Welcome to Chattering With iCatCare, the official monthly podcast of International Cat Care, hosted by Yaiza Gomez-Mejias (Veterinary Community Co-ordinator). Each month, we chatter about cats and cat-friendly practices with industry experts and contributors to The Journal of Feline Medicine and Surgery. Each episode contains highlights from our longer discussions and interviews, which are accessible to iCatCare members at portal.icatcare.org. If you would like access to our full episodes, would like to become an iCatCare Veterinary Society Member, or find out more about our Cat-Friendly schemes, visit icatcare.org.
Nathalie Dowgray: Welcome to
Chattering With ISFM, the
official podcast of the
International Society of Feline
Medicine. Hello, I'm Nathalie
Dowgray, head of ISFM, we're
pleased to present the first of
our monthly podcasts on the
topic of our new joint cat
friendly guidelines that have
been created with AAFP, the
American Association of Feline
Practitioners.
These new guidelines, Cat
Friendly Interactions: Approach
and Handling Techniques and The
Cat Friendly Veterinary
Environment, have been created
with a task force of authors
based on both an extensive
literature review, and where
evidence is lacking, the
author's experience and
expertise. The guidelines are
being published in November 2022
and will be free to view on the
Journal of Feline Medicine and
Surgeries website.
Earlier this year, we took
advantage of the four co-chairs
of the guidelines, myself and
Sam Taylor from ISFM, and Ilona
Rodan and Kelly St Denis from
AAFP, as well as Sarah Heath,
one of the taskforce members,
all being in Rhodes for the ISFM
Congress, and we recorded a
roundtable discussion and shared
our top tips on being a cat
friendly vet.
Kelly, you were the AAFP
president when the decision was
made to update the
feline-friendly handling
guidelines, which was the
original cat friendly guidelines
that we had as joint societies.
And then we also started the
discussion at that point to
create this other set of
guidelines as well on the cat
friendly veterinary environment.
Why was it time to update the
guidelines? And why did we
decide to do two? Why did we
create more work for ourselves?
Kelly St Denis: Other than the
10 year anniversary, which seems
like a logical time to update
them, we just have so much more
information available to us now.
And I think this culture change
has opened up a new mindset for
a lot of veterinary
professionals to think what can
I do? What can I do to be
better? And so there are a lot
of things in the older
guidelines that need to be
updated to meet that demand that
we have. So it's going to
improve things even better,
hopefully.
And then as far as creating a
new set. So the veterinary
environment has really offered
us this opportunity to isolate
what our professionals can do in
the environment. So in the
veterinary clinic, both from
home, the visit to the clinic,
and then within the clinic
itself, in terms of making
things cat friendly. So it
really separates that veterinary
interactions with the cat and
versus that environment that we
welcome them to. And that really
helps to tailor things for our
clinicians.
So I guess I would ask Ilona a
question now. You were an author
on the original handling
guidelines. Why did you support
the name change to interactions
instead of handling? And what's
different about the new
guidelines compared to the
previous?
Ilona Rodan: Yeah, it's a great
question, because the first set
of handling guidelines was in
2011. And we had very few
references, we now have almost
150 references because now we
have so many studies to prove
that we need to interact with
cats in a different way. And so,
that's really helped.
And the name change is because,
it's not just about handling,
there's non-physical and
physical interactions that we
are having with the cat. And
that means that before we've
ever touched that cat, we should
be observing the cat, giving
body language, everything
they're taking in all this
information about us, that we
need to make sure that is
pleasant from the cat's
perspective.
And at the same time, we are
looking at the cat, talking with
the caregiver, and identify
whether this cat has any fear or
any other problems. And so that
we can learn how to work with
that cat better just in that
introductory period.
Nathalie Dowgray: I was really
keen for all of us, maybe, just
to give our one top tip. So, I
don't know if I start with with
Sam, what would be your top tip?
Sam Taylor: I suppose mine would
be hiding boxes in hospitalised
cats. It's still a frustration
of mine and I'm sure they're fed
up of me at work because I walk,
you know, walk in and go why
does that cat not have a box?
You know, straightaway, because
it's so easy and you don't have
to have a posh expensive box.
So what I do, if the nurses are
really busy, I just go and get a
cardboard box out of the
stockroom, and you know, put it
in that cage. We know, we've got
evidence, we have you know
scientific evidence, but all of
us have personal evidence of the
difference that makes to a cats
emotions if it can, you know, hide.
And we've got a few different
solutions because we find that
some different cats like kind of
slightly different, some of them
like to perch, so it's nice to
give them that opportunity as
well. So we will try and sort of
also look at the cat itself and
what its preferences are but
there's no excuse not to have a
cardboard box.
This is what I say, there's
literally no, yes you're busy,
yes we havent got time, but
every cat in that hospital needs
somewhere to hide. So yeah, that
would be my bug bear.
Nathalie Dowgray: How about you,
Kelly? What's yours?
Kelly St Denis: I really think I
will go back to what I said
earlier, which is if you take
the time, you actually end up
saving time. So I know that a
lot of people can't have very
long appointments, we used to
have half hour appointments at
my clinic and I was the boss. So
I got to call the shots, that
was good.
But if you just get yourself
into that room with the client
and the cat, and just you're in
your own little world, take a
breather, and let the cat do
what they need to do
and take that time to understand
what the cats emotions are in
that initial time that you're in
the appointment, so that you can
move forward in that appointment
more successfully, you will get
so much more done, more
successfully, that way.
Nathalie Dowgray: Brilliant. How
about you Sarah?
Sarah Heath: Yeah, I love that
one Kelly, we say that such a
lot about the time, it's so
important.
I think my top tip is think cat.
Are you looking at what this
experience would be like if you
were a cat? And if we think in
that perspective, both
sensorially, emotionally,
physically, trying to think what
is this experience like from a
feline perspective, that can
make a huge difference to the
whole veterinary experience for
the cat, obviously, but for the
caregiver and the veterinary
staff as well, for everyone. So
think cat.
Nathalie Dowgray: It makes a
massive difference because we
know, if owners have had a bad
experience or seen their pet
have a bad experience, they're
not coming back to see us. And
that's detrimental to that cats
welfare.
So, yeah, how about you, Ilona?
Ilona Rodan: Well I was going to
say hiding places everywhere in
the practice, even in the exam
rooms, but I guess I will say
carrier training.
Because it makes such a
difference. Because we need to
start at home, wherever the fear
starts, where frustration
starts, and probably pain. And
then we move forward. And once
that cat goes willingly into the
carrier things are so much
better already.
Nathalie Dowgray: Yeah, I think
that's really true. One of the
cats, the first time I saw her
in the study, we opened, we
always put the basket on the
floor, we open and allow the cat
come out. I opened the door, she
flew out and attacked my leg. So
the frustration level in this
cat, from having been put in the
basket and transported to the
vet clinic, was through the
roof.
And my leg was the first thing
she encountered to take it out
on, I was grateful I was wearing
jeans that day. Subsequently,
with food bribery, this cat has
gotten a lot better. And she
doesn't, she doesn't get quite
so frustrated in the visits to
the vet clinic now, though, it's
borderline sometimes, bless her.
I'm just trying to think what
mine would be. I've mentioned
food treats already. Mine is
probably, there's a really nice
saying that I learnt years ago,
less is more when you're
handling and interacting with
cats.
And I think this is a really
important one for team members
to consider. I hear it with
nurses when I'm asking for some
assistance to maybe take a blood
sample. And they go straight in
with quite, what I consider, a
heavy handed hold, you know,
holding the legs, neck sort of
extended, because I always do
jugular samples.
Whereas, I'm saying, oh no just,
just gently tilt the head now,
'oh but I'm not holding legs',
I'm like, that's fine. 'You
might get scratched'. That's my
responsibility. I think that to
me, it's a team thing. It's not
their responsibility to ensure I
don't get scratched, it's my
responsibility to be watching
that cats body language and
adapting what I'm doing to what
the cats telling me.
And I think, I think that one's
a really important one that,
that it's a team, it's a team
thing. That's not just one
person's job to ensure that
someone else, you know, it is
personal responsibility and work
as a team.
We've sort of talked quite a bit
about the guidelines. I mean,
I think, you know, even if
you're not going to engage in
we're hoping that this sort of
extra material will be useful
for people and encourage them to
read the guidelines in full.
becoming an accredited cat
friendly clinic or a member of
the cat friendly practice
scheme, just reading through
both sets of guidelines, and as
Sam said, sometimes just the
smallest changes, one little
thing at a time, is going to
massively improve the experience
for your cat patients.
So thank you all for taking some
time out away from the beach in
Rhodes to do this recording.
Thank you.
We hope that you enjoyed this
recording. Please visit the JFMS
website to read the guidelines.
For ISFM members, the full
recording of this roundtable
discussion is available for you
to listen to. Please visit
portal.icatcare.org.
We look forward to talking to
you again next month, where
we'll have the first of our two
podcasts on FIP with Dr. Sam
Taylor speaking to professor's
Danièlle Gunn-Moore and Séverine
Tasker. Look out for that
dropping at the end of November.