Pet-Specific Care for the Veterinary Team. Группа авторов
or when it dies.
The HAB is also affected by the animal. The bond is fragile and easily damaged and is especially vulnerable when owners have high expectations of a pet. Relinquishment occurs most commonly due to problem behavior by the animal. Annoying behaviors such as being boisterous or destructive and dangerous behaviors such as aggression are frequently given as reasons for surrendering dogs.
How fracture of the bond affects the animal is not well understood but it may have far‐reaching effects for some. Humans report that the decision to relinquish a pet causes significant distress [2].
Communities benefit when owners have strong bonds with their pets. Interacting with pets has documented benefits for people – for their health and their psychological welfare. Strong bonds result in fewer animals being relinquished to shelters or abandoned. The HAB can also have negative effects for communities. Attached and committed owners are less likely to evacuate during natural disasters (see 2.17 Emergency Preparedness). If unable to take their pets with them, people in abusive relationships may delay leaving and seeking help. The large numbers of pets relinquished to animal shelters every year due to fracture of the HAB create community problems in caring for, rehoming or euthanizing unwanted pets. Noise from dogs and cats, feces left in public places, aggression by dogs to people and other animals, and cruelty and neglect of animals are all community issues that stem from the HAB.
The challenge for veterinary clinics is to encourage and support their clients’ bonds with their pets, while accepting all levels and types of bonds. When veterinary clinic staff are aware of the HAB in general and, more specifically, the nature of their personal bond with their pets, it can help them support owners and accept different approaches to pet care. For example, many staff struggle when owners elect not to treat very treatable conditions because it clashes with their own beliefs about how animals should be treated.
Supporting client bonds with their pets must be authentic to be worthwhile [1]. How each clinic does this will be different due to the nature of their community and clinic. For some clinics, pet birthday card mailouts work while others find displaying professional photographs of staff with their pets demonstrates the HAB best for them. Genuine interest in the client's pet and their concerns is essential.
Clinics can encourage strong HABs in several ways. Managing owner expectations of pets is very important. This may be done by posting information about raising a puppy or a kitten for the first 12 months on the clinic website or blog. The value of pets to humans and communities can be written about in newsletters. Technicians and nurses can offer “Preparing for a new pet” consultations for clients before they purchase a pet. Well‐run puppy and kitten classes are also great assets for supporting the HAB. Clients should be asked about problems with their pet's behavior at each consultation.
Recognizing an owner's attachment level also helps when presenting healthcare information. Highly attached owners may respond to information that emphasizes quality of life and pain relief outcomes while owners with more utilitarian attachment will respond to information that considers the costs of treatment versus benefits and prognosis.
The end of a pet's life can also be a celebration of the bond between the owner and pets (see 6.20 Quality of Life and End of Life Issues). Palliative care services can preserve animal welfare while providing time for owners to prepare for the loss of their pet (some owners find it difficult to return to the place their pet was euthanized). Some owners change vets. Offering clients home euthanasia or partnering with a veterinary palliative care and euthanasia service can help support clients (see 9.18 Hospice and Palliative Care). Offering high‐quality cremation and burial services is another way clinics can help owners remember pets and support the HAB.
Highly attached owners may struggle with their grief after the death of a pet. This can be very taxing for clinic staff. Referral to a professional pet grief counselor can help these owners.
Clients’ previous experience of loss can affect their approach to veterinary care for their current pets. Some owners who have cared for, treated, and nursed a chronically and seriously ill pet may decline treatment for other pets due to their perceptions of the emotional cost to themselves and the quality of life for the now deceased pet.
Staff training about the HAB can make each staff member aware of their own feelings and attitudes about animals and how this may affect their interactions with clients.
Sunnyside Veterinary Clinic educated all staff about the HAB. All staff were able to assess their attachment levels and compare them against the range and styles of HAB in literature. Understanding the different ways in which people can express their bond with their pets helped staff respond to client concerns appropriately and accept client decisions about treatment for their pets. Staff morale improved, with many reporting they felt less frustration with clients.
The HAB has benefits for owners and pets and for communities when it is strong and supported.
The HAB is fragile and easily broken. It is very susceptible to damage from unmet expectations of the animal and problem behaviors.
As a clinic, celebrate the HAB in ways that are authentic. Genuine interest in patient well‐being and helping owners with their pets is more effective than marketing gimmicks.
All staff must be aware of how different people express the bond they have with their pet. Accepting the range of attachment by owners helps staff accept owner decisions for their pet.
Use other professionals to help highly attached owners cope with the loss of a pet. Some will need professional help to recover from the loss of their pet.
2.14.3 Cautions
Compassion fatigue can come about in veterinary clinics when staff are dealing with highly attached pet owners who need extra attention to help them cope with sick, dying or recently deceased pets (see 8.17 Dealing with Compassion Fatigue).
Compassion fatigue can also occur when staff are interacting with clients whose attachment levels are very different from their own beliefs and attitudes about the HAB. Education of staff about the HAB and how it varies with different people can help staff accept owner decisions and minimize staff stress.
As companion animals are more highly valued, negative treatment outcomes may be less tolerated by some owners, leading to litigation. Care should be taken to cover the risks associated with treatments in writing and have the owner sign the form in all cases. Adequate professional insurance is also a necessity.
References
1 1 Brockman, B.K., Taylor, V.A., and Brockman, C.M. (2008). The price of unconditional love: consumer decision making for high‐dollar veterinary care. Journal of Business Research 61 (5): 397–405.
2 2 DiGiacomo, N., Arluke, A., and Patronek, G.J. (1998). Surrendering pets to shelters: the relinquisher's perspective. Anthrozoos 11 (1): 41–51.
Recommended Reading
1 Blazina, C., Boya, G., and Shen‐Miller, D. (2011). The Psychology of the Human–Animal Bond: A Resource for Clinicians and Researchers. New York: Springer.
2 Daley,