of Infectious Diseases 241
Krystle L. Reagan, DVM, PhD, DACVIM (SAIM) and Jane Sykes, BVSc, PhD, DACVIM (SAIM)

4.4 Preventing Infectious Diseases in the Small Animal Veterinary Hospital 247
Krystle L. Reagan, DVM, PhD, DACVIM (SAIM) and Jane Sykes, BVSc, PhD, DACVIM (SAIM)

4.5 Prevention and Control of Parasites 253
I. Craig Prior, BVSc, CVJ

4.6 Role of the Microbiome 259
Natalie Stilwell, DVM, MS, PhD

4.7 Embracing Early Detection 263
Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

4.8 Pet-Specific Relevance of Reference Intervals 267
Ryane E. Englar, DVM, DABVP (Canine and Feline Practice)

4.9 Periodontal Disease 271
Heidi B. Lobprise, DVM, DAVDC and Jessica Johnson, DVM

4.10 Environmental Considerations 277
Ryane E. Englar, DVM, DABVP (Canine and Feline Practice)

4.11 Environmental Enrichment 283
Ryane E. Englar, DVM, DABVP (Canine and Feline Practice)

4.12 Homeowner Insurance Considerations 287
Tara Harmon, APR

Section 5 Client Service Considerations 291

5.1 Pet-Specific Customer Service 293
Nan Boss, DVM

5.2 Meeting Client Needs 299
Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

5.3 What Clients Expect from the Veterinary Team 303
Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

5.4 The Changing Nature of Pet Owners 307
Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

5.5 Meeting the Needs of Pet Parents 311
Amanda L. Donnelly, DVM, MBA

5.6 Adoption Source Options 315
Sarah Rumple

5.7 Preadoption Counseling 319
Kara M. Burns, MS, MEd, LVT, VTS (Nutrition)

5.8 The Biology of Marketing 323
Robert Sanchez

5.9 Dealing with Breeders 327
Maria Inês Ferreira, DVM, MTB

5.10 Discussing Pet-Specific Care 331
Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

5.11 Discussing Finances for Pet-Specific Care 337
Brandon Hess, CVPM, CCFP

5.12 Discussing Anesthetic Risk 341
Tamara Grubb, DVM, PhD, DACVAA

5.13 Improving Client Engagement Through Technology 347
Caitlin DeWilde, BS, DVM

5.14 Client Education Materials 353
Peter Alberti, BSBA

5.15 Client Appointment Scheduling 357
Kurt A. Oster, MS, SPHR, SHRM-SCP

5.16 Maintaining Client Contact Between Appointments 361
Robert Sanchez

5.17 Ensuring and Measuring Client Satisfaction 365
Caitlin DeWilde, BS, DVM

5.18 Lifetime Support – Pet Trusts and Wills 371
Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

Section 6 Pet-Specific Considerations 375

6.1 Normal Development Stages of Dogs and Cats 377
Jacqui Ley, BVSc (Hons), PhD, DECAWBM, FANZCVS (Veterinary Behaviour)

6.2 How Animals Learn 383
Alicea Howell, LVT, VTS (Behavior), KPA, CTP

6.3 Managing Life Changes with Pets 387
Jacqui Ley, BVSc (Hons), PhD, DECAWBM, FANZCVS (Veterinary Behaviour)

6.4 Creating a Pet-Specific User’s Manual 391
Peter Weinstein, DVM, MBA

6.5 Opportunities and Challenges of Providing Services for Low-Income Clients 399
David Haworth, DVM, PhD

6.6 Fear Free® Concepts 403
Marty Becker, DVM

6.7 Cooperative Care 409
Alicea Howell, LVT, VTS (Behavior), KPA, CTP

6.8 Managing Routine Procedures to Minimize Problems 413
Jacqui Ley, BVSc (Hons), PhD, DECAWBM, FANZCVS (Veterinary Behaviour)

6.9 Preventing Behavior Problems 417
Kymberley C. McLeod, DVM

6.10 Behavior Problems – Advice 421
Jacqui Ley, BVSc (Hons), PhD, DECAWBM, FANZCVS (Veterinary Behaviour)

6.11 Treating Animals with Behavior Problems 425
Kymberley C. McLeod, DVM

6.12 New Puppy/Kitten Considerations 429
Ryane E. Englar, DVM, DABVP (Canine and Feline Practice)

6.13 Delivering Feline-Friendly Care 433
Kim Kendall, BVSc, MANZCVS (Cat Medicine and Animal Behaviour)

6.14 Pain Prevention, Management, and Conditioning 439
Robin Downing, DVM, MS, DAAPM, DACVSMR, CVPP, CCRP

6.15 Approaching Obesity on a Pet-Specific Basis 445
Ernie Ward, DVM, CVFT (Certified Veterinary Food Therapist)

6.16 Assessing Blood Pressure as an Early Indicator of Disease 455
Ryane E. Englar, DVM, DABVP (Canine and Feline Practice)

6.17 Senior Care 459
Heidi B. Lobprise, DVM, DAVDC

6.18 Aging Gracefully 465
Jacqui Ley, BVSc (Hons), PhD, DECAWBM, FANZCVS (Veterinary Behaviour)

6.19 Problem Aging 469
Jacqui Ley, BVSc (Hons), PhD, DECAWBM, FANZCVS (Veterinary Behaviour)

6.20 Quality of Life and End of Life Issues 473
Mary Craig, DVM, MBA, CHPV

Section 7 Hospital Considerations 477

7.1 Creating a Client-Centered Hospital 479
Amanda L. Donnelly, DVM, MBA

7.2 Managing the Pet-Specific Workplace 483
Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

7.3 Leading the Change Towards Pet-Specific Care 489
Randy Hall

7.4 Getting Informed Consent 493
Betsy Choder, JD, MS

7.5 Connecting with Clients Through Social Media 497
Caitlin DeWilde, BS, DVM

7.6 Privacy and Confidentiality 505
Betsy Choder, JD, MS

7.7 Puppy and Kitten Classes 509
Jacqui Ley, BVSc (Hons), PhD, DECAWBM, FANZCVS (Veterinary Behaviour)

7.8 Providing Care for Those Unable or Unwilling to Pay 513
Ryane E. Englar, DVM, DABVP (Canine and Feline Practice)

7.9 Using Practice Management Software to Personalize Care 517
Peter Alberti, BSBA

7.10 Analytics and Informatics 521
Peter Alberti, BSBA

7.11 Client Safety 525
Saya Press, BVSc, MS, DACVECC

7.12 Patient Safety 529
Helen Ballantyne, PG Dip, BSc (Hons), RN, RVN

7.13 Keeping Client Information Secure 535
Peter Alberti, BSBA

7.14 Premise Disinfection 539
Kara M. Burns, MS, MEd, LVT, VTS (Nutrition)

Section 8 Hospital Team Considerations 543

8.1 Delivering Pet-Specific Care as a Team 545
Jason C. Nicholas, BVETMED (Hons)

8.2 Developing Staff Competencies 549
Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

8.3 The Importance of Accountability in Pet-Specific Care 555
Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

8.4 Alignment– The Key to Implementing Pet-Specific Care 559
Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

8.5 How Important Is Emotional Intelligence? 563
Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

8.6 Nursing Leadership 567
Helen Ballantyne, PG Dip, BSc (Hons), RN, RVN

8.7 Nursing Care Plans 573
Helen Ballantyne, PG Dip, BSc (Hons), RN, RVN

8.8 Care Bundles 579
Helen Ballantyne, PG Dip, BSc (Hons), RN, RVN

8.9 Procedure Manuals 585
Kurt A. Oster, MS, SPHR, SHRM-SCP

8.10 Patient and Procedure Logs 589
Kurt A. Oster, MS, SPHR, SHRM-SCP

8.11 Dental Charting 593
Heidi B. Lobprise, DVM, DAVDC and Jessica Johnson, DVM

8.12 Preventing Animal-Related Injuries 599
Betsy Choder, JD, MS

8.13 Hospice and Palliative Care 603
Mary Craig, DVM, MBA, CHPV

8.14 Appropriate Handling of Medical Errors 607
Ryane E. Englar, DVM, DABVP (Canine and Feline Practice)

8.15 Delivering Information to Clients 611
Brandon Hess, CVPM, CCFP

8.16 Dealing with Compassion Fatigue and Burnout 615
JoAnna Pendergrass, DVM

8.17 Dealing with Compromise Fatigue 619
Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

8.18 Team Strategies for Atopic Dermatitis 623
Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

8.19 Team Strategies for Periodontal Disease 631
Heidi B. Lobprise, DVM, DAVDC and Jessica Johnson, DVM

8.20 Team Strategies for Osteoarthritis 637
Mark E. Epstein, DVM, DABVP (Canine/Feline), CVPP

8.21 Team Strategies for Pain Management 643
Tamara Grubb, DVM, PhD, DACVAA

8.22 Team Strategies for Feline Retroviral Diseases 649
Ryane E. Englar, DVM, DABVP (Canine and Feline Practice)

8.23 Team Strategies for Recurrent Pyoderma 653
Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

8.24 Team Strategies for Otitis Externa 659
Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

8.25 Team Strategies for Weight Management 667
Kara M. Burns, MS, MEd, LVT, VTS (Nutrition)

8.26 Team Strategies for Glaucoma 673
D. J. Haeussler, Jr., BS, MS, DVM, DACVO

8.27 Team Strategies for Diabetes Mellitus 679
Ryane E. Englar, DVM, DABVP (Canine and Feline Practice)

8.28 Team Strategies for Cancer 685
Samuel Stewart, DVM, DACVECC and Chand Khanna, DVM, PhD, DACVIM (Onc), DACVP (Hon)

Section 9 Medical Management Considerations 691

9.1 Medical Records 693
Cindy Trice, DVM

9.2 Asking Good Questions 697
Amanda L. Donnelly, DVM, MBA

9.3 Guidelines 701
Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

9.4 Standards of Care 711
Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

9.5 A Different Perspective on Standard of Care 715
Gary Block, DVM, MS, DACVIM

9.6 Care Pathways 719
Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

9.7 Continuum of Care and Convergence Schedules 723
Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

9.8 Ensuring Consistency of Care 727
I. Craig Prior, BVSc, CVJ

9.9 Continuity of Care 731
Kurt A. Oster, MS, SPHR, SHRM-SCP

9.10 Dispensing and Prescribing 735
Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

9.11 Vaccination 739
Lori Massin Teller, DVM, BS (Vet Sci), DABVP (Canine/Feline Practice)

9.12 Judicious Use of Antimicrobials 745
Patricia Dowling, DVM, MSc, DACVIM (LAIM), DACVCP

9.13 Preanesthetic Considerations 749
Tamara Grubb, DVM, PhD, DACVAA

9.14 New Treatment Modalities 755
Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

9.15 Nutritional Counseling 759
Kara M. Burns, MS, MEd, LVT, VTS (Nutrition)

9.16 The Role of Nutritional Supplements in Pet-Specific Care 763
Kara M. Burns, MS, MEd, LVT, VTS (Nutrition)

9.17 Improving Compliance and Adherence with Pet-Specific Care 767
I. Craig Prior, BVSc, CVJ

Section 10 Practice Management Considerations 773

10.1 Strategies for Success with Pet-Specific Care 775
Jason C. Nicholas, BVETMED (Hons)

10.2 The Importance of Practice Differentiation 779
Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

10.3 Pet-Specific Outreach 783
Linda Wasche, MBA, MA

10.4 Client and Patient Segmentation 787
Linda Wasche, MBA, MA

10.5 Early Detection Campaigns 793
Linda Wasche, MBA, MA

10.6 Target Marketing and Targeted Client Outreach 797
Linda Wasche, MBA, MA

10.7 Breed-Specific Marketing 801
Peter Weinstein, DVM, MBA

10.8 Using Practice Data as a Credibility-Boosting Tool 807
Linda Wasche, MBA, MA

10.9 Laboratory Considerations 811
Kara M. Burns, MS, MEd, LVT, VTS (Nutrition)

10.10 Making Referrals Work 815
Suzanne Russo, DVM, MS

10.11 Financial Benefits of Pet-Specific Care 819
Michael R. Dicks

10.12 Dashboards and Key Performance Indicators 825
Mark J. McGaunn, CPA/PFS, CFP®

10.13 Approach to Pricing 831
Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

10.14 Providing Cost-Effective Care for Those in Need 835
Gary Block, DVM, MS, DACVIM

10.15 Putting Price into Perspective 839
Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

10.16 Pet Health Insurance 843
Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

10.17 Payment and Wellness Plans 849
Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

10.18 Financing Veterinary Care 853
Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

Section 11 Appendices 857

11.1 Finding More Information on Pet-Specific Care Topics 859
Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

11.2 Abbreviations 863
Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

11.3 Heritable Health Conditions – By Disease 869
Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

11.4 Heritable Health Conditions by Breed 951
Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

11.5 Life Planning by Breed 987
Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

11.6 Glossary 1003
Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

Index 1051

PetSpecific Care for the Veterinary Team

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      Publisher: John Wiley and Sons Ltd
      Publication Date: 03/06/2021
      ISBN13: 9781119540663, 978-1119540663
      ISBN10: 1119540666
      Also in:
      Veterinary medicine

      Description

      Book Synopsis

      A practical guide to identifying risks in veterinary patients and tailoring their care accordingly

      Pet-specific care refers to a practice philosophy that seeks to proactively provide veterinary care to animals throughout their lives, aiming to keep pets healthy and treat them effectively when disease occurs.Pet-Specific Care for the Veterinary Teamoffers a practical guide for putting the principles of pet-specific care into action. Using this approach, the veterinary team will identify risks to an individual animal, based on their particular circumstances, and respond to these risks with a program of prevention, early detection, and treatment to improve health outcomes in pets and the satisfaction of their owners.

      The book combines information on medicine and management, presenting specific guidelines for appropriate medical interventions and material on how to improve the financial health of a veterinary practice in the process.Comprehensive in scope

      Table of Contents

      Contributors xix

      Preface xxiii

      Editor-in-Chief xxv

      Section 1 Overview 1

      1.1 Overview of Pet-Specific Care 3
      Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

      1.2 Providing a Lifetime of Care 9
      Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

      1.3 Personalized Care Plans 15
      Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

      1.4 Opportunities for Pet-Specific Care 23
      Nan Boss, DVM

      1.5 Feline-Friendly Care 27
      Jane Brunt, DVM

      1.6 Adapting to a New Normal 31
      Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

      Section 2 Concepts and Prospects 37

      2.1 Evidence-Based Veterinary Medicine and Personal Bias 39
      Brennen McKenzie, MA, MSc, VMD

      2.2 The Role of Incremental Care 43
      David Haworth, DVM, PhD

      2.3 Prevalence and Incidence 47
      Samuel Stewart, DVM, DACVECC and Chand Khanna, DVM, PhD, DACVIM (Onc), DACVP (Hon)

      2.4 Checklists in Veterinary Practice 51
      Ryane E. Englar, DVM, DABVP (Canine and Feline Practice)

      2.5 Virtual Care (Telehealth) 59
      Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

      2.6 Generational Considerations 65
      Kurt A. Oster, MS, SPHR, SHRM-SCP

      2.7 Risk Assessment 69
      Nan Boss, DVM

      2.8 Risk Management 75
      Tara Harmon, APR

      2.9 Anticipated Costs of Pet Care 79
      Sarah Rumple

      2.10 Affordability of Veterinary Services 83
      Patricia Khuly, VMD, MBA

      2.11 Discounting in Veterinary Practice 87
      Mark J. McGaunn, CPA/PFS, CFP®

      2.12 Blockchain in Veterinary Medicine 91
      Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

      2.13 Placebo and Nocebo 95
      Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

      2.14 Benefits of the Human–Animal Bond 99
      Jacqui Ley, BVSc (Hons), PhD, DECAWBM, FANZCVS (Veterinary Behaviour)

      2.15 Promoting the Human–Animal Bond 103
      Sarah Rumple

      2.16 Pain and Pain Management 107
      Mark E. Epstein, DVM, DABVP (Canine/Feline), CVPP

      2.17 Emergency Preparedness 113
      Lori Massin Teller, DVM, BS (Vet Sci), DABVP (Canine/Feline Practice)

      2.18 Population Control 117
      Ryane E. Englar, DVM, DABVP (Canine and Feline Practice)

      2.19 One Health 121
      Donna L. Harris, DVM, MBA, MS(Strategic Foresight)

      2.20 Cancer Precision Medicine 125
      Anna Katogiritis, BSc, DVM and Chand Khanna, DVM, PhD, DACVIM (Onc), DACVP (Hon)

      Section 3 Hereditary Considerations 129

      3.1 Genetic Basics 131
      Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

      3.2 Modes of Inheritance 137
      Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

      3.3 The Genetics of Disease 141
      Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

      3.4 Predicting and Eliminating Disease Traits 147
      Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

      3.5 Conformation Extremes and the Veterinary Team 153
      Emma Goodman Milne, BVSc, MRCVS

      3.6 Genetic Testing 157
      Jerold S. Bell, DVM

      3.7 Genetic Health Registries and Research Organizations 163
      Anita M. Oberbauer, PhD

      3.8 Genetic Counseling 169
      Jerold S. Bell, DVM

      3.9 Purebreds, Mixed-Breeds, and Hybrids 175
      Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

      3.10 Advising Clients on Selecting an Appropriate Pet 179
      Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

      3.11 Integrating Genotypic and Phenotypic Testing 183
      Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

      3.12 Orthopedic Screening 189
      Jason C. Nicholas, BVETMED (Hons)

      3.13 Breed Predisposition 193
      Nan Boss, DVM

      3.14 Breed-Specific Variants in Laboratory Testing 199
      Ryane E. Englar, DVM, DABVP (Canine and Feline Practice)

      3.15 Breed-Related Anesthetic Considerations 203
      Tamara Grubb, DVM, PhD, DACVAA

      3.16 Breed-Related Drug Sensitivities 209
      Patricia Dowling, DVM, MSc, DACVIM (LAIM), DACVCP

      3.17 Breed-Related Nutritional Issues 213
      Kara M. Burns, MS, MEd, LVT, VTS (Nutrition)

      3.18 Breed-Related Eye Conditions 217
      D. J. Haeussler, Jr., BS, MS, DVM, DACVO

      3.19 Mixed-Breed Considerations 223
      Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

      Section 4 Nonhereditary Considerations 227

      4.1 Canine and Feline Life Stages 229
      Sarah Rumple

      4.2 Gender-Related Considerations 237
      Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

      4.3 Prevention and Control of Infectious Diseases 241
      Krystle L. Reagan, DVM, PhD, DACVIM (SAIM) and Jane Sykes, BVSc, PhD, DACVIM (SAIM)

      4.4 Preventing Infectious Diseases in the Small Animal Veterinary Hospital 247
      Krystle L. Reagan, DVM, PhD, DACVIM (SAIM) and Jane Sykes, BVSc, PhD, DACVIM (SAIM)

      4.5 Prevention and Control of Parasites 253
      I. Craig Prior, BVSc, CVJ

      4.6 Role of the Microbiome 259
      Natalie Stilwell, DVM, MS, PhD

      4.7 Embracing Early Detection 263
      Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

      4.8 Pet-Specific Relevance of Reference Intervals 267
      Ryane E. Englar, DVM, DABVP (Canine and Feline Practice)

      4.9 Periodontal Disease 271
      Heidi B. Lobprise, DVM, DAVDC and Jessica Johnson, DVM

      4.10 Environmental Considerations 277
      Ryane E. Englar, DVM, DABVP (Canine and Feline Practice)

      4.11 Environmental Enrichment 283
      Ryane E. Englar, DVM, DABVP (Canine and Feline Practice)

      4.12 Homeowner Insurance Considerations 287
      Tara Harmon, APR

      Section 5 Client Service Considerations 291

      5.1 Pet-Specific Customer Service 293
      Nan Boss, DVM

      5.2 Meeting Client Needs 299
      Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

      5.3 What Clients Expect from the Veterinary Team 303
      Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

      5.4 The Changing Nature of Pet Owners 307
      Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

      5.5 Meeting the Needs of Pet Parents 311
      Amanda L. Donnelly, DVM, MBA

      5.6 Adoption Source Options 315
      Sarah Rumple

      5.7 Preadoption Counseling 319
      Kara M. Burns, MS, MEd, LVT, VTS (Nutrition)

      5.8 The Biology of Marketing 323
      Robert Sanchez

      5.9 Dealing with Breeders 327
      Maria Inês Ferreira, DVM, MTB

      5.10 Discussing Pet-Specific Care 331
      Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

      5.11 Discussing Finances for Pet-Specific Care 337
      Brandon Hess, CVPM, CCFP

      5.12 Discussing Anesthetic Risk 341
      Tamara Grubb, DVM, PhD, DACVAA

      5.13 Improving Client Engagement Through Technology 347
      Caitlin DeWilde, BS, DVM

      5.14 Client Education Materials 353
      Peter Alberti, BSBA

      5.15 Client Appointment Scheduling 357
      Kurt A. Oster, MS, SPHR, SHRM-SCP

      5.16 Maintaining Client Contact Between Appointments 361
      Robert Sanchez

      5.17 Ensuring and Measuring Client Satisfaction 365
      Caitlin DeWilde, BS, DVM

      5.18 Lifetime Support – Pet Trusts and Wills 371
      Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

      Section 6 Pet-Specific Considerations 375

      6.1 Normal Development Stages of Dogs and Cats 377
      Jacqui Ley, BVSc (Hons), PhD, DECAWBM, FANZCVS (Veterinary Behaviour)

      6.2 How Animals Learn 383
      Alicea Howell, LVT, VTS (Behavior), KPA, CTP

      6.3 Managing Life Changes with Pets 387
      Jacqui Ley, BVSc (Hons), PhD, DECAWBM, FANZCVS (Veterinary Behaviour)

      6.4 Creating a Pet-Specific User’s Manual 391
      Peter Weinstein, DVM, MBA

      6.5 Opportunities and Challenges of Providing Services for Low-Income Clients 399
      David Haworth, DVM, PhD

      6.6 Fear Free® Concepts 403
      Marty Becker, DVM

      6.7 Cooperative Care 409
      Alicea Howell, LVT, VTS (Behavior), KPA, CTP

      6.8 Managing Routine Procedures to Minimize Problems 413
      Jacqui Ley, BVSc (Hons), PhD, DECAWBM, FANZCVS (Veterinary Behaviour)

      6.9 Preventing Behavior Problems 417
      Kymberley C. McLeod, DVM

      6.10 Behavior Problems – Advice 421
      Jacqui Ley, BVSc (Hons), PhD, DECAWBM, FANZCVS (Veterinary Behaviour)

      6.11 Treating Animals with Behavior Problems 425
      Kymberley C. McLeod, DVM

      6.12 New Puppy/Kitten Considerations 429
      Ryane E. Englar, DVM, DABVP (Canine and Feline Practice)

      6.13 Delivering Feline-Friendly Care 433
      Kim Kendall, BVSc, MANZCVS (Cat Medicine and Animal Behaviour)

      6.14 Pain Prevention, Management, and Conditioning 439
      Robin Downing, DVM, MS, DAAPM, DACVSMR, CVPP, CCRP

      6.15 Approaching Obesity on a Pet-Specific Basis 445
      Ernie Ward, DVM, CVFT (Certified Veterinary Food Therapist)

      6.16 Assessing Blood Pressure as an Early Indicator of Disease 455
      Ryane E. Englar, DVM, DABVP (Canine and Feline Practice)

      6.17 Senior Care 459
      Heidi B. Lobprise, DVM, DAVDC

      6.18 Aging Gracefully 465
      Jacqui Ley, BVSc (Hons), PhD, DECAWBM, FANZCVS (Veterinary Behaviour)

      6.19 Problem Aging 469
      Jacqui Ley, BVSc (Hons), PhD, DECAWBM, FANZCVS (Veterinary Behaviour)

      6.20 Quality of Life and End of Life Issues 473
      Mary Craig, DVM, MBA, CHPV

      Section 7 Hospital Considerations 477

      7.1 Creating a Client-Centered Hospital 479
      Amanda L. Donnelly, DVM, MBA

      7.2 Managing the Pet-Specific Workplace 483
      Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

      7.3 Leading the Change Towards Pet-Specific Care 489
      Randy Hall

      7.4 Getting Informed Consent 493
      Betsy Choder, JD, MS

      7.5 Connecting with Clients Through Social Media 497
      Caitlin DeWilde, BS, DVM

      7.6 Privacy and Confidentiality 505
      Betsy Choder, JD, MS

      7.7 Puppy and Kitten Classes 509
      Jacqui Ley, BVSc (Hons), PhD, DECAWBM, FANZCVS (Veterinary Behaviour)

      7.8 Providing Care for Those Unable or Unwilling to Pay 513
      Ryane E. Englar, DVM, DABVP (Canine and Feline Practice)

      7.9 Using Practice Management Software to Personalize Care 517
      Peter Alberti, BSBA

      7.10 Analytics and Informatics 521
      Peter Alberti, BSBA

      7.11 Client Safety 525
      Saya Press, BVSc, MS, DACVECC

      7.12 Patient Safety 529
      Helen Ballantyne, PG Dip, BSc (Hons), RN, RVN

      7.13 Keeping Client Information Secure 535
      Peter Alberti, BSBA

      7.14 Premise Disinfection 539
      Kara M. Burns, MS, MEd, LVT, VTS (Nutrition)

      Section 8 Hospital Team Considerations 543

      8.1 Delivering Pet-Specific Care as a Team 545
      Jason C. Nicholas, BVETMED (Hons)

      8.2 Developing Staff Competencies 549
      Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

      8.3 The Importance of Accountability in Pet-Specific Care 555
      Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

      8.4 Alignment– The Key to Implementing Pet-Specific Care 559
      Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

      8.5 How Important Is Emotional Intelligence? 563
      Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

      8.6 Nursing Leadership 567
      Helen Ballantyne, PG Dip, BSc (Hons), RN, RVN

      8.7 Nursing Care Plans 573
      Helen Ballantyne, PG Dip, BSc (Hons), RN, RVN

      8.8 Care Bundles 579
      Helen Ballantyne, PG Dip, BSc (Hons), RN, RVN

      8.9 Procedure Manuals 585
      Kurt A. Oster, MS, SPHR, SHRM-SCP

      8.10 Patient and Procedure Logs 589
      Kurt A. Oster, MS, SPHR, SHRM-SCP

      8.11 Dental Charting 593
      Heidi B. Lobprise, DVM, DAVDC and Jessica Johnson, DVM

      8.12 Preventing Animal-Related Injuries 599
      Betsy Choder, JD, MS

      8.13 Hospice and Palliative Care 603
      Mary Craig, DVM, MBA, CHPV

      8.14 Appropriate Handling of Medical Errors 607
      Ryane E. Englar, DVM, DABVP (Canine and Feline Practice)

      8.15 Delivering Information to Clients 611
      Brandon Hess, CVPM, CCFP

      8.16 Dealing with Compassion Fatigue and Burnout 615
      JoAnna Pendergrass, DVM

      8.17 Dealing with Compromise Fatigue 619
      Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

      8.18 Team Strategies for Atopic Dermatitis 623
      Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

      8.19 Team Strategies for Periodontal Disease 631
      Heidi B. Lobprise, DVM, DAVDC and Jessica Johnson, DVM

      8.20 Team Strategies for Osteoarthritis 637
      Mark E. Epstein, DVM, DABVP (Canine/Feline), CVPP

      8.21 Team Strategies for Pain Management 643
      Tamara Grubb, DVM, PhD, DACVAA

      8.22 Team Strategies for Feline Retroviral Diseases 649
      Ryane E. Englar, DVM, DABVP (Canine and Feline Practice)

      8.23 Team Strategies for Recurrent Pyoderma 653
      Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

      8.24 Team Strategies for Otitis Externa 659
      Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

      8.25 Team Strategies for Weight Management 667
      Kara M. Burns, MS, MEd, LVT, VTS (Nutrition)

      8.26 Team Strategies for Glaucoma 673
      D. J. Haeussler, Jr., BS, MS, DVM, DACVO

      8.27 Team Strategies for Diabetes Mellitus 679
      Ryane E. Englar, DVM, DABVP (Canine and Feline Practice)

      8.28 Team Strategies for Cancer 685
      Samuel Stewart, DVM, DACVECC and Chand Khanna, DVM, PhD, DACVIM (Onc), DACVP (Hon)

      Section 9 Medical Management Considerations 691

      9.1 Medical Records 693
      Cindy Trice, DVM

      9.2 Asking Good Questions 697
      Amanda L. Donnelly, DVM, MBA

      9.3 Guidelines 701
      Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

      9.4 Standards of Care 711
      Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

      9.5 A Different Perspective on Standard of Care 715
      Gary Block, DVM, MS, DACVIM

      9.6 Care Pathways 719
      Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

      9.7 Continuum of Care and Convergence Schedules 723
      Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

      9.8 Ensuring Consistency of Care 727
      I. Craig Prior, BVSc, CVJ

      9.9 Continuity of Care 731
      Kurt A. Oster, MS, SPHR, SHRM-SCP

      9.10 Dispensing and Prescribing 735
      Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

      9.11 Vaccination 739
      Lori Massin Teller, DVM, BS (Vet Sci), DABVP (Canine/Feline Practice)

      9.12 Judicious Use of Antimicrobials 745
      Patricia Dowling, DVM, MSc, DACVIM (LAIM), DACVCP

      9.13 Preanesthetic Considerations 749
      Tamara Grubb, DVM, PhD, DACVAA

      9.14 New Treatment Modalities 755
      Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

      9.15 Nutritional Counseling 759
      Kara M. Burns, MS, MEd, LVT, VTS (Nutrition)

      9.16 The Role of Nutritional Supplements in Pet-Specific Care 763
      Kara M. Burns, MS, MEd, LVT, VTS (Nutrition)

      9.17 Improving Compliance and Adherence with Pet-Specific Care 767
      I. Craig Prior, BVSc, CVJ

      Section 10 Practice Management Considerations 773

      10.1 Strategies for Success with Pet-Specific Care 775
      Jason C. Nicholas, BVETMED (Hons)

      10.2 The Importance of Practice Differentiation 779
      Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

      10.3 Pet-Specific Outreach 783
      Linda Wasche, MBA, MA

      10.4 Client and Patient Segmentation 787
      Linda Wasche, MBA, MA

      10.5 Early Detection Campaigns 793
      Linda Wasche, MBA, MA

      10.6 Target Marketing and Targeted Client Outreach 797
      Linda Wasche, MBA, MA

      10.7 Breed-Specific Marketing 801
      Peter Weinstein, DVM, MBA

      10.8 Using Practice Data as a Credibility-Boosting Tool 807
      Linda Wasche, MBA, MA

      10.9 Laboratory Considerations 811
      Kara M. Burns, MS, MEd, LVT, VTS (Nutrition)

      10.10 Making Referrals Work 815
      Suzanne Russo, DVM, MS

      10.11 Financial Benefits of Pet-Specific Care 819
      Michael R. Dicks

      10.12 Dashboards and Key Performance Indicators 825
      Mark J. McGaunn, CPA/PFS, CFP®

      10.13 Approach to Pricing 831
      Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

      10.14 Providing Cost-Effective Care for Those in Need 835
      Gary Block, DVM, MS, DACVIM

      10.15 Putting Price into Perspective 839
      Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

      10.16 Pet Health Insurance 843
      Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

      10.17 Payment and Wellness Plans 849
      Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

      10.18 Financing Veterinary Care 853
      Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

      Section 11 Appendices 857

      11.1 Finding More Information on Pet-Specific Care Topics 859
      Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

      11.2 Abbreviations 863
      Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

      11.3 Heritable Health Conditions – By Disease 869
      Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

      11.4 Heritable Health Conditions by Breed 951
      Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

      11.5 Life Planning by Breed 987
      Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

      11.6 Glossary 1003
      Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

      Index 1051

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