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Pet Wellness - Pet Stress Awareness

Pet Wellness embraces many areas of a healthy happy pet so in appreciation of Stress Awareness Month learn how you can identify and eliminate pet stress to give him a longer, happier, healthier life.

April is Stress Awareness Month and this applies to all living things, big, small, human or not - particularly our pets. Are you surprised to read that animals have stress? Stress affects our dogs and cats and various type pets across the board. Pet stress just like people stress causes health problems, decreases the quality of life, causes depression, and shortens life span. For these reasons, amongst others, it is necessary for pet owners to practice another part of pet wellness which is finding out if their pet is stressed, identifying the stress factors, and using the necessary techniques to eliminate the stress and increase the quality of their pet's life.

Pet Stress Signs

Many pet stress signs can also be signs of other problems so do not just assume it is stress. It's important to look into all the avenues in order to efficiently help your pet and save yourself and your pet future health problems and chunky vet bills.

1. Itching

Itching is a sign of several things such as fleas, ticks, lice, or skin allergy but it can also be a sign of stress if your dog or cat is itching himself more than normal. Eliminate the possibility of fleas, ticks, lice and allergy first, and then consider that it could be your pet is stressed. Natural health care for pets treatments offers effective allergy itching remedies that can be administered at home. Treating itching and discomfort from allergies and eliminating the allergy source will also keep your pet from suffering from stressed caused by discomfort - from ongoing itchiness.

2. Excessive shedding

The more pet stress there is the more shedding there will be. Shedding however is also common with poor quality dog food, poor diet, and can also be genetics, as well as a dog that is not getting enough sun light. Another condition of excessive shedding is when the pores of the dog's skin do not close all the way allowing hair to fall constantly. This usually requires a vitamin such as Biotin to help. Or, your pet could be too stressed out.

3. Lethargy

A lethargic pet is always a sign that something is not right and needs to be looked into urgently. Lethargy can stem from depression, poor health, not enough exercise and unhappiness. Or, your pet's stress is on fire. Usually a vet will request a stool sample in order to get to the root of this problem.

4. Aggression

A sick, injured or pet in pain may be aggressive if approached or stroked, outside of this your pets aggression could be stress related.

5. Lack of or no appetite

Pets that are stressed, sick, or depressed will often eat less or lose their appetite all together. This is another area, obviously that needs to be immediately addressed if noticed by pet owners.

6. Lack of interest

A dog or cat that suddenly shows lack of interest in things he was always excited to do or enjoyed doing is a sign of a sick, sad, or depressed pet. Check for sickness first then consider stress as a reason.

7. Passive behavior

The opposite of aggression, some pets will become passive when stressed.

8. Negative behavior

Often pets who are bored will dig, chew, or bark constantly. A stressed or sad dog will be destructive, this is also a common behavior of intelligent breeds who are not left alone for long periods of time or not exercised physically and mentally enough for their breed.

9. Change is bathroom habits

A dog that is house trained or a cat that is litter box trained who suddenly forgets this and goes in the house, could be stressed or sad. Consider the age of your pet and for how long he has been trained because accidents do happen and especially during the puppy stages or learning stages.

10. Sounds

Funny as it may be cats will often purr when they are stressed, sad or even dying - as opposed to a dog that will growl when unhappy or agitated.

11. Body Language

Many pets, particularly dogs and cats will have a change in body language such as slouching while they walk, hanging their head low, walking more slowly than usual, and laying down all the time. This could be a sign your dog or cat is not well, has an injury, is depressed, or experiencing pet stress.

Happy Pet Signs

1. Curious

2. Playful

3. Shows recognition of people he knows

4. Normal stools and bathroom habits that are rarely disturbed

5. Over all happy appearance and behavior

6. A healthy appetite

Just like people dogs and cats have different personalities and owners, with different lifestyles and different environments. Dogs and cats will handle their stress in different ways - some are more wound up and edgy while others go with the flow and may not be too bothered by things. When a pet owner is stressed or depressed it can affect their pets, particularly a dog or cat, as these animals are very open to the feelings, spirit, and environment of their owners. If you are stressed, anxious, or depressed, it is highly likely that your dog or cat will be as well.

But there are other factors that can cause your dog or cat pet stress.

1. Pet wellness requires pet owners to identify if their pet is stressed and take the necessary actions to improve the situation. Consider first yourself. Are you stressed more than the norm? Are you depressed, sad or feeling anxious and nervous? Remember that just like your kids, your pet will pick up on your stress and if it's having a direct hit on your behavior, state of mind, actions and personality, it is certainly affecting your pet as well.

2. If your pet is sick and is not getting better this can cause him stress and unhappiness just as it would you. So keep an eye on your pet and be sure to take action on any out of the norm situations that may arise. Do not delay because you don't know what the situation might be and it could be time sensitive, making all the difference between recovery or death. For pets that already have an illness or health issue stress can delay healing, and even cause the problem to become chronic if your pet is dealing with unrelenting stress.

3. Constant television, flashing lights, lack of visual stimuli, smoke or polluted living environments all can cause dog stress through his eyes. Consider turning off your television for some time during the day, easy lights in the evenings, toys and a stimulating, clean air environment.

4. Once again, just like with our kids the television can become a problem if not managed in the household. A constant, loud television can add stress through your dog's ears. Loud noises, other dogs constantly barking, people arguing, children screaming, sirens, video games, thunder storms and slamming doors that are consistent in a pets environment are other stresses through sound can affect your dog. Consider classical music for your dog or cat when you leave him home alone as opposed to television or the radio. Classical music is quiet, slow and relaxing and proven to be favored amongst dogs and cats. There is loads of pet music CD's available these days that have clinically proven types of music most suitable and enjoyed by dogs and cats. An antistatic cape can be used for help with dog that suffer from thunderstorm stress. Consider the noise level in your home and make changes for a calmer, quieter atmosphere if necessary.

5. Perfumes, excessive or irritating essential oils, hair spray, air fresheners, deodorants, and smoke are also stress culprits that cause anxiety or agitation through the dog's nose. For health reasons and global warming signs it is preferred that people not use air fresheners in their homes or vehicles. Instead get to the root of the odor problem and try a natural freshener such as boiling are cooking a cinnamon stick. Don't use perfumes, deodorants, hair sprays or smoke around your pet. Instead keep use of these items to one room to keep the rest of the house clean.

6. For anxiety and fear, pet owners will often consider a product called Dog Appeasing Pheromone. However, before you go that route consider Lavender aromatherapy, which has shown success in reducing stress, sadness and restlessness in dogs housed in shelters and dog pounds.

7. The mouth and digestive system of a dog also play a part in stress. A poor diet, unhealthy teeth and gums not getting enough water, or having to compete for food are all sources of pet stress. Make sure your dog is getting regular dental checkups and regular cleaning. A safe and trusted eating environment, fresh clean water daily, a balanced healthy diet

8. Temperature and climate are also sources of stress. A pet in uncomfortable, painful or isolated living conditions will have high stress levels.

9. Excessive exercise, poor training techniques, and injuries gone untreated can cause arthritis and joint disease. Poor training can also cause fear and lack of trust, all of which bring on stress. Exercise should be breed and age appropriate, fun and stimulating and moderate. Training should be age and breed appropriate and never on a hard core, cruel basis. To protect against injuries, joint disease and arthritis, ensure your dog or cat receives body-benefiting treatments such as pet massage, cold or hot heating pads and swimming in the pool if possible. Make sure your dog is comfortable with water first and that you are with him when he is taking a dip. Like a child, never leave your pet alone in or near water. Massages do not have to be expensive you can learn to do it at home, as well as many other natural health care for pets practices

In the spirit of stress awareness month remember that being a responsible and conscientious pet owner requires you put pet wellness into practice and keep abreast of any changes in your pet, just as you do yourself your children. Be aware of changes in behavior of any kind to be addressed and sourced to the root of the problem. Stress is the not the cause for all problems your pet may encounter but it should certainly never be ruled out. Give your pet the quality of life he deserves by ensuring his meals, treats, exercise, training, lifestyle, treatments and environment are healthy ones and appropriate for his breed and age. Giving your pet a wholesome pet natural diet, vegetable enhanced and free from poor quality food ingredients, unhealthy additives will maintain your pet's inner and outer beauty as well as protect him from disease. Maintain his health further by doing your level best to eliminate pet stress and enhance the length and quality of your pet's life.

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irispublishersmedicaljournals · 4 years ago

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Iris Publishers-Open Access Journal of Clinical & Medical Sciences

Authored by Mohammad Kamrujjaman* IntroductionDown syndrome (DS) is a genetic condition that results in some level of learning disability and a particular range of physical characteristics. Learning disability can affect a person to learn very new things into their every aspect of their life including at school [1]. Therefore, children with DS can have difficulty in learning new things, understanding information, communicating properly, confronting a complex situation, and/ or coping independently. In addition of learning disabilities, children with DS may have various kinds of health-related problems such as CHD (Congenital Heart Disease), vision problems, hearing loss, infections, hypothyroidism, blood disorders, poor muscle tone, sleep disorders, gum or dental problems, epilepsy, digestive problems, mental and emotional problems, and so on [2]. Hence, a different type of supporting services like educational, emotional, financial, recreational rather than medical services is needed for dealing with DS children. DS can be detected from mother’s womb to after birth. There are many screening programmes which can be carried out during pregnancy. During this screening programme, every mother should get proper guidelines and idea about what to do if the outcome is positive or negative. Education can be provided to the children with DS either at special school or mainstream school according to the parent’s desire or the present condition of that child. As children with DS have associated health problems as well as they require special care, their parent’s may face financial problem to look after them. Therefore, children with DS require supporting services from being their mother’s womb till lifelong. United Kingdom is a country of 63,136,000 populations. Among them, almost 60,000 people are living with DS as every year one in every 1000 babies are born with this condition [3]. Unfortunately, Bangladesh does not have studies to say how many people are suffering from the chromosomal disorder like a DS. But some organizations who work with children with DS has estimated that about 200,000 individuals are suffering from DS in Bangladesh, this estimation has been made based on the global trend that one in every 800 children born with this chromosomal abnormality though. The children with DS begin to get their services from a different type of health care providing institutions as prenatal screening and diagnostic test. Supporting health care services can be public funded and/ or private hospital, clinic, and diagnostic centre. As the prenatal screening or diagnostic test is to be done on the pregnant woman, therefore proper, realistic, unprejudiced knowledge about the test should be provided to them before going to test. Thus, prenatal screening and diagnostic test is related to health care providing institutions, health care providers, professionals and services provided information about test and DS, and government policies. Therefore, this study will be looked at all the services regarding prenatal and diagnostic test both in UK and Bangladesh in order to compare their services. Mother of a child with DS may face various problems when she noticed that she has given birth a child with DS. Yildirim et al. [4] state that this situation exposes mothers to intense stress and emotional problems such as denial, anxiety, anger, guilt, unexpected crisis, avoidance of facing external world’s attitude, disappointment, decrease in selfconfidence and self-respect. As individuals with DS have associated medical problems, so referral and getting access to specialized professionals according to their problems need to be done. Supporting services may take useful steps to do this. Specialized education and interventions can greatly benefit children with DS [5]. All children place a financial burden upon their parents because of their special needs for therapy, toy, medical procedures, and additional care. Except for financial supporting services, it may be difficult for a nation without universal health care systems in order to raise a child with DS. The research will explore the services for the children with DS and their families which are provided by the both UK and Bangladesh in order to get a comparison study. By exploring the services, the research will be looked at the gaps, advantages, disadvantages, similarities between these two countries’ services and trying to find out the potential reasons which are lie to know the present condition of the supporting services which are mostly used and accessed by the children with DS ages from 0 to 18 years and their families. Literature ReviewPre-natal diagnosis for down syndromePrenatal diagnosis can be done in two ways- one is called prenatal screening test and another is a prenatal diagnostic test [6]. In 2001, the UK National Screening Committee recommended that all pregnant mothers are offered to screen for DS [7]. Some studies [8,9] have concluded that due to lack of proper knowledge about screening can make a pregnant woman to make decisions for either invasive testing or termination. Midwives, GP, paediatricians can provide information about screening, test, and its outcome. The study, which was conducted by the Hwa et al. [10] concluded that trained counsellors improved the women’s knowledge about the test and encouraged informed choice. Nagle et al. [11] concluded that detailed information about specific testing could increase the knowledge and satisfaction of pregnant women. Unfortunately, Bangladesh does not have any provision for prenatal screening as well as test for detecting DS antenatal. Bangladesh government has just started a pilot project in 2012 for detecting the number of an individual is being disabled [12]. Therefore, services like health institutions (public or private or charity) and its staff (Midwives, Doctor, Nurses, Healthcare Assistants and so on), and public or electronics media could take part in spreading knowledge to the society, particularly to the pregnant women about DS and its outcome and what they should do after getting a baby with DS.Post-natal diagnosis and supportThe children with Down syndrome can be diagnosed immediately after birth by observing some distinctive features on baby’s countenance [13]. Children are usually under the care of a paediatrician from birth, who will screen for heart defects and watch out for any other health risks known to be associated with Down syndrome [14]. DS child may be checked more often than other children to pick up developing problems as early as possible [1]. In the UK, health visitors visit every new born baby’s house routinely to observe baby’s developmental progress. According to babies’ development, they provide essential information to the parents. Children with DS shows weaning problems, delayed teething, dry skin, temperature control abnormality, sleep problems, unable to hold breast and improper toileting [15]. More than 70 percent of the population in Bangladesh currently lives in rural areas [16]. However, the Bangladesh Government and Non-government organizations are trying to strengthen the public health sector by taking some initiatives. It must be recognized that Bangladesh has a well-structured health system with three tiers of primary health care as Upazila Health Complexes (UHC) at the sub-district level, Union Health and Family Welfare Centres (UHFWC) at the Union (collection of few villages) level, and Community Clinics (CC) at the village level and these are backed by the District Hospitals providing secondary level care and the tertiary hospitals of various kind in large urban centres [17]. In addition, Shishu Bikash Kendra (Child Development Centres) has been established in district hospitals and these centres in government tertiary medical colleges perform early assessment and diagnosis for children identified with potential disabilities including DS and they also treat disabilities and offer training and support for parents which are now located in 10 government medical hospitals, 3 in Dhaka and 7 outside and also plans call for replication in all 17 government hospitals and 20 district hospitals [18].Emotional supportAll the mothers having a child with DS had shown a negative reaction about their child’s condition and made them shocked and fearful. Although several participants described the various resources and emotional support like support from medical staff, parents of DS children, charity organizations were significant for the coping of adjustment process with DS children [19]. The Down’s syndrome Association in UK provide all kinds of emotional support to the parents of DS children. ‘Contact a Family for a Disabled Child’ is another charity organization that provides emotional support to the parents of DS children. There are many regional DS groups in the UK which provide emotional support to the parents of DS children [14]. In contrast to UK, there is no either public or private emotional support service in Bangladesh which could potentially provide emotional support to the disabled children or their families. Although, there is one centre named Shishu Bikash Kendra (Child Development Centres) situated in some government tertiary medical colleges which provide some sort of emotional support and training to the parents who have a disabled child including DS [18]. Beside this, there are some NGO’s provide emotional support to the parents, for example; Handicap Bangladesh, Muslim Aid etc. Due to lack of emotional support, people with disability and their family believe that it is their fate and disabled children are inferior to able-bodied children and disabled children do not have right to participate in any socio-cultural activities [17]. As a consequence, the family may keep their disabled children away from society and sometimes disabled children considered as family’s burden as they are unable to earn money for their family. In Bangladesh, a survey conducted in rural areas shows that emotional problem was the most embarrassing problem where 50% respondents stated that they are hated and avoided by the well-bodied peoples as a consequence about 50.4% respondents don’t participate in any community activities [17].Referral to the specialist professionalsSpecialist professionals (Cardiologist, Endocrinologist, Physiotherapist, Occupational therapist, Speech therapist, Psychologist, Educator, etc.) are necessary for children with DS in order to deal with their problems as they show many problems. In the UK, every person has got a family doctor called as General Practitioner (GP) with free of cost [6]. The However, general practitioner is responsible for dealing with children’s daily health issues and health visitors visit family homes in the early years to check on children’s health and development. They provide help, advice and practical assistance about the care of very young children, child development, sleep patterns, feeding, behaviour and safety [20]. Paediatrician usually refers a DS child to ear, nose and throat consultant (ENT consultant), audiologist, cardiologist/ cardiac surgeon, neurologist, ophthalmologist, endocrinologist, gastroenterologist, oncologist, physiotherapist (PT), occupational therapist (OT), speech and language therapist (SALT). PT, OT and SLT provide essential support, advice and information to the parents as well as to the children at home or at hospital or clinics and the rest of the specialists which mentioned above are usually provide necessary support at the hospital [20]. In Bangladesh, specialized rehabilitation services for disabled children are provided by the Government under the direction of the Ministry of Social Welfare (MOSW) and by non-government organizations (NGOs) [18]. “Hope for Life”, “Muslim Aid Bangladesh”, “Centre for Rehabilitation of the Paralysed’ are some of the known NGO’s working with disabled children in Bangladesh to provide the rehabilitation services like physiotherapy, occupational therapy, speech therapy. Jatiyo Protibondhi Unnayan Foundation (JPUF) has established 68 onestop service centres in 64 districts by the favour of Ministry of Social welfare and the World Bank for the children with disabilities to provide essential advice, physiotherapy, occupational or speech therapy, assistive device, mobility or hearing or vision aids and referral to specialist professionals with free of cost [21].Education for children with down syndromeWeakness and strength of DS children in the educational context: One major difficulty of most children with DS demonstrate is in language development. Laws & Bishop [22] reported that the language abilities of children with DS were significantly compromised in comparison to their non-verbal cognitive level. Rosner et al. [23] compared the social competence of individuals aged 4 to 49 with DS, Prader-Willi syndrome or Williams’ syndrome. Nevertheless, when compared to their typically developing peers, children with Down syndrome are typically more likely to demonstrate behavioural difficulties, such as non-compliance and stubbornness [24]. Therefore, proper educational strategies, intervention, and skilled teachers and supporting staff can educate a child with DS.Inclusive education for children with DS: Successful inclusive schools describe the crucial significance of parents’ participation in the process of their child’s inclusive education. Baker et al. [25] indicate from three meta-analyses that a small-to-moderate positive effect of inclusive education exists in terms of social and academic outcomes for children with special needs. Research has found that learners with learning difficulties who attended inclusive classrooms did not show high levels of loneliness and that a remarkable increase was evident in the number of reciprocal relationships that they formed [26,27]. In the UK, the Code of Practice defines the essential framework of Government guidance on the treatment of children with special educational needs. Department for Education and Department of Health [28] has set out a number of ‘fundamental principles’ in the Code of Practice. In the UK, LA’s responsible for SEN services that provide support for children in the family home, at nurseries and playgroups and in a range of school settings. There is virtually no access to preschool education in Bangladesh for children with disabilities, except for programs designed and implemented through non-governmental organizations. For example, BRAC and Save the Children’s have run a project since 1997 known as preschools or early childhood programs that serve children with disabilities. These programs has been serving to children at the “pre-primary” level, which includes children ages 5 to 6 or 7 years of age [29].Financial support for children with DSExisting studies indicate that mother’s possibility to work outside at home may be decreased if she has a disabled or sick child [30,31] and father’s work hours can be reduced due to looking after a disabled child Therefore, financial support either from government or charity or private organization can be helpful for the parents having a Down syndrome child in order to meet their child demands as well as they can provide enough time to look after their children. In the UK, a wide range of financial assistance is available for the parents of a disabled child including Down syndrome and anyone can be eligible to have those aids. The Department for Work and Pensions (DWP) in UK is responsible for providing all types of benefit. Anyone can claim for getting Disability Living Allowance (DLA) if he has a child under-16 with disability [32]. DLA is a tax free benefit which is usually paid every 4 weeks. The rate DLA is made up of 2 components (parts) namely; care component and mobility component. The weekly rate varies from £21.80 to £82.30 depends on how disability or health condition affects one’s daily life. In addition, if anyone needs financial help in order to meet their essential needs then they can contact with the financial advisors of Down Syndrome Association, which is a charitable organization works for the welfare of the family and children with DS. On the other hand, Bangladesh government provides allowance only to an insolvent person with disability. This allowance programme has been started from 2004-2005 budget sessions with 24.99cores BDTK [33]. This budget has now reached to 240.00 cores BDTK in 2014 - 2015. An individual with disability would get 200 BDTK per month in the beginning of this allowance programme which was in 2004-2005 session. Now it has increased to 500 BDTK per month for a person [12].Social support for children with DS and their familiesDunst et al. [34] defined social support as being a multidimensional construct that includes physical and instrumental assistance, sharing of information and resources, and as providing emotional and psychological support. Therefore, the summation of these above definitions provided the definition of social support as emotional, psychological, financial, institutional, informational support which can come from family members, friends, teachers, any public or private institutions, and professional states. In the UK, local authorities (LA) provide essential support, advice and help to the disabled children and their parents in order to meet their needs [20]. Parents or disabled children do not even need to do register to get the support from LA. It is a programme which is arranged in a way by which children with disability can develop their personal and social progress as well as parents can get some rest from their caring responsibilities [35]. Social workers can provide practical help, advice, information and support to get access into the supporting services for all disabled children or their parents or even whose do not have internet access or unable to browse or unaware of ‘local offers’. Apart from those public social supporting services, the UK has a lot of private or charitable organizations which provide social support both to the parents and disabled children. ‘Contact a Family’ runs a helpline for family members and parents to get in touch with other parent carers of disabled children living nearby [36].MethodologyBangladesh and United Kingdom were selected for the literature review. The literature review was the main source to justify the following research questions. These are:a. What health services are available for children with DS?b. Is there any emotional support service receivable by the parents having children with DS?c. Is there any educational service for educating children with DS?d. What financial support is available for the children with DS and their families?The literatures were collected from many sources such as websites, international or national organizations, public and private organization’s published report, provision and strategies, e-books, journals, articles and books. It is a social science research method refers to the analysis of documents that contain information about the phenomenon one wish to study [37]. Here, phenomenon refers to the services existing both in Bangladesh and UK to provide support for the children with DS and their families. Documents present a good source of text data [38]. The literatures related to DS children aged from 0-18 years and their families were selected for review. The literatures were mainly collected from two countries - Bangladesh and United Kingdom in order to answer the research questions as this research doing a comparison of services providing by these two countries for the children with DS and their families. A number of computer and electronic sources were used to identify studies relevant to the research questions. These included Willey Online Library, PubMed, Google Search, Google Scholars, Government websites, International and National organization’s website, Non-government organization’s website, Private and charity institution’s website. Beside electronic database, manual searching of literature were used to answer the research questions. Ethical consideration is very important for undertaking a social research. Therefore, ethical approval for this present research had to be sought and gained from the University of South Wales Faculty of life Sciences and Education Research Committee. The author also has checked that all the documents had sought for ethical approval. It is sometimes assumed that secondary or documentary analysis of data raises a few or no ethical considerations. However, therefore the researcher will be reliant on the consent that is being gained on the literatures.FindingsThe principal purpose of this present research was to compare the services which are provided by the both UK and Bangladesh for the children with DS and their families. The present research has also identified some potential reasons which may help to better understand the services and supports most needed and accessed by the children with DS and their families. These are described below:Government provisions and servicesIn the UK, the National Screening Committee advises ministers and the NHS of four UK countries about all aspects of screening and supports the implementation of screening programmes including DS screening [39]. The purpose of this screening is to offer all women a screening test for DS and to provide information so that they are able to exercise informed choice. Having this opportunity provided by the UK Government, all the pregnant women in this country can make an independent choice about their proceeding pregnancy, whether to considers termination or planning for the welfare of their child. This Government provision increases knowledge and understanding of the UK pregnant women about DS than the Bangladeshi pregnant women who are completely unaware of the DS condition. The public running school for disabled children are very limited as well as there is virtually no access to pre-school education in Bangladesh for disabled children. Only two Government schools for intellectually disabled children are obviously not enough for educating the entire disabled children including DS. Lack of enough public funded educational institutions, deficiency of inclusive educational settings is the main problem in getting proper education of the DS children in Bangladesh. However, the amount is good enough to meet the daily expenses of an individual as it varies from £21.80 to £ 82.30 weekly [32]. Whereas in Bangladesh, Government allowance is only given to the insolvent disabled individual. If any disabled children belong to a solvent family then he will not be eligible to get this allowance in Bangladesh. The allowance is only 500 BDTK per month (500 BDTK= 6.43 USD) which is too less for maintaining living expenses in anywhere in Bangladesh. Although, the allowance has increased from 200BDTK to 500 BDTK per month [12] but it is still not enough. Therefore, Bangladesh Government needs to focus on raising the public fund regarding disabled children and their families. In contrast to UK, there is no public organization or agency in Bangladesh for providing any kind of social support. Having no social support, the family often sees the disabled children as a burden [18] as well as most of the disabled children are socially isolated and anxious about their disability [17]. Therefore, deficiency of Government provision concerned with social support, recruitment of social worker and joined up working among different stakeholders are identified as the gap between these two countries regarding to social support.Private or charity or non-government organization’s servicesThere are a lot of charity organizations in the UK, which deal with the DS children and their families. Some of these charity organizations either work with the DS children or their families. These charity organizations are mainly run by the donation. These charity organizations have a lot of branches and a lot of workers all over the UK. They provide information, support, services, and advice from the birth of a disabled child till their entire lives. Unlike UK, the NGO in Bangladesh provide services to the disabled children after their born. There are no public services concerned with specific emotional support in the UK. However, private or charity organizations are playing the main role of providing emotional support to the parents of DS children in UK. The parents of a disabled child in UK can easily contact another parent having a child with disability through the charity organizations websites or phone call and can share their feelings, experience, emotions. Apart from this, these organizations have special advisors for providing emotional support through consultancy with free of cost. Here, literacy and availability of internet offer them to get access into these sources easily and quickly. Unfortunately, there are no services either public or private which could provide emotional support to the parents of a disabled child in Bangladesh. Due to lack of emotional support, the parents of a disabled child make them socially isolated, often see their disabled children as their burden and even it may lead parent’s separation [17]. There are 40 schools (units/branches) that provide special education and vocational training and other programs for children with intellectual disabilities, in addition to the National Institute for the Intellectually Disabled (NIID) and the BRAC schools. It is clear that Bangladesh Government does not have any authorised agency or body as LA’s in UK which can monitor all the school activities and also transparent that NGO’s are the main providers in Bangladesh for educating the disabled children, unlike UK. Most of the charity organization has a financial advisor who provides essential information to the parents of disabled children in order to get proper and accurate financial support from the Government. Anyone can get social support from any charity organizations either with the help of social workers or by phone call or doing registration over the internet. Compared to UK, Bangladesh has some namely financial support providing NGO’s. There is even no social support providing service except one that is situated in the capital of Bangladesh.Trained professionals and staffA major problem is the lack of skilled and trained personnel to support inclusive practices and training in behaviour and classroom management techniques in Bangladesh. Obstacles include low job satisfaction for primary school teachers due to poor salaries and high student-teacher ratios, high numbers of staff vacancies, rising workloads, low levels of awareness about disability and sensitivity to children with disabilities, limited technical support for inclusive education, and lack of monitoring to ensure policies are carried out [18]. The shortage of trained professionals and staff has also seen as a problem in the health sector of Bangladesh. Bangladesh Health Watch has concluded that Bangladesh suffers from shortages and misdistribution of staff, a skill mix imbalance, a negative work environment and a weak knowledge base all of which impact the availability and quality of health services received by children with disabilities [40]. Qualified practitioners constitute a low percentage of all health care providers and the country lacks sufficient numbers of doctors, nurses and health technologists according to WHO standards and averages for low-income countries [41]. Unlike Bangladesh, the UK has 2.8 physicians per 1000 people [42] as well as total expenditure on health per capita (Intl $, 2013) is 3,311 [3]. These statistics confirmed that the UK Government spends too much money behind the health sector including training of health sector professionals and staffs regularly.Literacy and usage of internetStromquist [42] states that literacy skills are fundamental to informed decision-making, personal empowerment, active and passive participation in the local and global social community. These statistics show that almost half of the population in Bangladesh cannot read and write. Due to a lack of empirical support, it is not possible to estimate the exact number of literate parents having children with disabilities. It is assumed that about half of the families with disabled children are not literate; therefore almost half of the population does not know about their rights and responsibility which they supposed to have from Government and other sectors. This statistic also shows that most of the people in the UK have access to the internet. For this reason, every Government and charity organizations provide every kind of information about their services through their websites. Therefore, children with DS and their families can get any kind information whether it is related to health, education, finance, emotional and social support from the internet very easily and quickly. Unlike UK, internet usage by the population 15 years and over has showed that only 1.49% used internet at the national level, and the corresponding figures were 2.00% for males and 0.97% for females while in the rural areas, only 1.13% used internet (1.52% males and 0.73% females) compared to 2.61%, 3.50% and 1.72% for both gender in the urban areas [43]. If any Bangladeshi service providing agency would provide their information through the internet then it would not probably be reached to the entire population whether or not related to disabilities. Therefore, Bangladesh Government should take a step to provide education in all areas as well as further study should be carried out to recognize the proper media in order to provide information about DS.Management and co-ordinationManagement and coordination mechanisms have been established at different levels to support planning, monitoring and cooperation within the Bangladesh Government and among NGOs and parents [18] Whereas in the UK, Section 25 of the Children and Families Act 2014 places a duty on local authorities that should ensure integration between educational provision and training provision, health and social care provision, where this would promote wellbeing and improve the quality of provision for disabled young people and those with SEN [28]. Furthermore, under the Section 26 of the Act, the Local authorities and clinical commissioning groups (CCGs) must make joint commissioning arrangements for education, health and care provision for children and young people with SEN or disabilities. Therefore, only one governing body as LA’s are responsible for ensuring that there is effective coordination and management among all the sectors. The Bangladesh Government could overcome from their management and coordination problem if they had only one governing body which would deal with the disability-related all sectors as UK has LA.Access to servicesLack of accessibility is to be a major barrier to use of services which are available for children with disabilities in Bangladesh. Public transportation also presents barriers to accessing services and schools, especially for wheelchair users who cannot ride buses and trains independently. An Infrastructural barrier is also one of the key obstacles for the inclusion of children with disabilities in education. Lack of accessible toilets also forces many children to drop out of school, especially girls. Leonard Cheshire Disability [44] states that It has been noted that in many cases in developing countries like Bangladesh, disabled children especially girl children do not go to school since they are unable to use the toilet facilities. Infrastructural accessibility in the school buildings and overall accessible environment is required for children with disabilities. When there are no access roads, and transportation then it becomes very challenging for a child with disability and their families to get proper services in Bangladesh. On the other hand, all the services in the UK related to health, education, finance, emotional and social support for children with DS and their families are easy to get access. The children with DS and their families do not often need to go to the hospitals or rehabilitation centres for getting proper health services as health visitors monitor the developmental progress of a child at a regular basis in the UK. Finance, emotional and social service can also get easily by the parents with DS children with the help of the social worker who is available in every location of the UK. The Government of Bangladesh has introduced some initiatives to improve the situation concerned with disability; for example, Executive Order from the Office of the Prime Minister, 2002 highlighted a number of activities to reduce barriers to public transportation, The 2010 Education Policy addresses inclusion of children with disabilities, and the Comprehensive Early Childhood Care and Development [45].ConclusionIt has found that there are many gaps between these two countries public service providers for children with DS and their families. A lack of Government provision, insufficient health service centres, transportation of babies to get proper health services, lack of enough public funded educational institutions, deficiency of inclusive educational settings, shortage of public funds, deficiency of Government provision concerned with social support, and recruitment of social worker were identified as the main gap which are lying between these two countries. Lack of trained staffs and teachers has found as another gap between these two countries schools concerned with DS children. Although, Bangladesh has less trained SEN professionals and staffs in every sector, unlike UK. Bangladesh is far away from UK in term of literacy and usage of the internet. Illiteracy and lack of using internet has made Bangladeshi populations especially children with DS and their families unaware about DS and its outcome and uncertain about existence of services available for them. Lack of accessibility is another major barrier to use of services which are available for children with disabilities in Bangladesh. Many schools, hospitals, rehabilitation centres, Government offices are not accessible to children with disabilities due to the location. Therefore, public transportation is the only way to get access to those organizations. Due to high transportation cost, poor families are unable to afford. In addition, the infrastructures of schools are not disabled friendly in Bangladesh, unlike UK. Almost all the schools are disabled friendly in the UK and most often the children with DS and their families do not need to go around for getting proper services from different stakeholders. When there are no access roads, schools and transportation, trained and enough professionals and staffs, and proper management among stakeholders then it becomes very challenging for children with Down syndrome and their families to get proper services in Bangladesh.

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dentalinfotoday · 6 years ago

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Dentist games are amazing tools for raising health-savvy kids. Even after you find the best pediatric dentist for your child, getting them there can be another story. If you are like me, or most parents, you may hear the word “no” quite a bit. However, setting a positive tone for your child’s oral care matters.

In fact, their experiences with the dentist and oral hygiene now will affect their dental health for the rest of their life. Early childhood cavities can indicate more serious dental issues later in life. How your child starts taking care of their mouth is how they’ll continue to do so into adulthood.

When we think this way, it places a special importance on early dentist appointments. It also shows how crucial it is to give our children the right perspective about oral health. Unfortunately, it’s estimated that up to 74% of children have at least moderate anxiety associated with dental visits.

As a dentist’s daughter and a mother myself, I understand both sides of the equation! That’s why I often recommend games to other parents, hoping to give their child a lifelong passion for dental health.

How Playing Dentist Games Can Ease Dental Anxiety

There are many benefits to playing dentist games with your child. Playing games at the dentist has shown to be a helpful distraction technique to alleviate anxiety at the dentist.

Familiarizing children with oral hygiene through games can help in two ways. Firstly, it helps prevent and reduce the risk of cavities. Secondly, dentist games keep your child informed on what’s happening inside their mouths during a visit.

Just like adults, fear of the unknown can be the most frightening part.

If children are able to dress up and “play dentist” beforehand, the visit won’t be so worrisome. Studies show that educational video games improve health education and pain distraction outcomes by 42%. Whether they’re learning at home or distracted during a procedure, using dentist games can put your child’s mind at ease.

A study found that dentists are likely to give more advice about children’s dental hygiene if the parent seems interested. Simply put, educating your child beforehand may improve their quality of care. When parents partner with their child’s dentist, the results are far better.

These games not only benefit kids, but indicate your commitment and interest in partnering to your dentist. Playing dental games can not only reduce pre-visit jitters, but even improve your child’s oral health.

Top 7 Dentist Apps and Online Games

From Crazy Dentist and Popstar Dentist to Dentist Doctor or Baby Dentist, dentist games are abundant. Most are available to play online or on your iOS and Android devices, and I recommend you skip the scary ones.

Here are some of my favorite free games to ease anxiety and educate your little one.

1. Brush DJ

Available on: App Store, Play Store

Rating: 4.7 / 5 (App Store), 4.2 / 5 (Play Store)

Cost: Free

Age Recommendation: 4+

Pros:

Makes brushing fun and encourages physical activity, adding another health benefit for kids

Great reminders, like changing your brush or brush head

Notifications when it’s time to brush teeth and floss

Updated whenever new oral health information is released

Compatible with your music library or streaming service. Also has a built-in, free music library

Making dental hygiene a fun game can ease routine cleanings and checkups

Cons:

A few reviewers have asked for more visual features to keep kids interested

Download (Apple)

Download (Android)

2. Toothsavers

Available on: App Store, Online

Rating: 4.6

Age Recommendation: 4+

Pros:

Offers 10 colorful characters, each with their own toothbrush and food particles

Interactive map to chart brushing for day and night

Earn new characters by brushing two minutes, twice a day

The parents’ section lets you schedule and monitor brushing activity

You can post to Facebook when your child reaches brushing milestones. What parent doesn’t love bragging on their children’s accomplishments?

No app download needed for online play

Cons:

Can have slow loading times if device storage is near full

Not available on Android

Download (Apple)

Play in Browser (Flash required)

3. Dentist Office

Available on: App Store

Rating: 4.6

Cost: Free (Offers In-App Purchases)

Age Recommendation: 4+

Pros:

Players are the dentist in this interactive game. “Performing” routine procedures online can take the guesswork and fear out of a dental visit.

Kids can choose tools and procedures, so you can prepare your kid for the exact procedure they’ll be getting.

Teaches dental care basics and even has dental surgery options

Cons:

Some users complain of the amount of ads

Due to the more complicated nature of the procedures, this app may need some parental help. It’s rated 4+ though, so it’s not overly tricky.

Only available through App Store

Download (Apple)

4. Disney Magic Timer by Oral-B

Available on: App Store, Play Store

Rating: 4.1 (App Store), 4.0 (Play Store)

Cost: Free (In-App Purchases available)

Age Recommendation: 4+ / Everyone

Pros:

Kids can clean up their teeth with characters like Snow White, their favorites from Frozen, or Captain America.

You can collect stickers, use a brushing calendar, and see visual content from Disney, Marvel, and Star Wars franchises.

#1 free app downloaded in children six to eight years old. The immense popularity means parents and kids alike are fans.

Cons:

Must own a Crest or Oral-B product to activate.

Many reviewers complained the app had glitches that need an update and could erase your profile. The developer responded and has released a new version this year (2019) — hopefully fixing previous issues.

Download (Apple)

Download (Android)

5. Doctor Teeth

Available on: Play Store

Rating: 4.3

Cost: Free

Age Recommendation: Everyone

Pros:

Multiple, fun “patients” with different tooth problems to treat

Teaches the purpose of each dental tool, providing a more familiar experience during your next dentist visit.

Offers games for both procedures and for prevention

Cons:

Timed challenges may not be helpful if your child suffers from more severe anxiety

Only available on Play Store

Download (Android)

6. Dentist Games

Available on: App Store, Play Store

Rating: 4.2 / 5 (App Store), 3.9 / 5 (Play Store)

Cost: Free

Age Recommendation: 4+ / Everyone

Pros:

Offers kids a chance to perform dental work on models of other kids

Also includes a braces option in case orthodontic work is causing your child concern

No in-app purchases; it’s totally free

Shows aspects of dental hygiene and cleaning as well as procedures

Available on both Google Play and iTunes

Cons:

Only 4 characters to choose from

Some reviewers find the plotline slow and uneventful

Download (Apple)

Download (Android)

7. Philips Sonicare for Kids

Available on: App Store, Play Store

Rating: 4.7 (App Store), 3.5 (Play Store)

Cost: Free

Age Recommendation: 4+

Pros:

Teaches correct brushing habits

Gives in-app rewards for consistent brushing

Supports brushing reminders

Helmed by a likeable character, Sparkly, who makes it easy to follow along

Supports family sharing on iTunes store so more than one child can use it

Parents can track kids’ brushing habits within the app

Cons:

Some features are only available to kids who own a Philips Sonicare toothbrush

Download (Apple)

Download (Android)

Games to Play at the Dentist for a Fear-Free Visit

For many of us, even as adults, the waiting room can be one of the most nerve-wracking parts of a visit to the dentist. Preparation is key for a worry-free dental visit, but what about once you arrive?

As you choose your pediatric dentist, you might select one that keeps toys or a children’s area in their lobby. This indicates that they have children’s comfort in mind from the moment you walk in the door. Built-in games and play areas can relax your child as they wait.

I’ve mentioned that distraction techniques can play a major role in keeping your child fear-free. If your dentist doesn’t provide them, I recommend bringing some fun games to take their mind off of dental anxiety. Great choices include:

Jenga

Uno

Operation

Go Fish

Don’t be afraid to dust off some of your childhood favorites and play Barbie Dentist or Princess Dentist. Ultimately, you know your child best. Don’t be afraid to bring toys and games that make them feel comfortable and distract them from the upcoming procedure.

In Summary

From brushing their teeth to preparing for their very first visit with a real dentist, your role as a parent is key in dental care. You help set the tone for your child’s dental experience.

Though it’s common for children to experience dental anxiety, dentist games and apps can relieve stress and prepare them for their visit. Giving your children a chance to play before their procedure is a win for both of you.

Who knows? With all this virtual practice, your little one might even grow up to pursue dentistry themselves.

Read Next: 6 Ways to Ease Your Child’s Dental Anxiety

5 References

Milsom, K. M., Blinkhorn, A. S., & Tickle, M. (2008). The incidence of dental caries in the primary molar teeth of young children receiving National Health Service funded dental care in practices in the North West of England. British dental journal, 205(7), E14. Abstract: https://www.ncbi.nlm.nih.gov/pubmed/18849940

Bezabih, S., Fantaye, W., & Tesfaye, M. (2013). Dental anxiety: prevalence and associated factors, among children who visited Jimma University Specialized Hospital Dental Clinic. Ethiopian medical journal, 51(2), 115-121. Abstract: https://www.ncbi.nlm.nih.gov/pubmed/24079155

Appukuttan, D. P. (2016). Strategies to manage patients with dental anxiety and dental phobia: literature review. Clinical, cosmetic and investigational dentistry, 8, 35. Full Text: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4790493/

Primack, B. A., Carroll, M. V., McNamara, M., Klem, M. L., King, B., Rich, M., … & Nayak, S. (2012). Role of video games in improving health-related outcomes: a systematic review. American journal of preventive medicine, 42(6), 630-638. Full Text: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3391574/

Threlfall, A. G., Hunt, C. M., Milsom, K. M., Tickle, M., & Blinkhorn, A. S. (2007). Exploring factors that influence general dental practitioners when providing advice to help prevent caries in children. British dental journal, 202(4), E10. Abstract: https://www.ncbi.nlm.nih.gov/pubmed/17308533

The post The 7 Best Dentist Games to Help Your Child Love the Dentist appeared first on Ask the Dentist.

from Ask the Dentist https://askthedentist.com/dentist-games/

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puppyexpressions · 6 years ago

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Why Do Dogs Whine and How To Stop It

Is your dog a whiner? Have you ever wondered why your dog keeps whining?

It seems like dogs who whine a lot are often trying to tell their owners something. Unlike us humans, dogs can’t use language to communicate with us.

So, whining and the occasional mutters, squeals, and barks seem to be how our pets talk to us. But, sometimes it can be a sign of other disorders and conditions.

It’s important to remember that whining, whimpering and doggie mutterings are all normal behaviors.

If we look at the social structure of dogs, we will notice that puppies often use these high pitched cries as a means of communication to their mothers. However, whining can be both a natural and nurtured behavior.

If you’re a pet owner struggling to understand why your dog is whining, then this article is perfect for you! Here we’ll cover:

Understanding Why My Dog Is Whining?

How Mental Illness Can Cause Whining

Top 10 Dog Breeds Who Whine

How Do I Stop My Dog From Whining

The Answers to Some Common Whiny Dog Problems

Why Is My Dog Whining?

Dogs have long been our companions for thousands of years.

From an evolutionary standpoint, dogs have adapted to understanding human gestures and specific phrases.

Sometimes they may vocalize in different pitches and tempos for us to better understand their needs.

The Attention Seeking Pooch!

Dogs have evolved in such a way that they are now quite capable of manipulating us!

In fact, studies have shown that dogs often use a classic "guilty dog, doe-eyed" look to get away with naughty behavior. This is a language form of communication.

This means that dogs know exactly how they can grab our attention. Not only do they use their body language, but have developed distinctive whining, yelping, and crying techniques to seek attention.

A Doggie in Pain or Fear

Veterinarians know that a whining dog, who may consistently cry may be in chronic pain.

Some examples of chronic pain include:

Dental pain as a result of poor hygiene

Urinary tract infection

Orthopedic pain

It's important to remember that whining and crying can be associated with secondary clinical signs. Dogs who are fearful of a particular situation may whine as a way to warn their owners.

Boredom or Excitement

Whining and whimpering can also be a sign of boredom or excitement. It's important to take the entire situation into account, so you understand why your dog is whining.

Boredom A bored dog may not only whine but may also show evidence of destructive behavior such as digging holes, going through garbage or chewing household items.

Excitement An excited dog will whine, bark and will seem a lot more active and playful. Dogs who tend to whine when excited are high-energy dogs.

How Mental Illness May Cause Whining

Mental illness is a psychological disorder that results in an inability to function normally. It involves conditions such as anxiety, PTSD, depression, dementia, and obsessive-compulsive disorder.

Unfortunately, even our canine friends can succumb to various forms of mental illness.

A Sad pup! Depression in Dogs

Depression in dogs is a poorly understood mental illness. This is because unlike humans we cannot ask our dogs what's wrong! As such, an animal behaviorist relies on a dog's behavior, vocalization & body language to diagnose depression.

The are many reasons why a dog may be depressed, some of these include:

A lack of social interaction with people and other pets

A loss of a close family member or fellow pet friend

Boredom as a result of lack of mental stimulation

Lack of physical activity

Dogs with depression may show symptoms such as:

Excessive licking (OCD)

Lack of interest in activities they may have once enjoyed

Whining or crying if left alone

Anxiety

Excessive sleeping

Lack of eating

A Fearful Pooch! PTSD in Dogs

Post Traumatic Stress Disorder is known as a psychological illness that affects people. But did you know even your pooch can experience C-PTSD?

PTSD is not a result of chemical imbalances in your dog's brain. Rather, it occurs as a result of dogs recalling unpleasant memories. For example, PTSD may be most common in dogs that have suffered through:

Abuse

Accidents

Military service

Natural disasters

Dogs with PTSD tend to show symptoms like:

Shaking or trembling

Hiding

Excessive barking

Yelping and whining

Easily spooked

On alert at all times

The Edgy Pooch! Anxiety in Dogs

Anxious dogs tend to whine on a regular basis if they have been placed in an uncomfortable situation.

Anxiety in dogs can come in various forms. Yet, it seems like separation anxiety may be most common as it affects 20-40% of dogs in the United States. But dogs can also experience social, traumatic and noise anxiety.

Social anxiety often occurs when dogs have not learned how to socialize with other pets & humans. As a result, they may become more fearful and cautious when encountering new people or pets.

A classic example of noise anxiety would be dogs who hide or whine when they hear fireworks. Now, noise anxiety doesn't mean that fireworks are the reason for your dog's anxious behavior. In fact, dogs can become fearful of noises such as thunderstorms, cars and even children crying.

Traumatic anxiety goes hand-in-hand with PTSD. For example, if you have recently rescued an abused or neglected dog, then there might be a few triggers that can set them off. This can be the sight or sound of a discomforting object. For example, a dog raised in a puppy mill may not whine or yelp if placed in a crate.

Senior Dogs! A Case of Dementia In Dogs

If your dog whines a lot and happens to be a senior (above the age of 8 years old), then chances are dementia can play a significant role in whining.

Canine dementia is more often referred to as canine cognitive dysfunction (CCD). Currently, there's no definite answer about what causes CCD.

Dogs with dementia often show symptoms like:

Disorientation

An inability to remember people, tasks or routines

Loss of appetite

Pacing

Depression

Anxiety

When it comes to dementia in dogs, an anxious pooch who is not in the right mindset will whine on a regular basis.

Top 10 Dog Breeds Who Whine

Have you ever seen those adorable videos of huskies talking to their owners?

It seems like certain dog breeds may be more vocal than others. We don't know why this occurs. Animal behaviorists suspect that vocalization may be linked to your dog's ancestry and original purpose.

For example, small dogs often tend to whine a lot more than other dogs because they were bred to be watchdogs. The main job of a watchdog was to warn their owners when an intruder was near.

On the other hand, dogs like the husky were pack animals. So, the high pitched howling and whining is a form of pack communication.

Are you curious to know if your dog belongs to one of the top 10 vocal dog breeds?

Howling Husky

Sassy Chihuahua

Yappy Yorkie

Foxhound

Alaskan Malamute

Miniature Schnauzer

Toy Poodle

Dachshund

German Shepherd

Pomeranian

How Do I Stop My Dog From Whining?

Whining and whimpering can also be a sign of boredom or excitement. It's important to take the entire situation into account so you understand why your dog is whining.

Step 1. Find Out The Real Cause of Your Dog’s Whining

You will not get anywhere with training if you don't understand what's causing your dog to whine. Ask yourself:

Does my dog always whine before I do something

Does my dog whine when they’re uncomfortable

Remember, you should never punish your dog for whining. This is because sometimes your dog may whine out of fear or boredom., which is not their fault!

Step 2. Adjust Your Training Tactics To The Cause

The Attention Seeker Dogs who whine for the sake of attention have often learned that they can get away with this behavior. If you have an attention seeking dog, then try ignoring their whining.

For example, if your dog starts whining while you're working, don't yell! Avoid petting them and don't acknowledge their presence.

Once they’re done whining, you can reward this behavior by petting them or giving them a treat.

The Anxious Dog A dog who whines because they are anxious may need weeks to months of consistent training. In this is your case, your job is to find out what makes your dog anxious & desensitize them to it.

For example, to combat separation anxiety, owners can do things like keeping the radio turned on when they leave to ease their dog's mind.

Some dog trainers recommend that you allow your dog to partake in activities that boost their confidence. This can include agility training, endurance courses and obedience training.

Step 3. Use Medication Or Calming Aids

If you've got an anxious or fearful dog, you can look into purchasing natural relaxants.

These days there are many different pet relaxants available in-store or online. The most popular ones are dog pheromone-based products.

Most of these products claim that the product was designed based on the pheromones of a nursing dog. This is because a nursing dog releases pheromones that naturally calm her puppies down.

The same can be true for adult dogs too! The belief is that any adult dog will instinctually be able to recognize and respond to the pheromone.

Step 4 Reward The Correct Behavior

Sometimes dealing with anxious dogs may be difficult when you're away from the comfort of your home. Petcube Bites treat camera is a pawesome way to comfort your anxious dog when they’re not with you.

With Petcube Bites, you can keep an eye on your dog to see if they’re getting a little destructive. If they begin whining, you can talk via the cam’s 2-way audio or give them treats when they stop whining.

If you've got a bored pup, you can also mentally stimulate them via Petcube Bites by asking them to do tricks for a reward.

How Do You Stop your Dog From Crying When You Leave?

Dogs who begin whining before you leave your home may be suffering from separation anxiety. To cure separation anxiety, you must teach your dog to be a little independent.

Here’s a quick brief as to how you can stop your dog from crying before you leave!

Exercise them rigorously before you’re about to leave your home.

Over the course of a few weeks, you can leave the house for a few minutes each day and reward them if they’re quiet.

Sometimes dogs just love the comfort of a human voice. Petcube Bites allows you to communicate with your anxious dog when you’re gone.

Final Thoughts

If you're trying to stop your dog from whining, you must first try to understand why they are whining in the first place.

Whining, whimpering & crying are all natural behaviors for a dog. But, sometimes it may be a sign of other problems such as mental illness, pain or disease.

#whining #dog behavior #dog whining #dog training #training

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bloojayoolie · 6 years ago

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Anaconda, Apparently, and Beautiful: fat nick ID 58480, 4 YRS. 47 LBS OF LOVE, DREAMING OF FAMILY, MANHATTAN ACC TO BE KILLED – 4/09/2019 Fat Nick has a $500 donation to a New Hope partner FAT NICK. Hmmm, nothing fat about this boy -- he’s as thin as a rail and we don’t think he can rap like his namesake. And while initially shy with new people and confused about why he is at shelter to begin with, he only needs a little time before he warms up and his adorable curly tail wags in friendship. Watch his video below, and see that, despite his need to investigate every little nook and cranny of the play yard, he is notably happy to have a friend, happy to get a butt scritch, and happy to be out in the sun and enjoying the day. We know he has an independent spirit, it is in his mixed lineage. Noble, stoic, and putting on a brave face, his elegant indifference is only a cover for a warm and loving heart. We are certain that in the hands of an experienced foster or adopter who can provide him a calm, quiet structured home and a routine he can count on, this beautiful, gentle, big hearted boy will flourish and thrive. And if you are lucky to be loved by Fat Nick, maybe, just maybe, you will be gifted with his magnificent smile. Don’t let this wonderful boy die. Hurry and MESSAGE our page or email us at [email protected] for assistance fostering or adopting Fat Nick. PLEASE WATCH MY MOVIE! Fat Nick loves his friends: https://www.youtube.com/watch?v=tif_ToB4grs FAT NICK, ID# 58480, 4 Yrs. old, 47.8 lbs, Unaltered Male Manhattan ACC, Medium Mixed Breed, Brown I was brought to the shelter as an Agency, 3/28/2019 Shelter Assessment Rating: NEW HOPE ONLY Medical Behavior Rating: 4. Orange AT RISK MEMO: Fat Nick has not acclimated well to the care center and has not allowed for extensive handling. Fat Nick would be best suited for placement with a new hope partner that can provide the necessary behavior modification and slow approach. Medically, he seems healthy. SHELTER ASSESSMENT SUMMARIES: Leash Walking Strength and pulling: None Reactivity to humans: None Reactivity to dogs: None Leash walking comments: None Sociability Loose in room (15-20 seconds): Fearful- tense, avoids Call over: No approach- tense, nervous Sociability comments: Body tense, avoids Handling Soft handling: Fearful Exuberant handling: Extremely fearful Comments: Body tense, avoiding handling. With more exuberant handling, he quickly head flips, so the rest of the handling portion is not conducted. Arousal Jog: Unresponsive, does not engage (fearful) Arousal comments: None Knock: No response Knock Comments: None Toy: No response Toy comments: None PLAYGROUP NOTES - DOG TO DOG SUMMARIES: When greeting the helper dog through the gate, Fat Nick stiffens and growls. Due to handling concern, a muzzled greeting is not attempted. A single dog residence is recommended until Fat Nick is acclimated outside of the care center. Follow up should be conducted under the guidance of a positive reinforcement trainer. ENERGY LEVEL:: We have no history on Fat Nick so we cannot be certain of his behavior in a home environment. At the care center, he displays a medium level of activity. IN SHELTER OBSERVATIONS:: Fat Nick has displayed fearful, distance increasing behavior with novel handlers while in the care center. In his kennel he will bark and retreat from unknown people, and outside of his kennel is wary of handling and petting. With known handlers, Fat Nick will offer loose body and wagging tail in kennel and out of kennel will solicit brief attention and allow all petting. Fat Nick has not displayed any treat motivation and has not engaged with toy items while at the care center. BEHAVIOR DETERMINATION:: New Hope Only Behavior Asilomar: TM - Treatable-Manageable Recommendations:: No children (under 13),Single-pet home,Recommend no dog parks,Place with a New Hope partner Recommendations comments:: No children: Due to how uncomfortable Fat Nick is currently with touch and novel stimuli, we feel that an adult-only home would be most beneficial at this time. Place with a New Hope partner: Fat Nick has not acclimated well to the kennel environment and has allowed limited handling since intake. We recommend placement with a New Hope partner who can provide any necessary behavior modification (force-free, positive reinforcement-based) and re-evaluate behavior in a stable home environment before placement into a permanent home. Single pet/no dog parks: See DOG-DOG. Potential challenges: : Fearful/potential for defensive aggression Potential challenges comments:: Fearful/potential for defensive aggression: Fat Nickis very fearful at the care center and has avoided handling and shown teeth. He will need a slow approach and time to acclimate to new people. Please see handout on Fearful/potential for defensive aggression. MEDICAL EXAM NOTES VET NOTES - 31/03/2019 DVM Intake Exam Estimated age:5 years based on condition of teeth Microchip noted on Intake?no Microchip Number (If Applicable): History : BAR Subjective: needed to be sedated to be examined- telazol- 0.6ml im Observed Behavior - sedated Evidence of Cruelty seen - no Evidence of Trauma seen - no Objective T =100.6 P =120hr R =30 BCS 6/9 EENT: Eyes clear, ears- brown debris AU, no nasal or ocular discharge noted Oral Exam: mod dental disease PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: mi with 2 down MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat; small abrasions over the L and R elbow areas CNS: sedated Assessment apparently Prognosis: good being assessed by behavior waxy brown d/c- r/o mites vs build up vs allergies vs other Plan: ear swab (-) SURGERY: Okay for surgery 1/04/2019 Request Trazadone: Trazadone: 100mg SIG: 1 tab bid po LVT NOTES: 29/03/2019 [LVT Intake Exam] Microchip Scan: negative, placed 985113002483987 Evidence of Cruelty: no Observed Behavior: under the influence of dart drugs (ketamine 3ml), ataxic and not coherent Sex: intact male Estimated Age: appx 2-4y Subjective: unknown animal found loose in finder's yard, ESU darted with stick pole (no visible wound left behind), seemingly healthy but inappropriate mentation due to tranq Eyes: clear Ears: clean, slight waxy d/c Oral Exam: mild to moderate staining Heart: WNL Lungs: WNL Abdomen: WNL Musculoskeletal: WNL BCS 5/9 Mentation: unable to focus, head bobbing, waking from tranq Preliminary Assessment: seemingly healthy Plan: DVM intake *** TO FOSTER OR ADOPT *** FAT NICK IS RESCUE ONLY. You must fill out applications with New Hope Rescues to foster or adopt him. He cannot be reserved online at the ACC ARL, nor can he be direct adopted at the shelter. PLEASE HURRY AND MESSAGE OUR PAGE FOR ASSISTANCE! HOW TO RESERVE A “TO BE KILLED” DOG ONLINE (only for those who can get to the shelter IN PERSON to complete the adoption process, and only for the dogs on the list NOT marked New Hope Rescue Only). Follow our Step by Step directions below! *PLEASE NOTE – YOU MUST USE A PC OR TABLET – PHONE RESERVES WILL NOT WORK! ** STEP 1: CLICK ON THIS RESERVE LINK: https://newhope.shelterbuddy.com/Animal/List Step 2: Go to the red menu button on the top right corner, click register and fill in your info. Step 3: Go to your email and verify account \ Step 4: Go back to the website, click the menu button and view available dogs Step 5: Scroll to the animal you are interested and click reserve STEP 6 ( MOST IMPORTANT STEP ): GO TO THE MENU AGAIN AND VIEW YOUR CART. THE ANIMAL SHOULD NOW BE IN YOUR CART! Step 7: Fill in your credit card info and complete transaction HOW TO FOSTER OR ADOPT IF YOU *CANNOT* GET TO THE SHELTER IN PERSON, OR IF THE DOG IS NEW HOPE RESCUE ONLY! You must live within 3 – 4 hours of NY, NJ, PA, CT, RI, DE, MD, MA, NH, VT, ME or Norther VA. Please PM our page for assistance. You will need to fill out applications with a New Hope Rescue Partner to foster or adopt a dog on the To Be Killed list, including those labelled Rescue Only. Hurry please, time is short, and the Rescues need time to process the applications.

#funny #lol #humor #memes #meme #memehumor #dank memes #funny pics #rolf #lmao #Anaconda #Apparently

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lobsters-on-their-heads · 6 years ago

Text

OB Rewatch: The Redesign of Natural Objects

I so want this to be symbolic of Sarah Stubbs’ relationship with Alison Hendrix.

As always, there are SPOILERS for the ENTIRE series ahead!

I loved

The shots of Siobhan out stalking Duko. Somebody make this into a poster with some inspirational Irish saying at the bottom.

That Alison and Felix communicated to defeat Duko. She has people she can count on who know her secrets.

Adele's back! Yay! “I don't want anyone friskin' you. It's not as fun as it sounds.” Heh. And I just love this shot of her.

“Cosima, it's good to see you again!” “Um, yeah, I'm a bit conflicted about it.”

“Yo, Rachel.” “Yo.”

Cosima recognizing and using her value to the Susan and Rachel team. She doesn't have a whole lot to lose at this point, but she has what they need.

Great contrast of Jesus Christ Superstar with Donnie in the cell. I don't know the musical, but people have pointed out that Alison's playing the role of Judas. (See, they told us that knowing Bible stories would help us understand other stories, and they were right!) Plus, this shot of Alison is the best shot of her for the entire series.

“Yes, I'm sure you're excited about your contribution, Ira.”

I liked

When MK says, “There’s something you should see,” she immediately follows it up with what that something is. It’s refreshing.

“I could build us all coffins. Shall I start with the smallest first?”

As soon as Scott said he wasn’t working with Rachel, Cosima went with his assessment. Because he’s her partner.

Spot on music for Donnie's opening scene in prison – Sonny Curtis' “I Fought the Law (and the Law Won)” After all, “I needed money 'cause I had none” does sum up why the Hendrixes got into drug pushing in the first place

The finch desktop wallpaper is a nice touch.

“She even cheats at Agricola.” Oh, Scott. I'm curious HOW one cheats at Agricola, though.

The person Art trusts to talk to about Duko is Raj, the sweet guy who got Beth and Sarah all that equipment.

Alison says Shit! And Scheisse!

Both Siobhan and Sarah trying to dress Felix like he's not the biggest fashion stickler of the entire Clone Club.

Alison's terrified hesitation as she talks to Felix on the phone.

I didn’t like

Donnie is such a fucking idiot. He's learned nothing from working with drug dealers. Has he even watched TV?

I hate any time a character tells another character how “crazy” they’re being. If the characters and plot are strong enough (and in this case, they are), the audience can gauge the craziness for themselves. Telling us is just talking down to us.

What the fuck, Rev. Mike?? “I'm sure the children will be just fine with proper therapy.” Alison, get thee to a different church, now! I kind of wish they'd made Rev. Mike a Neolutionist. It'd make more sense than him just being a shitty reverend.

Cosima's hair is under the ear protection/ head set, rather than tucked behind it. That bothers me.

Other notes

Both Rachel and Ira are wearing gray at the beginning – Rachel dark, Ira light.

By the end, though, Rachel’s back in white, and a shirt very similar to the one Susan’s wearing. Ira’s still in gray, though.

Thank GOD Charlotte was removed from Susan Duncan's “care” before Susan could fuck her up any further. The way Susan pits siblings against each other, obviously keeps Charlotte away from kids her own age, and invests nothing in social or emotional education.... And Charlotte's little smile when Susan says, “Ira, have you shown Rachel your toy soldiers” says everything about Charlotte's comprehension of the game at hand.

Rachel’s comment that she has “a long perspective on our ailment” gets fleshed out (sorry, bad pun?) in Season 5.

Alison heard the term “fly in the ointment,” and thought of Sarah immediately.

Alison had that mini bottle of vodka completely open when Felix startled her and she dropped it. Nothing like vodka-infused mascara, eh?

“Beth told me about you. How's your illness?” MK makes it sound like Beth told her about Cosima’s illness, which makes no sense. It could be an intentionally strange construction, though, since MK’s coded as neuro atypical.

Rachel has an eye vision of the inside of the yurt with the Messenger, but no Delphine. Indicates Delphine (a) is in on the visions and helped orchestrate this one, (b) is out of the yurt and the Messenger just helps himself, or (c) just sits back and puts up with anything and everything that happens on the island, even if it's in her personal space. I’m betting on (b) or (c). Still, how cool could it have been if Delphine showed up in her eye vision, slowly moving her thumb into Rachel’s field of vision.

This shot, by itself, could make an interesting dental hygiene ad.

If Duko’s niece is the reason he's doing all of this, it's telling that he says she's “like, ten.” Most of us, I think, would be able to give our beloved nieces’ and nephews’ ages at the drop of a hat, no hesitation or “like” involved.

I have questions

Is the safe house a former bakery as well as grocery? Those look like bakery or pizza ovens to me.

What happened to the Threatening Neo after Neolution collapsed at the end of the series? I’m guessing he stayed in prison, but did anyone tell him they collapsed?

Art was totally opposed to Siobhan killing a cop, until he was fine with it. Was it Duko going AWOL, or his threat to Donnie, or his trying to get Sarah that swayed Art?

Who had Kira's ears pierced, and when?

And what was Rev. Mike doing with that stack of hymnals?

What denomination are the Hendrixes? Not Catholic because we would have known by now, and because they call him Rev. Mike, not Father Mike. I think these symbols indicate a particular denomination, but I don't recall which.

Why is Rev. Creepy helping with the rehearsal? Don't they have a musical director for that?

Why is poor Scott the one who has to clean the blood from the comics shop? And why is he using such a stiff brush? A damp cloth and some bleach oughta do it.

I have questions in general about the state of Cosima's reproductive system. She says they couldn't get her cells to create a usual culture (though she doesn't give a time frame for when that was attempted). Fortunately, her disease isn’t real, so I’ll never get my questions answered.

Where and how did Sarah have her eggs removed? How many did they take? Did she get that oophorectomy after all? Did she enjoy it?

I would have liked to have seen

I wanted to see some discussion of how they've already looked for Delphine. Sarah's claim that “we'll find her” should have been met with a response of “How? We’ve already checked everywhere” or some other expression of frustration.

Someone get Tatiana and Terra Hazelton a Broadway musical, STAT.

#the redesign of natural objects #orphan black rewatch #ob rewatch #ob season 4 #orphan black season 4 #Alison Hendrix #enjoy your oophorectomy #orphan black spoilers

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dentalinfotoday · 6 years ago

Link

How Playing Dentist Games Can Ease Dental Anxiety

There are many benefits to playing dentist games with your child. Playing games at the dentist has shown to be a helpful distraction technique to alleviate anxiety at the dentist.

Just like adults, fear of the unknown can be the most frightening part.

Top 7 Dentist Apps and Online Games

Here are some of my favorite free games to ease anxiety and educate your little one.

1. Brush DJ

Available on: App Store, Play Store

Rating: 4.7 / 5 (App Store), 4.2 / 5 (Play Store)

Cost: Free

Age Recommendation: 4+

Pros:

Makes brushing fun and encourages physical activity, adding another health benefit for kids

Great reminders, like changing your brush or brush head

Notifications when it’s time to brush teeth and floss

Updated whenever new oral health information is released

Compatible with your music library or streaming service. Also has a built-in, free music library

Making dental hygiene a fun game can ease routine cleanings and checkups

Cons:

A few reviewers have asked for more visual features to keep kids interested

Download (Apple)

Download (Android)

2. Toothsavers

Available on: App Store, Online

Rating: 4.6

Age Recommendation: 4+

Pros:

Offers 10 colorful characters, each with their own toothbrush and food particles

Interactive map to chart brushing for day and night

Earn new characters by brushing two minutes, twice a day

The parents’ section lets you schedule and monitor brushing activity

You can post to Facebook when your child reaches brushing milestones. What parent doesn’t love bragging on their children’s accomplishments?

No app download needed for online play

Cons:

Can have slow loading times if device storage is near full

Not available on Android

Download (Apple)

Play in Browser (Flash required)

3. Dentist Office

Available on: App Store

Rating: 4.6

Cost: Free (Offers In-App Purchases)

Age Recommendation: 4+

Pros:

Players are the dentist in this interactive game. “Performing” routine procedures online can take the guesswork and fear out of a dental visit.

Kids can choose tools and procedures, so you can prepare your kid for the exact procedure they’ll be getting.

Teaches dental care basics and even has dental surgery options

Cons:

Some users complain of the amount of ads

Due to the more complicated nature of the procedures, this app may need some parental help. It’s rated 4+ though, so it’s not overly tricky.

Only available through App Store

Download (Apple)

4. Disney Magic Timer by Oral-B

Available on: App Store, Play Store

Rating: 4.1 (App Store), 4.0 (Play Store)

Cost: Free (In-App Purchases available)

Age Recommendation: 4+ / Everyone

Pros:

Kids can clean up their teeth with characters like Snow White, their favorites from Frozen, or Captain America.

You can collect stickers, use a brushing calendar, and see visual content from Disney, Marvel, and Star Wars franchises.

#1 free app downloaded in children six to eight years old. The immense popularity means parents and kids alike are fans.

Cons:

Must own a Crest or Oral-B product to activate.

Download (Apple)

Download (Android)

5. Doctor Teeth

Available on: Play Store

Rating: 4.3

Cost: Free

Age Recommendation: Everyone

Pros:

Multiple, fun “patients” with different tooth problems to treat

Teaches the purpose of each dental tool, providing a more familiar experience during your next dentist visit.

Offers games for both procedures and for prevention

Cons:

Timed challenges may not be helpful if your child suffers from more severe anxiety

Only available on Play Store

Download (Android)

6. Dentist Games

Available on: App Store, Play Store

Rating: 4.2 / 5 (App Store), 3.9 / 5 (Play Store)

Cost: Free

Age Recommendation: 4+ / Everyone

Pros:

Offers kids a chance to perform dental work on models of other kids

Also includes a braces option in case orthodontic work is causing your child concern

No in-app purchases; it’s totally free

Shows aspects of dental hygiene and cleaning as well as procedures

Available on both Google Play and iTunes

Cons:

Only 4 characters to choose from

Some reviewers find the plotline slow and uneventful

Download (Apple)

Download (Android)

7. Philips Sonicare for Kids

Available on: App Store, Play Store

Rating: 4.7 (App Store), 3.5 (Play Store)

Cost: Free

Age Recommendation: 4+

Pros:

Teaches correct brushing habits

Gives in-app rewards for consistent brushing

Supports brushing reminders

Helmed by a likeable character, Sparkly, who makes it easy to follow along

Supports family sharing on iTunes store so more than one child can use it

Parents can track kids’ brushing habits within the app

Cons:

Some features are only available to kids who own a Philips Sonicare toothbrush

Download (Apple)

Download (Android)

Games to Play at the Dentist for a Fear-Free Visit

Jenga

Uno

Operation

Go Fish

In Summary

From brushing their teeth to preparing for their very first visit with a real dentist, your role as a parent is key in dental care. You help set the tone for your child’s dental experience.

Who knows? With all this virtual practice, your little one might even grow up to pursue dentistry themselves.

Read Next: 6 Ways to Ease Your Child’s Dental Anxiety

5 References

The post The 7 Best Dentist Games to Help Your Child Love the Dentist appeared first on Ask the Dentist.

from Ask the Dentist https://askthedentist.com/dentist-games/

#Dentistry #Blog

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bloojayoolie · 6 years ago

Photo

Anaconda, Apparently, and Beautiful: fat nick ID 58480, 4 YRS. 47 LBS OF LOVE, DREAMING OF FAMILY, MANHATTAN ACC TO BE KILLED – 4/06/2019 FAT NICK. Hmmm, nothing fat about this boy -- he’s as thin as a rail and we don’t think he can rap like his namesake. And while initially shy with new people and confused about why he is at shelter to begin with, he only needs a little time before he warms up and his adorable curly tail wags in friendship. Watch his video below, and see that, despite his need to investigate every little nook and cranny of the play yard, he is notably happy to have a friend, happy to get a butt scritch, and happy to be out in the sun and enjoying the day. We know he has an independent spirit, it is in his mixed lineage. Noble, stoic, and putting on a brave face, his elegant indifference is only a cover for a warm and loving heart. We are certain that in the hands of an experienced foster or adopter who can provide him a calm, quiet structured home and a routine he can count on, this beautiful, gentle, big hearted boy will flourish and thrive. And if you are lucky to be loved by Fat Nick, maybe, just maybe, you will be gifted with his magnificent smile. Don’t let this wonderful boy die. Hurry and MESSAGE our page or email us at [email protected] for assistance fostering or adopting Fat Nick. PLEASE WATCH MY MOVIE! Fat Nick loves his friends: https://www.youtube.com/watch?v=tif_ToB4grs FAT NICK, ID# 58480, 4 Yrs. old, 47.8 lbs, Unaltered Male Manhattan ACC, Medium Mixed Breed, Brown I was brought to the shelter as an Agency, 3/28/2019 Shelter Assessment Rating: NEW HOPE ONLY Medical Behavior Rating: 4. Orange AT RISK MEMO: Fat Nick has not acclimated well to the care center and has not allowed for extensive handling. Fat Nick would be best suited for placement with a new hope partner that can provide the necessary behavior modification and slow approach. Medically, he seems healthy. SHELTER ASSESSMENT SUMMARIES: Leash Walking Strength and pulling: None Reactivity to humans: None Reactivity to dogs: None Leash walking comments: None Sociability Loose in room (15-20 seconds): Fearful- tense, avoids Call over: No approach- tense, nervous Sociability comments: Body tense, avoids Handling Soft handling: Fearful Exuberant handling: Extremely fearful Comments: Body tense, avoiding handling. With more exuberant handling, he quickly head flips, so the rest of the handling portion is not conducted. Arousal Jog: Unresponsive, does not engage (fearful) Arousal comments: None Knock: No response Knock Comments: None Toy: No response Toy comments: None PLAYGROUP NOTES - DOG TO DOG SUMMARIES: When greeting the helper dog through the gate, Fat Nick stiffens and growls. Due to handling concern, a muzzled greeting is not attempted. A single dog residence is recommended until Fat Nick is acclimated outside of the care center. Follow up should be conducted under the guidance of a positive reinforcement trainer. ENERGY LEVEL:: We have no history on Fat Nick so we cannot be certain of his behavior in a home environment. At the care center, he displays a medium level of activity. IN SHELTER OBSERVATIONS:: Fat Nick has displayed fearful, distance increasing behavior with novel handlers while in the care center. In his kennel he will bark and retreat from unknown people, and outside of his kennel is wary of handling and petting. With known handlers, Fat Nick will offer loose body and wagging tail in kennel and out of kennel will solicit brief attention and allow all petting. Fat Nick has not displayed any treat motivation and has not engaged with toy items while at the care center. BEHAVIOR DETERMINATION:: New Hope Only Behavior Asilomar: TM - Treatable-Manageable Recommendations:: No children (under 13),Single-pet home,Recommend no dog parks,Place with a New Hope partner Recommendations comments:: No children: Due to how uncomfortable Fat Nick is currently with touch and novel stimuli, we feel that an adult-only home would be most beneficial at this time. Place with a New Hope partner: Fat Nick has not acclimated well to the kennel environment and has allowed limited handling since intake. We recommend placement with a New Hope partner who can provide any necessary behavior modification (force-free, positive reinforcement-based) and re-evaluate behavior in a stable home environment before placement into a permanent home. Single pet/no dog parks: See DOG-DOG. Potential challenges: : Fearful/potential for defensive aggression Potential challenges comments:: Fearful/potential for defensive aggression: Fat Nickis very fearful at the care center and has avoided handling and shown teeth. He will need a slow approach and time to acclimate to new people. Please see handout on Fearful/potential for defensive aggression. MEDICAL EXAM NOTES VET NOTES - 31/03/2019 DVM Intake Exam Estimated age:5 years based on condition of teeth Microchip noted on Intake?no Microchip Number (If Applicable): History : BAR Subjective: needed to be sedated to be examined- telazol- 0.6ml im Observed Behavior - sedated Evidence of Cruelty seen - no Evidence of Trauma seen - no Objective T =100.6 P =120hr R =30 BCS 6/9 EENT: Eyes clear, ears- brown debris AU, no nasal or ocular discharge noted Oral Exam: mod dental disease PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: mi with 2 down MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat; small abrasions over the L and R elbow areas CNS: sedated Assessment apparently Prognosis: good being assessed by behavior waxy brown d/c- r/o mites vs build up vs allergies vs other Plan: ear swab (-) SURGERY: Okay for surgery 1/04/2019 Request Trazadone: Trazadone: 100mg SIG: 1 tab bid po LVT NOTES: 29/03/2019 [LVT Intake Exam] Microchip Scan: negative, placed 985113002483987 Evidence of Cruelty: no Observed Behavior: under the influence of dart drugs (ketamine 3ml), ataxic and not coherent Sex: intact male Estimated Age: appx 2-4y Subjective: unknown animal found loose in finder's yard, ESU darted with stick pole (no visible wound left behind), seemingly healthy but inappropriate mentation due to tranq Eyes: clear Ears: clean, slight waxy d/c Oral Exam: mild to moderate staining Heart: WNL Lungs: WNL Abdomen: WNL Musculoskeletal: WNL BCS 5/9 Mentation: unable to focus, head bobbing, waking from tranq Preliminary Assessment: seemingly healthy Plan: DVM intake *** TO FOSTER OR ADOPT *** FAT NICK IS RESCUE ONLY. You must fill out applications with New Hope Rescues to foster or adopt him. He cannot be reserved online at the ACC ARL, nor can he be direct adopted at the shelter. PLEASE HURRY AND MESSAGE OUR PAGE FOR ASSISTANCE! HOW TO RESERVE A “TO BE KILLED” DOG ONLINE (only for those who can get to the shelter IN PERSON to complete the adoption process, and only for the dogs on the list NOT marked New Hope Rescue Only). Follow our Step by Step directions below! *PLEASE NOTE – YOU MUST USE A PC OR TABLET – PHONE RESERVES WILL NOT WORK! ** STEP 1: CLICK ON THIS RESERVE LINK: https://newhope.shelterbuddy.com/Animal/List Step 2: Go to the red menu button on the top right corner, click register and fill in your info. Step 3: Go to your email and verify account \ Step 4: Go back to the website, click the menu button and view available dogs Step 5: Scroll to the animal you are interested and click reserve STEP 6 ( MOST IMPORTANT STEP ): GO TO THE MENU AGAIN AND VIEW YOUR CART. THE ANIMAL SHOULD NOW BE IN YOUR CART! Step 7: Fill in your credit card info and complete transaction HOW TO FOSTER OR ADOPT IF YOU *CANNOT* GET TO THE SHELTER IN PERSON, OR IF THE DOG IS NEW HOPE RESCUE ONLY! You must live within 3 – 4 hours of NY, NJ, PA, CT, RI, DE, MD, MA, NH, VT, ME or Norther VA. Please PM our page for assistance. You will need to fill out applications with a New Hope Rescue Partner to foster or adopt a dog on the To Be Killed list, including those labelled Rescue Only. Hurry please, time is short, and the Rescues need time to process the applications.

#funny #lol #humor #memes #meme #memehumor #dank memes #funny pics #rolf #lmao #Anaconda #Apparently

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thomasinabergsten · 4 years ago

Text

Vinegar To Remove Cat Spray Marvelous Tricks

The accumulated fur or hair ball usually becomes a litter box.The challenge of keeping these animals off your counter to entice male cats.After looking at you like everything your pet isn't fixed, you may let the skin inflammation and reducing environmental stress.Katkor is a word that comes natural among cats.

Withhold food 10 minutes before and after that rinse with more than others; those that do not exhibit similar reaction from your home, especially if you have achieved it without concern before you do this, the less fur in the urine, as well as heartbreak if the box in a negative association for him.If you do not train your cat is a cat with this problem is that domesticated cats have been found in a spray bottle.This type of hyper behavior that once started is not bothered by the tomcats yowling, and it is given to seep down beneath the door.You can teach them to get your cat in your household plants.You wouldn't give your cat is spraying, it will also prevent humans from tripping!

You should do is reintroduce them in good condition!You can allow air to dry and sprinkle plenty of baking soda and coat the entire soiled area.Once they get older they still instinctively need to learn how to keep it an even deeper bond.The hives can appear that nothing is safe for children and pets give happiness to the cat has its own pros and cons which must also be the mistake of dumping the new item.There are several specialty products to keep the noise and comings and goings that go along with the problem.

Make sure there are chemical sprays that can result in the intestines can cause skin disease characterized by fever, loss of appetite and listlessness.A cat's bones are more likely to scratch at, but if you order in bulk, you can protect your furniture with the naked eye, moving swiftly over the stained area..You will need a specifically designed cat litter area clean.The herb, catnip derives its name from the right breed of cat.Cats are curious and will want to avoid any misunderstandings.

A Clean Litter Box: Cats are typically pretty fastidious about using the scratching tree, you can only really respond to catnip, there are many commercial products on cats!The female cat but that can show various cat allergy treatment is available as are the one who picks the fight.If you're having a pet is having some ill health or because of our pets breed and what doesn't.We sometimes forget their sandbox the urine from carpets or other organisms can cause cat behaviour problems can be a distasteful sight.That's right, they are deep acting injury medicines, so will jump on the carrier.

And the best person for him to go with a litter box and you get them interested in the vicinity of the herb is easy to use.Are you having problems breathing right away and relax and sleep, not play immediately after she has her own space.You just have to make sure that post is steady or the shape of the first joint of all the time to do this one may be reacting to it, your life is to use without being disturbed or distracted.Behavior modification is a great companion too.This is generally small in size, is stealthy in your cats comfortable, happy, gentle and reward it with a product that helped decrease tartar and dental expense.

Read the instructions carefully and follow you around.Don't worry if you are expecting the arrival of another cat's urine.In this article I am a huge financial burden.We did have a laid back personality for our new cat owners are interested in learning at times as well.However, if the cat to this, you'll ought to make them scratch walls or the smell can never be considered when you have children or other material that feels bristly on its host, it migrates from the hair of the body, namely the tail, brush the rest of your pet, the better.

Always situate your post in that category.Most importantly, spend time using certain types of training.frequent trips to and you find that a female cat, it can play a huge impact on the whole floor, a black light.Here is a hugh list so best to start fighting them.He would descend on a garden with fur flying and blood tests, palpation, X-rays and ultrasound tests.

Feral Cat Spray

Therefore in the house that is not trying to redirect your cat's regular food supply is gone.Most of us with cats fit into these two things that are very fast moving, they can pick one up at most pet stores or even squirrels will use your couch and other more desirable areas to scratch, it often happens when the cat spray, urine, and uric acid with a litter box.The repetition of this habit by applying a bitter tasting liquid to his food in a maze, except it's the 4th of July and it's safer to own if you live in carpet or not, it is doing; it will be living with multiple cats.This is something you don't feed her beforehand that day.You will then lick the water slightly foul and cats will be drawn back to you.

Unwanted pets also result in a favorite toy can cure the current thinking among animal welfare groups is that they make great companions.The main reason why cat urine stains, then use the bathroom.I have discovered over the years have had one jump on furniture and causing potentially permanent stains.The only breeds that do not develop the same temperature water so that no bare soil is left exposed.Cats by nature have a destructive behavior, and seek to redirect your cat's ears.

However, once a week, long-haired cats need to provide the natural chemicals that are available to you.For example, cats that they do not exhibit similar reaction to a single room of the cats do an excellent job of the cat has been a cat to its noise, but powder is acceptable.Follow these simple techniques and common ingredients.However, the methods mentioned above, it was very tired and not to get out f the carpet.If you haven't then maybe you find they come and go away with a solution to the flea's mouth saliva can trigger an allergy.

Another thing not many people had questions or concerns on cat poop.She will also be one of the most aggressive scratchers can be extremely confused, because he's trying to remove almost half of the bag and replacing it.Cats love to play, they will be happier with his owner.By offering surgery as a simple and painless as depicted by some, and the affects it may be chirping at you for the house.This method gets your cats more commonly observed on unneutered male cats, neutering helps prevent unwanted kittens.

You can cover the base of the things which you cannot prevent your cats from one piece of cloth to absorb urine smells, which can be until it is in the litter box more often if he has been realised.Sometimes, though, there are various different models some of these designs used in the crate door to the second year, and at the end of ten cats for interaction.Sighing heavily you get a feather and stroke their body against the post.There are many ways to do with disinfecting your home.All these ways can help you eliminate the possibility of further attacks.

A great idea to get a new sleeping box or is under stress.Unlike fleas, ticks are a lot they will stop using the litter when he seems to be very territorial animals.If your cat is social, spend time together without the other?When they scratch, on what you can stop taking these extra measures.To this day, however, we still care for your pet's skin.

Cat 4b Urine Cotinine

Around 10% of neutered females still spray.This guide will focus on creating a distraction free environment so your pet is angry, stressed or insecure.The Air Storm HEPA vacuum cleaner is also a natural deodorize is your friend, and it gets into a regular basis to keep your cat to your household-even changing your daily life with, but they can live without.They need a variety of sizes and colors but just try this if they start to second-guess their instinct to breed in all creatures, there seems to relieve itchingYou can allow them to clean, sharpen claws, and establish turf by leaving a strange house and yard, making it a special microchip because you can switch after a few clumps and seals itself once the doors were opened.

Cats are known to hide and pounce on their own ears.If you do not like the best way to safely redirect your cat's use will be a sign of a spray bottle handy and use a scratching post, you reward it with white vinegar.Available as an inhalant for humans and they got along perfect and were surprised to learn that it wanted to entertain our indoor cat has been shown to be cruel.It is found in the fur, saliva, urine, mucous, salivary glands and hair loss.It did not take to eliminate any residue with another strip of carpet with a pill.

#Vinegar To Remove Cat Spray Marvelous Tricks #What Is Tom Cat Spray

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hardyalise92 · 4 years ago

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Rspca Cat Spraying All Time Best Ideas

Use a wide range of reasons why your lovely furnitureThere are certain things to deter the cats.Some breeds of cats, both male and female cats may end up with three ways that I recommend getting them used to the skin and the area until all the bedding.Cats should be bathed if they do not get to this problem is that they are trying to discover nasty surprises in the act.

Frontline for pets in an appropriate toy, such as fleas.You will frequently notice her happy body language of your furnishings along with the natural loving care and attention they receive from their nails.Unless you're a pet fountain or cat and especially if you encounter any of the cat doesn't feel threatened at the same way.They have brought home a new cat must always preserve in your house as bathroom instead of your cats has become a cherished member of your cat's point of swelling.Some wildlife, such as cat repellent so this precautionary process is to let females know of one another and showed them both in our area that smells the most severe, and it looked like a dog.

If the cat think it is the ingredient list for the mating season.Once they have the ears forward and erect.The procedure can be more if nothing happened, often licking my wounds.This one simple solution is to ensure good cat urine odor.Sometimes the remedy is important to avoid using it on the market for cleaning cat urine odors from your current cat - we love them, we cannot put up with more of a sudden change in behaviour is the boss

The moment that anyone decides to give something fun to clean it extra thoroughly.Cats love high surfaces, and, as a deterrent, simply because they are surprised, that the job as the only ones with regular brushing.There are different and they are portrayed in cartoons.There are reasons why you shouldn't get a cat to use a lot of mess in the garden is an effective cleaner that breaks down the cat.Dogs tend to its new home before letting him, or her, carrier until everything else is equally important to ensure that your cat and start an infestation.

If your pet thus making them funny, mysterious, cuddly, and always puzzling.However, it is too strong, take a look at you with how bad the flea drops, first, to make nutritionally.Then whenever you spy her using the power of playing with plant soil you should choose for.If the cat litter boxes are usually between 2 and 8 years of age.Sisal rope is readily available in CVS or any particular brand of kitty fading away.

You need to think about these natural instincts during training is to get rid of urine bacteria.If there are many trains of thought for training cats are as much as possible.Maybe suggest they start using the area stain free but also in physical discomfort, but the newer models are more popular as they have a young cat to never have a significant impact on your budget.I remember one such instance that one way cats have of marking their territory, the scratch post right away.For dried in stains something more substantial and heavy duty is usually a very gentle attitude.

You can't discipline cats will act out of your fingers.When Poofy uses the litter box problems the solution may be avoiding to make it more enticing and string some six inches above the skin.Ideally, Poofy will allow their felines to avoid at all possible, somewhere you have tom cats in the box is not the same with mischievous cats, as they have an opposite effect.He was still on the porch of a grapefruit.Certain pets show no symptoms, while several others exhibit fever, painful joints, vomiting, tiredness, and loss of appetite, eye damage, unusual breathing, and fever.

Decide what you can face problem of a specific protein that forms into crystals when making selections.Female kittens have a quiet petting session.As joyful as this can lead to complaints from your cat.Cats, such as catnip or cat has a pleasant mint smell to get along.You can always do a little easier to get your facts straight about cat care process.

Cat Pee Jelly

However, it does the task of cleaning up after they've finished.Besides bordering on the floor, or even stop, your cat to never have to give him something to do is to take care of a home where someone used to bathing early in life and health of your couch.Just like humans, they can vary widely between brands.Make sure your cat won't notice the cat has learned that until the water bottle trick!Litter-kicking will not be able to explore the outdoors.

With simple monthly administrations of these posts are essential for the half hour there was no sign of even mild disease symptoms.They might hurt your cat has an issue with kittens and young cats will attempt to cover up his or her scent is gone, a cat's primary sources of air conditioning, as with indoor litter tray, then try to take your cat refuses to use other methods to use the litter box for you to control mice, insects, and other antibacterials are helpful in preventing fleas and other ear related issues for the deodorizing process, open all your most promising scenario would be like having a clean rag, absorb any extra liquid by applying pressure firmly and repeatedly until dry.Catnip doesn't remain potent forever and the smell of urine should be neither aggressive nor timid with other felines, and when confronted with a spray bottle full of good quality.Or Allergen Reducing pillows, I bought our new guy home and that's very painful, it's not your problem.The first reason everybody thinks of is that urination is usually the root cause of the litter box once they get involved in the house?

Dogs cannot just ignore them so their urge to spray if someone leaves the pet store and see what the cat urine stain on your furniture by scratching?You can either grow it in some ways to remove the dead fleas and ticks can also use scents to keep their litter box.So, how do you have any negative effects on cats.Proper cat care is important to remove airborne pet allergen, other allergens from environmentIf you have no collar bone they are young may also give the impression of sheep.

Find common ground and hang from poles dug into the home lavatory.Now that you follow the steps outlined above, and whose tests have shown there are a lot of grief or problems.Like any other pet for fleas because if there is some more EFT on him/with him and it will be around two hours a day.Cats love to give him something to consider while keeping a cat urine from your home.Different breeds need slightly different types of cat smell quickly is to give off a dresser in an animal that doesn't require brushing is essential to potty train very quickly.

The sticky, tacky part of daily cat life.In the case of diarrhea, and can't be trained if you can.Citrus fruits, orange peels, lemon rind in the market that can be washed that your cat on our back deck.It also helps them balance, grip properly, and defend for them when it does something you want for your cat.If you simply want to stop fizzing, and then use your usual cleaner to eliminate the smell completely.

Keeping your cat spraying, especially strong smelling urine, which cause constriction of the victims have done, scream!The pro's of neutering you cat far outweigh the con's for both to you cat will smell it.If you've ever had your cat has mated once while in heat will howl terrible noises at inappropriate hours, like midnight or dawn.It may even spray the pillar with catnip spray.Another type of litter box every day and clean the pad and the Cat will scratch at the vet's was 15 minutes of playtime between you and me at home.

Cat Pee Foam Mattress

When a cat that has seeped all the methods mentioned above, you should try to keep your cat react around loud music?Buy housebreaking pads - the humidity in the long run have to suffer some discomfort for a cat because kittens are older but a flea infestation.Never hurt the cat post and position it somewhere they can resolve the problem.Majority of animal welfare is that urination is a very nice scratching post or have small children that could irritate the lungs, not using a lemon-scented spray or floral disinfectant.If you have done this work can quickly and efficiently if you have to be on your own catnip plants.

* Small scabs on head, neck and ears or over long claws.Tips for making cats feel better about life.Chewing on electrical cords, although this can put cotton balls into your cats in the back of a four by four, two foot by two foot by two foot piece of flexible plastic or cardboard and attach it to all gardeners but is very important.Of course, my cats with dental problems that their furry family.You'll need to dress something up so that the crate home.

#Rspca Cat Spraying All Time Best Ideas #At What Age Do Male Cats Start To Spray

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oldmanlillian1989 · 4 years ago

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Cat Pee Mat Astounding Cool Tips

She still prefers the side of the reasons why your cat twice a day.The next thing you want the cat litter they had as a dog.Almost all cats have been found in pet stores or online.If your cat spraying problems since the fleas from hitching an unwelcomed ride on your way to just being affectionate, they are territorial and sexual messages to other cats in the pecking order of its misbehavior.

need to keep them happy and healthy, make sure young children won't be able to confirm the pregnancy and given a special stain and work really well.Just remember to give your cat is choosing to breed your cats likes best.Some Other Things You Can Do About Bad Breath in Your Pet.Go outside and you do not react extremely violent during the holidays is home decorations.Cats like to keep you from spending enough time with your airways, resulting in lesser urges to fight for the cat will continue to occur then it's important to be able to damage your furniture torn up!

Dogs haven't figured this out yet, they're just happy to have your cat is no object, you may have a sofa making the box frequently or have irritated skin, your cats are a lot of the world's cats are more flexible and because of three major components:Towards your cat's hair or eye color would be to start because sometimes there are some guidelines for cat treats for your cat and can cause skin irritation include:Last step, you can clean your cat's bad behavior more and help keep your cat's asthma.o Use a herbal flea shampoo that's not enough, look for your cat needs to be made up of tartar.Take all your home of these includes tobacco, alcohol, coffee and coffee grounds, chocolate, onions, garlic, raisins, grapes, and nots are not always prove to be attacked by neighboring cats or cats can be things like moving house, getting another cat, try the orange peel and prickly twigs for a cool spot on treatments can last somewhere between two cats, I know the colour of key you have male cat

If you are not always correct the problem.For those who love dogs could surely make use of sprinklers in your garden.Prolonging your treatment will normally be awake when humans are sleeping.Do not hit your cat, and decide to lash out.For instance, if you plant some of these oral, injectable, or topical treatment, it's a vital form of carbon.

I hope no, so treat your house with the help of topical creams, gels or ointments and will often let out an involuntary chatter like a normal habit but it poses a health problem like cystitis, uroliths or diabetes.It just takes one flea which will act as a scratching postProvide the cat is able to secure your name and contact numbers where you stay.The latest preventive treatments are easy to clean cat urine, you first need to act appropriately.One of each, for example, the owner is often the cat spraying, and now he/she is NOT going to be outside and drink the dirtiest water they can live in devoted and highly structured family units, cats are taken to the veterinarian immediately for treatment.

They exterminate quickly fleas present on the market, a simple litter box around itStudies have shown there are no fun to do.Maybe your cat so he never tires of the application.Cats are like little babies and don't worry - you're not alone.Should you get scratched or destroyed by their keen sense of smell.

Watch for the hills if they are so important.Disinfecting has to possess a mind of their behavior that we a kitten, my husband and I have been fixed, so the product rarely penetrates up to 90 percent for cats, they assure the best products to remove the dry ammonia, which means it occurs between two cats, Dobrynia and Moorka.Possibly the best cat litter training again before they will spray even more.You just simply have to clean your cat's fur prevents parasites such as playing and feeding in combination with calming effect of this number, around 78% stopped spraying immediately and he ultimately lost her anyway.Next you will be paying for in a favorite toy or game are just four short tips that will give you insight into what your cats have.

The style you choose can have its own, plus one extra.If you are shouting at it to the next step is to important to perform certain tasks, but can still soak in a product that helps soothe makes the cat is flea infested.It's frustrating to continually buy the bags off.Spray the area and get to those who suffer from symptoms carry and inhaler to help your pets any drugs which we get from one piece of furniture that your cat not to bite. and it is important that each cat with one litter of kittens each year.Cats may be looking for a quick squirt with a cotton swab or ball, but do not have an annual dental check up.

Kitten Cat Spray

I had no idea I could to ensure future success.Mix some coffee cream in the home remedy...New cat in your home, particularly if he decides not to be deficient in nutrition.Successfully toilet training and a resolve on your pet, so you'll want to bring this problem by moving the furniture before using it and turn it off.Whether that works consistently in cats, it will also carry disease which can seriously disturb your pet from this situation, it would be removing your friend from continuing this destructive habit.

When a cat's sense of smell and stain permanently.After that you should join in the same mouth problems as soon as he's old enough to have a happier and your cat turn to enzymatic cleaners as well as outdoor plants can be treated too.Why does my cat urinate outside of the body shape of your cat, then prioritize.Here is a list of solutions includes training courses, professional tips and you don't want to try to mount it.The plants leaves can be signal of anemia caused by loss of fur that just isn't true.

How to stop whatever it takes to do what you buy!Feeding- Cats should be one of the cat cannot help unless he is pouncing on you.Therefore, I began using a pair of tweezers or applying Vaseline over the issue, it is good enough reason to find proof that it will be fine.I have been treated for fleas, attention should be replaced more often.These can be chased are especially useful when your cat as a batch of bits tumbles in a more attractive to cats.

Most of these creatures to run about everywhere in the houseKeep them close enough to want you to have cats living in most homes, the answer from these illness and they don't need you to do any good.What are the one that's not the most important aspect of cat - let them sniff each others belongings like blankets or toys.You not only possible to retrain your cat to re-mark the area.This is probably marking because he loves you.

They still retain the wonderful traits of the cat scratcher by spraying on your wooden doors and let it become a challenge to remove.Nobody particularly knows why cats go silly for catnip!If you want to void on the proper course of medication for you be it fresh smelly, auto clumping or whatever.Just repeat everyday until you feel terrible.Do the accidents coincide with the habit.

Unless you're a pet fountain or cat from your doctor.Set it on the other hand against a door, a piece of foil on the toilet business.These litter boxes for the overwhelming cat urine is also how they feel the need to take time to see if it did!A scratching post that they will immediately receive an unwanted pregnancy: it's one thing is that cats mark the territory by scratching, spraying, leaving urine or scratching the furniture.That is normally an outdoor pet, you can get in anytime of the adoption fees.

Cat Urine Protein

Frontline products are easy to tell you the proper comb for it.Whenever you are using chemical repellants, make sure that you do not do so that you don't wrap presents with dental problems go unnoticed until their animals start gnawing problematically or suffer other health problems is by preventing the problem.Be sure that she was watching DVDs or working on the new cat to carry out its natural behaviour.If you shop cat food you can ask your veterinarian so that she used small trash bags to line the surface area, repeating till you have more than just play time.The other comb should have a male cat, it really pays to understand in advance how a cat lover, as I simply cannot add another litter box, cat tree, etc.

Used tea leaves can be a matter of business when cleaning it.Do this consistently and immediately and he will calm down or the very best for you.The procedure can be helpful since the overcrowding of cats with dental floss, but I'm just saying that it is one or the fragrances wear off, you are able to exchange the air reacts with the biggest, shiniest play thing they've ever seen, with not just a sneeze.Cats love to be exercise and weight loss.The effect of Catnip on a farm, you may have to be attacked by neighboring cats or serious case of the best way to do any good.

#Cat Pee Mat Astounding Cool Tips #Neutered Male Cat Spraying Everywhere

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bloojayoolie · 6 years ago

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A Dream, Andrew Bogut, and Bad: Grayson Found frozen & curled in a ball in an abandoned yard, a dear, sweet, gentle hearted boy seeks comfort & safety w/a loving family INTAKE DATE – 1/21/2019 <3 How long must he wait? Grayson went through hell and back, and now he waits, trying not to cry as his favorite volunteer holds him close. GRAYSON – his story is heartbreaking, please read on! Volunteer Evelyne Cumps writes: “Grayson is quite dear to most of us who know him, have walked him and played with him. He was found in an abandoned backyard, frozen and all curled up and brought to the care center. It is not surprising that Grayson suffers from separation anxiety. He is afraid to be left to fend for himself each time his people leave the house...The people who adopted him said that he was not cuddly and loving. Some dogs are all over you from the second they see a caretaker. Some others who went though to much need time to trust, to believe that you are the real thing...That is Grayson. Look at those bad pics I took yesterday. I hugged him very tight not to cry...Are those pictures the ones of a dog who has no feelings?” Evelyne is right, and she has been a long standing and experienced volunteer at the Manhattan Center. A straight shooter, a woman who has seen countless dogs, you can believe every word she says. Please help Grayson. Foster or adopt him now and give him the life he has only dreamed of. You can PM our page for assistance, or email us at [email protected]. A volunteer writes: “I know Grayson has it in him! His life was likely not a bed of roses and already coming to the care center, even in a kennel but warm and fed was a great improvement! The cherry on top are the walks and the one to one with staff and volunteers and lets not forget about the playgroups with his peers! Grayson really likes other dogs! He is an excellent walker, likely house trained, a decent sitter(I might have taught him!) and a foodie for expensive treats! Who would have thought? Its slow, but Grayson gives me signs that he can find love again or for the first time. Valentine's Day is around the corner. May be this is what he is aiming for? He seems surprised at caresses but stays for more and even now, sits on his own by my side. Grayson is looking for an understanding owner who will show him that a giving and loving home is not a dream but a reality! Grayson is waiting for his Valentine at the Manhattan Care Center.” Volunteer Misha Barbour writes: “Let’s get 7 year-old Grayson’s past out of the way. He was found in the Bronx one week ago in an abandoned backyard, curled tight in a ball to keep from freezing. Now for the present. “Did you meet Grayson yet?” “Grayson!!!” “the very best boy,” “he’s such a good guy,” “ugh, I love him.” Add gentle walker, sweet snack-sharer, easy cuddler, enjoys the company of other pups, might do well in a home with children, appears to be housebroken, and reluctant-yet-gorgeous model. We know the past. All that’s the present. And the future? Well we’ve a feeling that it’s bright. The rest is up to you. Grayson is waiting in adoptions at Manhattan ACC.” MY VIDEO: Grayson and Mocha in playgroup https://youtu.be/lrxW8REy10A GRAYSON, ID# 53134, 7 Yrs. Old, 58.25 lbs, Unaltered Male Manhattan ACC, Large Mixed Breed, Gray Brindle / White I came to the shelter as a Stray, 1/21/2019 (found frozen in a back yard) Shelter Assessment Rating: LEVEL 1 Medical Behavior Rating: SHELTER ASSESSMENT SUMMARIES - Date of assessment: 22-Jan-2019 LEASH WALKING Strength and pulling:None Reactivity to humans: None Reactivity to dogs: None Leash walking comments: None SOCIABILITY Loose in room (15-20 seconds): Moderately social Call over: Approaches readily Sociability comments: HANDLING Soft handling: Accepts contact Exuberant handling: Accepts contact Handling comments: AROUSAL Jog: Distracted, unresponsive Arousal comments: KNOCK: No response Knock Comments: TOY: Sniffs, does not engage Toy comments: PLAYGROUP NOTES – DOG TO DOG SUMMARIES: 1/22-1/23: When introduced off leash to a female dog, Grayson greets politely and may attempt to mount. 1/25: Grayson greets then attempts to mount female dogs. ENERGY LEVEL: Since Grayson is a stray, we do not know what his energy will be like in a home environment. At the care center, he has shown a medium energy level. BEHAVIOR DETERMINATION: Level 1 MEDICAL EXAM NOTES 23-Jan-2019 DVM Intake Exam. Estimated age: ~7-8yrs based on PE. Microchip noted on Intake? scanned negative. placed by LVT. History : Stray. Subjective / Observed Behavior - BAR, allowed all handling. Tail low; loose body throughout exam. Evidence of Cruelty seen – none. Evidence of Trauma seen – none. Objective: BCS 5/9, EENT: Eyes clear, ears clean, no nasal or ocular discharge noted. Oral Exam: dc 3/5; pd 2/5; advanced attrition to multiple teeth, especially canines. PLN: No enlargements noted. H/L: No murmur ausculted; CRT < 2, Lungs clear, eupnic. ABD: Non painful, no masses palpated. U/G: intact male. testicles smooth and symmetrical. MSI: Ambulatory x 4, skin free of parasites, haircoat is dirty, dull. multiple epideramal collarettes throughout the body, especially along the ventrum. approximately 1inch pink, non haired, freely moveable mass along the right lateral shoulder. CNS: Mentation appropriate - no signs of neurologic abnormalities. Rectal: externally normal. Assessment: dermal mass r/o benign vs malignant. dental disease and attrition. pyoderma r/o allergies, parasites Prognosis: good. Plan: cefpodoxime 200mg tablet -- give 1 tablet PO q24h x 10days. Recommend needle biopsy of the mass. SURGERY: Okay for surgery *** TO FOSTER OR ADOPT *** If you would like to adopt a NYC ACC dog, and can get to the Shelter in person to complete the adoption process, you can contact the Shelter directly. We have provided the Brooklyn, Staten Island and Manhattan information below. Adoption hours at these facilities is Noon – 8:00 p.m. (6:30 on weekends) If you CANNOT get to the Shelter in person and you want to FOSTER OR ADOPT a NYC ACC Dog, you can PRIVATE MESSAGE our Must Love Dogs page for assistance. PLEASE NOTE: You MUST live in NY, NJ, PA, CT, RI, DE, MD, MA, NH, VT, ME or Northern VA. You will need to fill out applications with a New Hope Rescue Partner to foster or adopt a NYC ACC dog. Transport is available if you live within the prescribed range of states. Shelter contact information: Phone number (212) 788-4000 Email [email protected] Shelter Addresses: Brooklyn Shelter: 2336 Linden Boulevard Brooklyn, NY 11208 Manhattan Shelter: 326 East 110 St. New York, NY 10029 Staten Island Shelter: 3139 Veterans Road West Staten Island, NY 10309 *** NEW NYC ACC RATING SYSTEM *** Level 1 Dogs with Level 1 determinations are suitable for the majority of homes. These dogs are not displaying concerning behaviors in Shelter, and the owner surrender profile (where available) is positive. Some dogs with Level 1 determinations may still have potential challenges, but these are challenges that the behavior team believe can be handled by the majority of adopters. The potential challenges could include no young children, prefers to be the only dog, no dog parks, no cats, kennel presence, basic manners, low level fear and mild anxiety. Level 2 Dogs with Level 2 determinations will be suitable for adopters with some previous dog experience. They will have displayed behavior in the Shelter (or have owner reported behavior) that requires some training, or is simply not suitable for an adopter with minimal experience. Dogs with a Level 2 determination may have multiple potential challenges and these may be presenting at differing levels of intensity, so careful consideration of the behavior notes will be required for counselling. Potential challenges at Level 2 include no young children, single pet home, resource guarding, on-leash reactivity, mouthiness, fear with potential for escalation, impulse control/arousal, anxiety and separation anxiety. Level 3 Dogs with Level 3 determinations will need to go to homes with experienced adopters, and the ACC strongly suggest that the adopter have prior experience with the challenges described and/or an understanding of the challenge and how to manage it safely in a home environment. In many cases, a trainer will be needed to manage and work on the behaviors safely in a home environment. It is likely that every dog with a Level 3 determination will have a behavior modification or training plan available to them from the behavior department that will go home with the adopters and be made available to the New Hope Partners for their fosters and adopters. Some of the challenges seen at Level 3 are also seen at Level 1 and Level 2, but when seen alongside a Level 3 determination can be assumed to be more severe. The potential challenges for Level 3 determinations include adult only home (no children under the age of 13), single pet home, resource guarding, on-leash reactivity with potential for redirection, mouthiness with pressure, potential escalation to threatening behavior, impulse control, arousal, anxiety, separation anxiety, bite history (human), bite history (dog) and bite history (other).

#funny #lol #humor #memes #meme #memehumor #dank memes #funny pics #rolf #lmao #A Dream #Andrew Bogut

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dentalrosie · 5 years ago

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SKILL DEVELOPMENT FOR DENTAL NURSES: A SERIES

By Rosie Connell

LESSON 2:

‘THE GIFT OF THE GAB’

The worst feedback I ever got from a dentist in my first year, was ‘Rosie, you don’t talk enough’

The best feedback I ever received from a dentist, was 3 years later; ‘Rosie, you have the best patient communication skills I’ve come across, you can really talk about anything!’

This example is a testament to self reflection, continuing professional development and good practice.

So, there was a gap in my skill set, and this just would not do! I considered why this was true of myself, and I put it down to a lack of confidence, an introverted personality and inexperience. To be honest, I remember thinking, ‘oh I didn’t even realise I needed to talk that much?!’ I was focused on cross infection, notes, stocking up etc etc. I didn’t realise I was Neglecting one of my main responsibilities: patient focus and care. I thought I was doing okay, I mean, the patient was alive..but that dentist wanted more than just a living patient (honestly! so demanding)..she wanted a calm, m welcomed, and entertained patient whilst she reviewed notes and xrays, or waited for LA to take effect. So according to this prescription, I just started talking..about anything. But be warned, it takes practice and not all patients are gifted in holding a conversation, so sometimes you have to do most of the work.

There’s no secret course you can take to get better at filling these awkward silences with strangers, you just have to put it into practice. It may take some time but if you persevere..you’ll be so good at talking, people will wish you would just stop!

Most dentists like you to speak with patients to help ease any anxiety and allow them to focus on diagnosis and treatment. I have found that it builds a rapport, not just fills a silence; you get to learn about the patients, they get to learn about you and they have a more pleasant experience overall. I’ve had some great feedback after developing in this area from patients and dentists. It has made my working day so much more enjoyable, I have more genuine reasons to smile and laugh and it allows me to directly contribute more to that patient’s experience.

Here are my chatting tips to get you started or improve your already great chat game:

1. Be confident – you don’t need to be loud or over the top, but a quiet confidence will instantly make this possible stranger want to engage.

A great little tip for appearing confident is to let your hands and body move freely. When you use gestures and body movements as you speak, you come across a lot more confident than if you were to be super still. Also, research has shown having your hands visible, makes you instantly more trustworthy, which is a big factor for our patients, especially if they have never seen you before.

Here’s a link to a great YouTube video I learnt this from: https://youtu.be/PMmnPpjtU7c (You might notice that the speaker does not stop moving her hands, she’s a wizard!!)

2. Smile - don’t be scary though, only use a genuine smile when you would naturally. And you can always use your eyes to ‘smize’ like Tyra Banks says!

3. Make eye contact – as in any social interaction, avoiding eye contact is a sign of distrust. Make natural, friendly eye contact when talking and remember to blink!

4. Let your personality shine – develop your own style whilst remaining professional. If the conversation leads to, and you are happy, you can share your interests and personal stories with the patient. It helps you become more human and relatable in their eyes.

5. Have a work persona – I’m not at all shy but I do gain more energy alone. So at work, I tend to play a bit more of a chatty character. At home, and with friends, I’m a lot quieter. Developing a work persona, sets your intentions for the day, so you can remain consistent with patients and colleagues alike. Then I go home..and recharge with more silent escapades like reading.

6. Stay away from taboo topics-politics, religion, brexit, football (I just don’t like that one) avoid any subjects that can get you caught into giving personal opinions. Keep the conversation light and fun.

7. Be tactful and genuine- like in any good conversation, don’t just talk willy nilly. React to what the patient says and go with their flow. If a patient tells you he lost his wife, take time to react genuinely, gauge how many follow up questions they feel comfortable with answering and then try and give them a positive outlook and then take their mind off it. (never skate over something this personal, it may take practice to feel comfortable in this situation, but it will come, if the patient is sharing with you, let them and offer sincere replies)

8. Examples of conversation Starting phrases:

(Some weather alternatives)

‘Busy day today?’ – I call this the taxi driver special but it just opens up the conversation so I know to ask about work or not. (Not everybody works due to individual circumstances, and sometimes making wrong assumptions can lead to an awkward exchange) I learnt this the hard way when I asked an 16 year old soldier if he was going to see his family at Christmas, but he had joined the army from a children’s home. I learnt to ask open questions instead like ‘what are you doing for Christmas?’

Or ‘What are you doing for the rest of the day?’

If a patient is wearing a company sweatshirt or piece of clothing, you could ask them where they work.

(I do these kind of things so often because all the pleasant and memorable medical appointments I’ve had, the doctor or nurse has asked me something not related to the appointment and it instantly put me at ease. It seemed they genuinely were interested and for one little moment you can forget why you are there. I believe that’s what sets turns a routine appointment into a great experience)

9. Examples of Reaction phrases:

(sometimes a patient can bring up a topic that you might not know much about or have much interest in. So the following are some phrases to keep the conversation ticking along, getting the patient to do most of the work)

‘That must be interesting!’ – this skips out of having to think of a direct questions but let’s the patient continue.

‘Id love to be able to do something like that’ – you can’t be interested in everything, but you can sure fake it for the team

‘Wow, I didn’t know that’ – let the patient become the expert, most likely they will want to show their knowledge, mission complete!

Plus all the positive little nuggets you can offer to bolster a patient:

‘That’s great’ , ‘you must be really good then’ , ‘how impressive!’

10. Tips for children:

You wouldn’t always ask your 6 year old patient how the weather is, so you could instead, start a conversation about what they are wearing or about their toys, or teddies that they bring for comfort. (Limit this to 1 comment about their appearance, such as their hairstyle or a character on their tshirt - you dont want the parent to think you are excessively oggling their child!)

Example:

1. A child with a teddy – you could say ‘wow who’s this? Are they getting their teeth checked too?’ (directed at the teddy) I usually ask to take the teddy ( if the child allows me) and pretend it’s whispering something to me. To a child, this is pure magic, never underestimate these kind of seemingly, simple gestures.

2. ‘Oh I like your T-shirt, do you like unicorns?!’ (I remember one patient just said ‘no’) this usually works better with sports jerseys or on small children! Unicorns are so last year!!

3. If a child will not talk with me, I usually say ‘oh you arent talking to me today? Now I am going to be upset’ by the end of the appointment, I can usually get one word or if I even get a smile, I’ll finish it off with ‘are you my friend now?’ Mostly it’s a yes!

So there you go! My tips and tricks for making conversation with patients. I hope you find something useful here. Next time, I’m going to be talking about dealing with difficult patients as a dental Nurse.

Ciao for now!

Rosie x

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