https://www.vetnurse.co.uk/001/vetnurse-clinical-article-club/en-USTelligent Community 10https://www.vetnurse.co.uk/001/vetnurse-clinical-article-club/f/clinical-article-club-discussions/32396/pain-management-for-veterinary-nurses/178064#178064Wed, 22 Feb 2023 02:48:00 GMT1a0763ec-3885-442c-853e-6cef656dfec5:b4792f20-ab9e-4836-95e7-2ac0dad8cdc7chrysanthemum20Really interesting, nice to see mention of laser, anecdotally we had really positive results in using for post op orthopaedic surgery and chronic arthritis/non-operable cruciate issues as well as some exotics. Would be nice to see some studies in its efficacy or use in practice, has anyone else seen positive results from laser?https://www.vetnurse.co.uk/001/vetnurse-clinical-article-club/f/clinical-article-club-discussions/32396/pain-management-for-veterinary-nurses/178063#178063Tue, 21 Feb 2023 17:56:00 GMT1a0763ec-3885-442c-853e-6cef656dfec5:891622ad-634c-42d0-aa5c-b8a81c1f5744shelly jefferiesHi Ali Thanks for the feedback and the great question. As far as I’m aware there is no contradiction for use with metal implants like pins and plates as long as not directly placed over the implant. However magnetic therapies should not be used in a patient with a pacemaker as they are contraindicated.https://www.vetnurse.co.uk/001/vetnurse-clinical-article-club/f/clinical-article-club-discussions/32396/pain-management-for-veterinary-nurses/178062#178062Tue, 21 Feb 2023 17:01:00 GMT1a0763ec-3885-442c-853e-6cef656dfec5:12abcc8a-df25-4866-a836-43bf3c45547cAliTeeWith regards to adjunctive treatment with magnets, are there any contraindications such as pacemakers or metal implants? Thank you for a very interesting and easily digestible article on alternative pain therapies. I have shared it with my nursing colleagues, as it is a great reminder for qualified nurses and an excellent explanation of alternative therapies for student nurses.https://www.vetnurse.co.uk/001/vetnurse-clinical-article-club/f/clinical-article-club-discussions/32396/pain-management-for-veterinary-nursesMon, 20 Feb 2023 13:54:00 GMT1a0763ec-3885-442c-853e-6cef656dfec5:dcc170ad-48a4-4d8c-8023-0f0415e8b4fdArlo GuthrieFor this week's Clinical Article Club, Shelly Jefferies is back to answer your questions and discuss her article about pain management in companion animals. First read her article here: PAIN MANAGEMENT FOR VETERINARY NURSES Then come and post your questions and discussion points here, by replying to this thread. NB TO POST IN THIS THREAD, YOU MUST FIRST JOIN THIS GROUP: https://www.vetnurse.co.uk/001/vetnurse-clinical-article-club I also strongly recommend you subscribe to the daily or weekly digest in that group so you get a daily or weekly alert if there is new content specifically in the Clinical Article Club. .... and I'll give £50 cash to the person who posts the question or discussion point which prompts the most discussion by the end of the week. Who'll start me off??!https://www.vetnurse.co.uk/001/vetnurse-clinical-article-club/f/clinical-article-club-discussions/32393/pain-management-in-the-avian-patient/178059#178059Sun, 12 Feb 2023 08:42:00 GMT1a0763ec-3885-442c-853e-6cef656dfec5:cec1a24f-083a-4a11-bb33-d8d09d89aef9Adam GregoryHi Clare, Good resources include; anaesthesia and analgesia in birds part 1 and 2 and analgesia in birds Joanne paul-murphy. With regards to NSAID and opioid we absolutely do use both and through pain assessment reduce the opioid before reviewing the nsaidshttps://www.vetnurse.co.uk/001/vetnurse-clinical-article-club/f/clinical-article-club-discussions/32393/pain-management-in-the-avian-patient/178058#178058Sat, 11 Feb 2023 07:39:00 GMT1a0763ec-3885-442c-853e-6cef656dfec5:6a89ee2e-9d72-476b-bc01-de194de62fe5clare hawseHello Adam, I am interested in the studies of buprenorphine in raptors if you could point me to them please? And do you ever use a combination of NSAID and opioid in avian patients? Thanks! Clare Hawsehttps://www.vetnurse.co.uk/001/vetnurse-clinical-article-club/f/clinical-article-club-discussions/32393/pain-management-in-the-avian-patient/178057#178057Sat, 11 Feb 2023 07:29:00 GMT1a0763ec-3885-442c-853e-6cef656dfec5:b5442ef2-a568-46d7-9359-1a00c7f8ff52Adam GregoryHi Alastair, thanks for the message. As with most medications, the doses have a range and my advice would be that if there is doubt with the healt of a bird, then start with the lower dose and assess routinely to determine if it's appropriate. If not then at least eeith a lower dose then you can increase it as needed within the range.https://www.vetnurse.co.uk/001/vetnurse-clinical-article-club/f/clinical-article-club-discussions/32393/pain-management-in-the-avian-patient/178054#178054Thu, 09 Feb 2023 13:36:00 GMT1a0763ec-3885-442c-853e-6cef656dfec5:6a6aa8d0-7172-4068-bfed-24ba4d3ca133Arlo GuthrieHello everyone. It would be lovely if one of you, our founder members, had a question on avian pain management for Adam. Anyone? April Hasselmann , Nikki Armstrong , Alison Clare Hickman , Emily Bennett , Jennifer Rowland , CoatiBlues , Lucy Deckker , Louise Royle RVN CertCFVHNut , Gemma Crooke , Jasmine Kelly , Lisa Appadurai , Liz Chesman , pingi , Sonia Evers , Nessa Harbottle , Kerry Roberts , Olivia Coulton , Victoria Armstrong , Queeny Yuen , Stephanie Langford , UlaGreyWolf , Alley Brereton , diana wilson , Melanie Denham , Michelle Palmer , Yasser Kalta , Leigh123 , Laura Hughes , sarah Hallhttps://www.vetnurse.co.uk/001/vetnurse-clinical-article-club/f/clinical-article-club-discussions/32393/pain-management-in-the-avian-patient/178053#178053Wed, 08 Feb 2023 12:17:00 GMT1a0763ec-3885-442c-853e-6cef656dfec5:2365f170-91c3-4e8e-8d18-4886bda83167Alasdair Hotston Moorethanks for taking part Adam. I've a question: the does you mention are very general. Any thoughts on how much allowance we should make for the enormous diversity in body size/BSA?https://www.vetnurse.co.uk/001/vetnurse-clinical-article-club/f/clinical-article-club-discussions/32393/pain-management-in-the-avian-patientTue, 07 Feb 2023 09:56:00 GMT1a0763ec-3885-442c-853e-6cef656dfec5:bf8628e6-f30f-4e64-95e3-71413636e0d7Arlo GuthrieFor our second Clinical Article Club discussion, we've got Adam Gregory RVN NCert (Anaesth) DMZAA DipVNZS APVN , Head Nurse at Great Western Exotics , here to answer your questions and discuss his article about Pain Management in the Avian Patient. Here is a link to Adam's article: https://www.veterinary-practice.com/article/pain-management-in-the-avian-patient Being HN at a leading referral centre, you can imagine Adam is a busy guy, so we're very lucky to have him joining us, but do bear in mind that he may not be able to reply immediately. Nevertheless, he's looking forward to your questions, so fire away! NB to post in this Clinical Article Club discussion YOU MUST FIRST JOIN THIS GROUP: https://www.vetnurse.co.uk/001/vetnurse-clinical-article-club I also strongly recommend you subscribe to the daily or weekly digest in that group so you get a daily or weekly alert if there is new content specifically in the Clinical Article Club.https://www.vetnurse.co.uk/001/vetnurse-clinical-article-club/f/clinical-article-club-discussions/32389/becoming-a-cat-friendly-clinic/178041#178041Mon, 30 Jan 2023 09:34:00 GMT1a0763ec-3885-442c-853e-6cef656dfec5:da91e9ce-1f3a-4a38-b229-a3600d238f0cshelly jefferiesYes this is a great thing to do. We do the same and we just tend to cut a kennel liner to fit the bottom before popping some litter on the top.https://www.vetnurse.co.uk/001/vetnurse-clinical-article-club/f/clinical-article-club-discussions/32389/becoming-a-cat-friendly-clinic/178040#178040Sun, 29 Jan 2023 14:19:00 GMT1a0763ec-3885-442c-853e-6cef656dfec5:2dc262a3-76e8-4a40-afa6-5f3946b9096aUlaGreyWolfWe keep the cardboard trays from royal canin tins as throwaway litter trays for the very elderly, or tiny kitten patients. They have super shallow edges so that the cats can get into them easilyhttps://www.vetnurse.co.uk/001/vetnurse-clinical-article-club/f/clinical-article-club-discussions/32389/becoming-a-cat-friendly-clinic/178039#178039Thu, 26 Jan 2023 11:31:00 GMT1a0763ec-3885-442c-853e-6cef656dfec5:06012fb3-0720-4ba7-9c4f-82e4e081445apingiThanks Shelly. The liver is a new one so thanks xhttps://www.vetnurse.co.uk/001/vetnurse-clinical-article-club/f/clinical-article-club-discussions/32389/becoming-a-cat-friendly-clinic/178029#178029Wed, 25 Jan 2023 13:40:00 GMT1a0763ec-3885-442c-853e-6cef656dfec5:d2875d42-38ab-478a-9baa-5983f4531c6fshelly jefferiesThanks. So our litter trays are from NVS which we order large trays which are longer not just deeper. You can also buy long/large litter trays on Amazon. With regards further reading I would recomme becoming a member of ISFM nurse membership is free, they do loads of great resources both educational for you and they also do some really great owner handouts as well. I also like both the bsava f ine practice manual and also the bsava feline behaviour manual. Hope that helpshttps://www.vetnurse.co.uk/001/vetnurse-clinical-article-club/f/clinical-article-club-discussions/32389/becoming-a-cat-friendly-clinic/178028#178028Wed, 25 Jan 2023 13:30:00 GMT1a0763ec-3885-442c-853e-6cef656dfec5:aa0cdf2f-4643-486b-a232-cfd26be0d9b9Louise Royle RVN CertCFVHNutHi Shelley. Thanks for the article advice, easy to read and definitely easy to implement in practice. I have two questions. The first is regarding litter tray size, you mentioned the try needs to be longer than the cat body, do u have a resource for purchasing these? We have various depth trays available but none as long as described. Second question what cat friendly resources would you recommend for further reading?https://www.vetnurse.co.uk/001/vetnurse-clinical-article-club/f/clinical-article-club-discussions/32389/becoming-a-cat-friendly-clinic/178027#178027Wed, 25 Jan 2023 12:36:00 GMT1a0763ec-3885-442c-853e-6cef656dfec5:91ced654-0988-49f8-8f03-02b87c547474Alison Clare HickmanMusic therapy - love this. I was in a practice that used Radio 4 in the kennels as it was just smoooth talking without any clashy noises. Same difference? Or do you think it's better to use actual music? I know that farmers use music in their milking sheds to increase yield! Have there been any studies you can link me to? (cats not cows obviously, lol).https://www.vetnurse.co.uk/001/vetnurse-clinical-article-club/f/clinical-article-club-discussions/32389/becoming-a-cat-friendly-clinic/178026#178026Wed, 25 Jan 2023 12:22:00 GMT1a0763ec-3885-442c-853e-6cef656dfec5:275dd5a3-69c6-4466-b1eb-4068547ee424shelly jefferiesHi Caroline, defo have a bowl amnesty can always donate to local rescue centre rather than throw away. Favourite bits to tempt eating….I use sardines in tomato sauce, I find licki lix are often a winner, plus I like to keep some cooked liver in the freezer cut into tiny pieces this when warmed up often works a treat. Oh and of course dreamies!!!https://www.vetnurse.co.uk/001/vetnurse-clinical-article-club/f/clinical-article-club-discussions/32389/becoming-a-cat-friendly-clinic/178025#178025Wed, 25 Jan 2023 11:37:00 GMT1a0763ec-3885-442c-853e-6cef656dfec5:21b8d095-e507-456a-8cc8-4aa0fa9f64fdpingiGreat article. We have a variety of bowls in our cat ward but I think I’ll have a clear out and just keep the ceramic ones. We get a lot of anorexic cats in the hospital, can you advise any foods to tempt them to eat ?I use mackerel tinned but we recently had a cat in with an allergy to fish and she had no interest in chicken.https://www.vetnurse.co.uk/001/vetnurse-clinical-article-club/f/clinical-article-club-discussions/32389/becoming-a-cat-friendly-clinic/178022#178022Wed, 25 Jan 2023 10:00:00 GMT1a0763ec-3885-442c-853e-6cef656dfec5:01693a22-6c77-4dae-ad44-90523b010134Arlo GuthrieAlison Clare Hickman Thanks for getting the ball rolling . Now, Sonia Evers , Lisa Appadurai , pingi , Nessa Harbottle , Liz Chesman , Lucy Deckker , Louise Royle RVN CertCFVHNut , Olivia Coulton , Kerry Roberts , Jennifer Rowland , Jasmine Kelly Gemma Crooke , Emily Bennett , CoatiBlues ... A very warm welcome to you too! Have you read Shelly's article yet? And do you have any questions or things to discuss about making practices cat-friendly? I wonder if it would help if I offered £50 for the best question or discussion topic raised this week?!https://www.vetnurse.co.uk/001/vetnurse-clinical-article-club/f/clinical-article-club-discussions/32389/becoming-a-cat-friendly-clinic/178019#178019Mon, 23 Jan 2023 15:44:00 GMT1a0763ec-3885-442c-853e-6cef656dfec5:0ab10ff1-a73c-4518-ba6d-5bdd26a7ce68Alison Clare Hickmanshelly jefferies thanks, this info really helps. I thought about compost but wasn't sure, so will go check out my local garden centre. The digging up the garden part makes sense although (as a locum) I've worked in practices where there's no trusted green/garden anywhere... Can't really see me asking a client to bring in soil but you never know...when u have a reluctant or stressed patient you'll try any trick! Thinking I will carry a small bag of compost with me in my car as yet another useful tool in my repertoire! More please!