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911.e4  Shelter/Adoption-Related Disorders (Dogs)


            needs. Every body system is affected by loud   Acute General Treatment   PEARLS & CONSIDERATIONS
            sounds, intense smells, unfamiliar people and   •  Strategic housing; increased time outside of   Comments
  VetBooks.ir  •  Catecholamine levels increase immediately   •  Predictable daily routine  Screening for signs of kennel stress should be
                                                kennel (especially when kennel area is being
            animals, and lack of any control is incredibly
            stressful.
                                                cleaned, noisy, or busy)
                                                                                 performed frequently. Immediate treatment is
            on exposure. Cortisol increases in minutes
            to 2 hours. All neurotransmitter levels may   •  Increased enrichment (toys, puzzles, beds,   essential because delay in recognition or treat-
                                                                                 ment results in worsening mental and emotional
                                                elevation choices)
            become abnormal as pets attempt to maintain   •  Point-of-care behavior modification  states, decreased welfare, and worse adoption
            their homeostatic setpoint. Normal coping   •  Antianxiety medication  outcomes.
            strategies become exhausted.        ○   Trazodone 2-5 mg/kg PO q 12h, may act
           •  Acclimation  varies  by  pet’s  response  and   as mild sedative in some dogs  Prevention
            some may continually deteriorate reaching   ○   Gabapentin 10-30 mg/kg PO q 12h  Provide daily walks and quiet time during entire
            a negative emotional  state, with  negative   ○   Clonidine 0.01-0.05 mg/kg PO q 6-8h   shelter stay. Manage noise levels and offer social,
            cognitive bias and poor welfare.      prn, may act as mild sedative in some   cognitive, and physical enrichment from time
                                                  dogs                           of intake to adoption.
            DIAGNOSIS
                                              Chronic Treatment                  Technician Tips
           Diagnostic Overview                •  Fast  track  to  adoption  or  transfer  if   Documentation of behavior concerns using
           •  Behavior should be observed in the kennel   appropriate/available  objective behavior descriptions and standard-
            and when in other areas of shelter.  •  Increased enrichment/aerobic activity  ized tools is important for comparing repeated
           •  Dogs experiencing high levels of kennel stress   •  Positive  reinforcement  training  to  learn   evaluation before and after interventions.
            may show barking, jumping, and lunging at   specific tasks and to make social connections
            passersby when kenneled that changes in   •  Group housing or foster if appropriate  Client Education
            character when out of the kennel. Dogs that   •  Longer-term antianxiety medication  Kennel  stress  is  an  indicator  of  a  negative
            hide, tremble, cower, or drool may exhibit   ○   Fluoxetine  1-2 mg/kg  PO  q  24h  for  2   emotional and mental state and poor welfare.
            lesser behaviors in more open and quieter   months                   All cases should be treated. Early intervention
            areas given time. Dogs showing ARBs may                              reduces length of stay. Prevention includes
            modulate them given other settings and   Nutrition/Diet              creating behavior-friendly housing where dogs
            stimulation.                      Some specialty diets (e.g., Royal Canin Calm,   are able to make choices about affiliation and
           •  Fear, stress/distress, and anxiety should be   Purina NeuroCare) can have behavioral benefits   avoid passive or active threats from other dogs,
            confirmed only after behavioral assessment   in kennels that are sufficiently orderly and quiet   enhanced calming human interaction and posi-
            of all body systems interpreted in the context   to not overwhelm effects.  tive  reinforcement  training,  noise  reduction,
            of the social and physical environments.                             and enrichment that addresses their behavioral
           •  The hallmark of these behavioral diagnoses   Behavior/Exercise     and physical needs.
            is that the pet did not display them before   •  Time out of kennel daily
            kennel housing or that they worsened as a   •  Leash walks outside   SUGGESTED READING
            sequela to it.                    •  Social and object play          Moesta A, et al: Canine enrichment. In Weiss E, et
                                              •  Positive reinforcement based training to learn   al, editors: Animal behavior for shelter veterinarians
           Differential Diagnosis               verbal and social cues             and staff, Ames, IA, 2015, Wiley Blackwell.
           •  Generalized anxiety
           •  Obsessive-compulsive  disorder  (OCD)/  Drug Interactions          ADDITIONAL SUGGESTED
            compulsive disorder (CD)          •  Use of multiple serotoninergic medications is   READING
           •  Fears/phobias                     a risk for serotonin syndrome (e.g., trazodone   Miller K, et al: Behavioral enrichment. In Miller L,
           •  Fear/territorial aggression       + fluoxetine [p. 1281]).           et  al,  editors:  Shelter  medicine  for  veterinarians
                                              •  Because sedation risks increase with poly-  and staff, ed 2, Ames, IA, 2013, Wiley Blackwell.
           Initial Database                     pharmacy, lower individual dosages.
           •  Physical exam                                                      RELATED CLIENT EDUCATION
           •  Behavior observation indicating appearance   Recommended Monitoring  SHEETS
            or worsening of behaviors associated with   •  Observations  of  behavior  should  be  done
            stress/distress, fear, and anxiety at or after   regularly  (during  daily  rounds  and  more   Castration  (Routine):  Considerations  and
            intake                              comprehensively weekly) to establish progres-  Planning
                                                sion and response to treatment.  Ovariohysterectomy (Routine): Considerations
           Advanced or Confirmatory Testing   •  The use of standardized evaluation forms is   and Planning
           •  CBC,  serum  chemistry  profile,  urinalysis,   recommended,  with  staff training  on  use.
            fecal analysis if resources available  Such monitoring is essential for progressive   AUTHOR: Sara L. Bennett, DVM, MS, DACVB
           •  Other  laboratory  testing  as  indicated  by   treatment.         EDITOR: Karen L. Overall, MA, VMD, PhD, DACVB
            behavioral complaint
                                               PROGNOSIS & OUTCOME
            TREATMENT
                                              •  Fair to guarded, depending on pre-existing
           Treatment Overview                   anxiety-related conditions
           Environmental management, behavior modi-  •  Prognosis  is  affected  by  the  organization’s
           fication, and antianxiety medication all have   resources and willingness to adequately
           roles in redress. Simple changes in housing/  monitor behavior and implement behavior
           interaction patterns followed by observation   treatment plan.
           can be the initial step.



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