What do you want to know?

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Adrian Wilson
5 years ago
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2 Signalment W s Additional information Physical environment

1 GETTING THE RIGHT DETAILS: INTAKE INFORMATION AND WHAT IT MEANS Christopher Pachel, DVM, DACVB, CABC What do you want to know? 2 Signalment W s Additional information Physical environment Social environment Changes over time Interventions Responses to interventions 1

2 Signalment 3 Species Breed Age Gender Reproductive status Signalment 4 Species Breed Age Gender Reproductive status 2

3 Signalment 5 Species Breed Age Gender Reproductive status Signalment 6 Species Breed Age Gender Reproductive status 3

4 Signalment 7 Species Breed Age Gender Reproductive status What do you want to know? 8 Who What Where When Who is engaging in the behavior? To whom is it directed? 4

5 What do you want to know? 9 Who What Where When What is the dog doing? Objective data without interpretation or judgment What do you want to know? 10 Who What Where When Where does the behavior occur? Not occur? Specific location vs. generalized across all? 5

6 What do you want to know? 11 Who What Where When Time of day? Contingent relationship to triggers? Affected by meals? By exercise? By sleep schedule? What do you want to know? 12 Who What Where When Yes/no for why? Represents owner s starting point Don t allow it to skew your assessment! 6

7 Caution with why 13 Same behavior may be caused by different motivations Patterns may include functional motivation Snap judgments may lead you down the wrong intervention path Lightning 14 7

8 Scarlett 15 Behavior categories 16 Which details let you include or exclude? Aggression Anxiety/fear Stereotypic patterns Reinforced behavior Insufficient exercise Insufficient training Normal behavior 8

9 Jax 17 Jax 18 Youngster (pro/con) Probable insufficient socialization +/- developmental issues Progressive worsening of behavior depending on context or intensity of interaction Repeated negative experience with stranger/visitor Insufficient advocacy, lack of understanding of consequences of attempted intervention 9

10 Jax 19 Nalu 20 10

11 21 Nalu 22 Mature Labrador retriever Straightforward problem(s) Solid foundation training history Isolated context of behavior concerns No other significant red flags or owner concerns Piece of cake 11

12 23 Additional details 24 Body language Target of behavior Duration Intensity Social/physical context ABC (Antecedent, Behavior, Consequence) Stay away from goal, motivation, interpretations, etc. at first stick with the facts! 12

Size/layout of home Confinement options 26 Physical environment Exposure to

13 What else do you want to know? 25 Physical environment Home/neighborhood Yard access View through windows Size/layout of home Confinement options What else do you want to know? 26 Physical environment Exposure to potential targets of behavior Location of food or water dishes Exercise schedule Dietary needs 13

14 What else do you want to know? 27 Social environment Intraspecific Interspecific Familiar vs. unfamiliar Human animal bond Socialization history Role of pet in household Describe a typical day in the life Penelope 28 14

29 Penelope 30 Female owner is caregiver

proactive management Open to use of food

15 29 Penelope 30 Female owner is caregiver (stay at home mom) Injury potential to owner (pulled over) Reactive behavior to multiple triggers Aware of need for proactive management Open to use of food reinforcement Unable to walk safely Currently pregnant 15

16 Penelope 31 What else do you want to know? 32 Changes over time First to last, last to first Onset Duration Frequency Intensity Morphology Better, worse, no change? 16

other cause for behavior change Observant, attentive, interactive owner Multiple

17 Scruffy 33 Scruffy 34 Mature dog with previously stable noise aversion Pre-existing behavior issue, recent worsening Trauma vs. other cause for behavior change Observant, attentive, interactive owner Multiple behavior changes (not phobia only) Chicken or egg Worsening of behavior leading to other changes, OR Underlying issue leading to both problems? 17

Reinforcement type Punishment type Management tools Medication What have you tried?

18 What else do you want to know? 35 Interventions Diagnostic testing Training classes Physical/social changes Reinforcement type Punishment type Management tools Medication What have you tried? What else do you want to know? 36 Response to interventions Frequency Intensity Duration Side effects (meds) Training response Did it work? 18

19 Incomplete picture or pattern? 37 Owners may not be able to provide details Describe multiple incidents of behavior Look for patterns or similarities Journal! If not able to put it together 38 Schedule additional time Direct observation Not generally necessary to provoke full intensity reaction or behavior Information from multiple family members Response to interventions 19

Refer back to vet for appropriate diagnostic testing Medical differentials 40 CNS disturbances

20 Is it behavioral or medical? 39 Clients report behavior changes Understand expected behavior changes of medical conditions Refer back to vet for appropriate diagnostic testing Medical differentials 40 CNS disturbances (including seizures) Inflammation, infection, toxic, metabolic Endocrine/hormonal Sensory deficits Cognitive decline (CDS) Gastrointestinal Dermatological Neuromuscular 20

diagnoses 42 Which came first? Correlation vs. causation?

21 Minimum database 41 Physical exam Complete blood count Biochemical profile Urinalysis Thyroid testing Radiographs/imaging Additional diagnostic tests as indicated Medical diagnoses 42 Which came first? Correlation vs. causation? Relationship between stress and disease Behavior may continue due to learning even if initially caused by medical condition 21

22 Primary behavior diagnosis Unique to veterinarian Prognosis (same thing ) Interventions Education! Monitor response to therapy Client perception of success Scheduled follow-up Referral options Time for questions? 44 22

23 Thank you! 45 23

Caveats and Background

CANINE CASE STUDIES: WHY DO WE DO WHAT WE DO? Christopher Pachel, DVM, DACVB, CABC Animal Behavior Clinic Portland, Oregon Caveats and Background Medical model as framework Specific terminology Medical