Client education is a key component that enables the pet owner to manage pain in the home setting. Strategies for bringing back clients, finances, and production postpandemic, Practices Celebrating Accreditation Anniversaries, AAHA Board of Directors notice of position vacancies, Notice of AAHA Board of Directors slate of nominations, AAHA Are you smarter than a specialist? 2015. The robust advances in pain management for companion animals underlie the decision of AAHA and AAFP to supplement and expand on the information provided in the 2007 AAHA/AAFP Pain Management Guidelines for Dogs and Cats. Although not a review article, this compilation is a force multiplier for the busy practitioner, consolidating in a single place current recommendations and insights from experts in pain management. DOI 10.5326/JAAHA-MS-7331). Thank you for helping advance our shared mission to deliver the best in companion animal medical care. The extensive list of published references includes numerous studies published within the past 3 yr, reflecting the rapid pace of advances in managing pain for companion animals. It is advisable to provide a hands-on demonstration on how to administer medications and handle the pet at home. The management of pain requires a continuum of care that includes anticipation, early intervention, and evaluation of response on an individual-patient basis. The Task Force acknowledges the contributions of Mark Dana of the Kanara Consulting Group, LLC, in the preparations of the 2015 AAHA/AAFP Pain Management Guidelines for Dogs and Cats. Assessment. The World Small Animal Veterinary Association (WSAVA) is an ‘association of associations’ with 91 current members representing over 145,000 small animal veterinarians globally. That shared responsibility promotes a team approach and leads to a more complete and rational basis for pain management decisions.5. Under some conditions, genomic, phenotypic changes occur that create the condition known as neuropathic pain, whereby pain can be considered a disease of the central nervous system. AAHA/AAFP pain management guidelines for dogs and cats AAHA/AAFP Pain Management Guidelines Task Force Members Peter Hellyer DVM, MS, DACVA, Ilona Rodan DVM, DABVP (Feline Practice), Jane Brunt DVM, Robin Downing DVM, CVA, DAAPM, James E Hagedorn DVM, DABVP, Sheilah Ann Robertson DVM, DACVA The American Animal Hospital The American Animal Hospital Association and American Association of Feline Practitioners recently released the 2015 AAHA/AAFP Pain Management Guidelines for Dogs and Cats, updating the original guidelines presented in 2007.In the following interview, Mark E. Epstein, DVM, Diplomate ABVP (Canine/Feline), AAPM, CVPP, who cochaired the task force that authored the updated guidelines, … Arguably, the most important aspect of multimodal management for these patients is proper pain control. These guidelines continue the trend in all branches of medicine toward evidence-based consensus statements that address key issues in clinical practice. Guidelines are more extensive but focusing here on ECC scenarios with acute/short-term pain. The American Animal Hospital Association and the American Association of Feline Practitioners teamed up to produce the 2015 AAHA/AAFP Pain Management Guidelines for Dogs and Cats. The 2015 guidelines summarize and offer a discriminating review of much of this new knowledge. The rationale behind this approach is that it addresses targeting multiple sites in pain pathways, potentially allowing lower doses of each drug and minimizing the potential for side effects associated with any single drug. Because pain assessment in animals has become more scientifically grounded in recent years, various clinically validated instruments for scoring pain in both dogs and cats are described. pain assessment and management guidelines. Michael T. Cavanaugh, DVM, DABVP (C/F) AAHA Chief Executive Officer When selecting products, veterinarians have a choice of products formulated for humans and those developed and … Classic veterinary medical education places a strong emphasis on treatment of disease through pharmacology and surgery, the esoteric skills that are the domain of the trained clinician. That enables the practice to speak with one voice and in a consistent manner in the implementation of pain management protocols. AAHA/AAFP pain management guidelines for dogs and cats. The guidelines include both pharmacologic and nonpharmacologic modalities to manage pain; they are evidence-based insofar as possible and otherwise represent a consensus of expert opinion. Feline), or the University of Glasgow Short Form Composite Pain … Occasionally, pain may occur in the absence of such causative factors. AAHA/AAFP pain management guidelines for dogs and cats. They were subjected to the same external review process as all JAAHA articles. 2014. The AAFP and American Animal Hospital Association (AAHA) have collaboratively expanded on the information provided in the 2007 AAHA/AAFP Pain Management Guidelines for Dogs and Cats. , pet owners and practitioners should have an awareness of behavior types that are relevant to pa. in assessment. These guidelines are designed to expand on the information contained in the 2007 AAHA/AAFP Pain Management Guidelines for Dogs and Cats.1,2 The 2015 guidelines differ from the earlier version in several ways. SPECIAL ARTICLE /2015 AAHA/AAFP pain management guidelines It’s not just about drugs Classic veterinary medical education places a strong emphasis on treatment of disease through pharmacology and surgery, the eso-teric skills that are the domain of the trained clinician. March 12, 2015 . The first sections are general concepts designed to ‘‘set the stage’’ for the remaining, more specific content. Pharmacological interventions discussed in the guidelines include: Adipose tissue secretes a mixture of cytokines that circulate throughout the body, contributing to the pathology of many diseases, including degenerative joint disease (DJD), and to the hypersensitization process in general. Anticipatory analgesia provided prior to pain onset is more effective than analgesia provided once pain has occurred, contributing to both a dose- and anesthetic-sparing effect. 2015 AAHA/AAFP Pain Management Guidelines for Dogs and Cats . Postsurgical pain is eminently predictable but a strong body of evidence exists supporting strategies to mitigate adaptive as well as maladaptive forms. 17, 251–272. The 2015 guidelines summarize and offer a discriminating review of much of this new knowledge. These guidelines were prepared by a task force of experts convened by the American Animal Hospital Association and the American Association of Feline Practitioners for the express purpose of producing this article. Pain management is central to veterinary practice, alleviating pain, improving patient outcomes, and enhancing both quality of life and the veterinarian-client- patient relationship. The 2015 guidelines differ from the older version in several ways, according to AAHA and the AAFP: > The first sections contain … a Declawing is a controversial procedure. Not least of those is gentle handling and nursing care of the patient in the context of a stress-free physical environment. The 2015 guidelines summarize and offer a discriminating review of much of this new knowledge. The components of the PLATTER algorithm for pain management are PLan, Anticipate, TreaT, Evaluate, and Return. 2014 AAFP/AAHA Guidelines for Judicious Therapeutic Use of Antimicrobials. However, if it is performed, the procedure … The robust advances in pain management for companion animals underlie the decision of AAHA and AAFP to expand on. Unlike human hospitals, veterinary hospitals are not required to be accredited. Anesthetic Management of Patients with Comorbidities. Extensive discussion of the anesthetic management of the diseased patient is beyond the scope of these guidelines. Inflammatory pain results gradually from activation of the immune system in response to injury or infection, and pathological pain, also called maladaptive pain, occurs when pain is amplified and sustained by molecular, cellular, and microanatomic changes, collectively termed peripheral and central hypersensitization. The pain response is unique to each individual and involves two components: (1) the sensory component is nociception, which is the neural processing of noxious stimuli, and (2) the affective component is pain perception, which is the unpleasant sensory and emotional experience associated with either actual or potential tissue damage. The 2015 AAHA/AAFP Pain Management Guidelines for Dogs and Cats stress the need for an integrated approach. Pain Management Preventive Healthcare Referral ... AAHA guidelines assist veterinary professionals with developing evidence-based protocols for cats and dogs in their practices. Pain management is central to veterinary practice, alleviating pain, improving … It should be noted that those tools have varying degrees of validation, acute and chronic pain scales are not interchangeable, and canine and feline scales are not interchangeable. Pain management in dogs and cats has undergone a dramatic evolution in the past decade. The acronym PLATTER has been devised to describe the continuum of care loop for managing pain (Figure 1). These guidelines support veterinarians in incorporating pain management into practice, improving patient care. Continuous management is required for chronically painful conditions, and for acute conditions until pain is resolved. Find out this May at Connexity, 2015 AAHA/AAFP Pain Management Guidelines for Dogs and Cats, Nine Ways to Minimize the Risks of Nonsteroidal Anti-Inflammatory Drugs (NSAIDs), Selective serotonin (norepinephrine) reuptake inhibitors [ss(n)ris], Nutraceuticals and other oral supplements, Physical rehabilitation nutrition management, Managing surgical pain associated with DJD for dogs and cats. Understanding the mechanisms of pain is the key to its successful prevention and treatment. The robust advances in pain management for companion animals underlie the decision of AAHA and AAFP to supplement and expand on the information provided in the 2007 AAHA/AAFP Pain Management Guidelines for Dogs and Cats. A team approach and consistent pain-management messages directed at clients will help ensure patient comfort during all stages of treatment. It is now accepted that the most accurate method for evaluating pain in animals is not by physiological parameters but by observations of behavior. Effective pain management is integrative in two respects. Staff and client education should address conditions associated with pain; its prevention and treatment; and appropriate interaction, handling, and nursing care involving the patient. 2015 AAHA/AAFP Pain Management Guidelines for Dogs and Cats Summary: The included pain management “guidelines continue the trend in all branches of medicine toward evidence-based consensus statements that address key issues in clinical practice. For references (footnotes) in this document, please refer to the 2015 AAHA/AAFP Pain Management Guidelines for Dogs and Cats. The recommendations of the guidelines task force are evidence based insofar as possible and otherwise represent a consensus of expert opinion. Because behavioral signs of pain are either often overlooked or mistaken for other problems, the healthcare team must be vigilant in recognizing those anomalies in the total patient assessment. PROMOTE YOUR VIRTUAL APPOINTMENTS AND MORE! Behavioral changes are currently the principal indicator of pain and its course of improvement or progression, and the basis for recently validated pain scores. LAKEWOOD, Colo. – The robust advances in pain management for companion animals underlie the decision of the American Animal Hospital Association (AAHA) and the American Association of Feline Practitioners (AAFP) to expand on the information … The client is often considered the most important member of the healthcare team. There is a solid and still-growing body of evidence for the use of acupuncture for the treatment of pain in veterinary medicine to the extent that it is now an accepted treatment modality for painful animals.97–101 Other nonpharmacologic modalities discussed in the Guidelines include: Other major topics covered in the guidelines include: Primary care practices should be committed to educating the healthcare team and its clients about prevention, recognition, assessment, and treatment of pain. © 2021 American Animal Hospital Association. CO 80228. Veterinary practitioners have more insight into how most drugs work to modulate pain and how and why a combination of therapies can benefit patients. 2015 AAHA/AAFP Pain Management Guidelines for Dogs and Cats. Please consult your veterinarian with any questions or concerns you may have regarding your pet’s condition. ABSTRACT The robust advances in pain management for companion animals underlie the decision of AAHA and AAFP to expand on the information provided in the 2007 AAHA/AAFP Pain Management Guidelines for Dogs and Cats. Appropriate pain management requires a continuum of care based on a well-thought-out plan that includes anticipation, early intervention, and evaluation of response on an individual-patient basis. These guidelines were prepared by a task force of experts convened by the American Animal Hospital Association and the American Association of Feline Practitioners for the express purpose of producing this article. Other treatment options gaining increasing acceptance include acupuncture, physical rehabilitation, myofascial trigger point therapy, therapeutic laser, and other modalities, which are discussed in these guidelines. As such, it is the global voice of the small … With each pain management plan, it is important that the client be given specific instructions, both verbally and in writing. Each cat was evaluated for pain using the 'signs of pain' table from the 2007 AAHA/AAFP Pain Management Guidelines for Dogs and Cats. AAHA and AAFP gratefully acknowledge the following for their sponsorship of an educational grant for the AAHA/AAFP Pain Management Guidelines for Dogs and Cats: IDEXX Laboratories, Merial Ltd, Pfizer Animal Health, Schering-Plough Animal Health Corporation and Novartis Animal Health. A team-oriented approach, including the owner, is essential for maximizing the recognition, prevention, and treatment of pain in animals. CO 80228. According to AAHA and the AAFP, effective pain management can reduce disease morbidity, facilitate recovery and enhance quality of life. AAHA/AAFP Pain Management Guidelines Task Force Members Peter Hellyer DVM, MS, DACVA, Ilona Rodan DVM, DABVP (Feline Practice), Jane Brunt DVM, Robin Downing DVM, CVA, DAAPM, James E Hagedorn DVM, DABVP, Sheilah Ann Robertson DVM, DACVA The American Animal Hospital Association and the American Association of Feline Practitioners, USA Pain management in dogs and cats has … Thus, treatment of pain should consist of a continuum of care in the form of anticipatory analgesia through the anticipated pain period followed by longer-term or even chronic treatment that relies on periodic reassessment of the patient’s response. It reduces disease morbidity, facilitates recovery, enhances quality of life (QOL), and solidifies the relationship among the veterinarian, client, and pet. COVID-19 Update: AAHA staff is currently working remotely and will support our members virtually. Those include the animal’s ability to maintain normal behavior, loss of normal behavior, and development of new behaviors that emerge either as an adaption to pain or a response to pain relief. 2016 AAHA/IAAHPC End-of-Life Care Guidelines. They were subjected to the same external review process as all JAAHA articles. Preventing pain the animal experiences include some vis- risk factors early in life reduces the development ceral, gastrointestinal, and urogenital diseases; of pain later in life. Pet owners should be educated in observing any problematic behavioral changes in their pet and to contact their veterinarian in such cases. The guidelines, which represent an update to the 2013 AAFP Feline Vaccination Advisory Panel Report, were published simultaneously in the Journal of Feline Medicine and Surgery and the Journal of the … 25 Palpation of … The 2015 guidelines summarize and offer a discriminating review of much of this new knowledge. AAHA/AAFP Pain Management Guidelines Task Force Members, Peter Hellyer, DVM, MS, DACVA, Ilona Rodan, DVM, DABVP (Feline Practice), Jane Brunt, DVM, Robin Downing, DVM, CVA, DAAPM, James E. Hagedorn, DVM, DABVP, and Sheilah Ann Robertson, DVM, DACVA. The 2015 guidelines summarize and offer a discriminating review of much of this new knowledge. The robust advances in pain management for companion animals underlie the decision of AAHA and AAFP to expand on the information provided in the 2007 AAHA/AAFP Pain Management Guidelines for Dogs and Cats. AAHA/AAFP pain management guidelines for dogs and cats. Effective pain management is an essential component of companion animal medicine. Author information: (1)The American Animal Hospital Association and the American Association of Feline Practitioners, USA. AAHA Accreditation. Author information: (1)The American Animal Hospital Association and the American Association of Feline Practitioners, USA. Pain management is central to veterinary practice, alleviating pain, improving patient outcomes, and enhancing both quality of life and the veterinarian-client-patient relationship. New AAHA/AAFP pain management guidelines for dogs and cats now available Practical guidelines emphasize that effective pain management is a team effort Veterinary physical rehabilitation is most effective when a multimodal approach is used. Certain conditions require modification of the anesthetic protocol. Lakewood, (J Am Anim Hosp Assoc 2015; 51:67–84. J Fel Med Surg 2015. The robust advances in pain management for companion animals underlie the decision of the American Animal Hospital Association (AAHA) and American Association of Feline Practitioners (AAFP) to expand on the information provided in the 2007 AAHA/AAFP Pain Management Guidelines. Pain assessment should be a routine component of every physical examination, and a pain score is considered the ‘‘fourth vital sign,’’ after temperature, pulse, and respiration.1,2,6 Obtaining a thorough patient history from the owner can help determine abnormal behavior patterns that may be pain related. Degenerative joint disease is ubiquitous, found in pets of all ages, and inevitably progresses over time; evidence-based strategies for management are established in dogs, and emerging in cats. 2015 AAHA/AAFP Pain Management Guidelines for Dogs and Cats, Infection Control, Prevention, and Biosecurity, Distance Education Veterinary Technology Program (DEVTP). For a printable PDF of the Guidelines, click here. All orders are currently shipping as normal. Examples of nonpharmacologic treatments supported by strong evidence include, but are not limited to, cold compression, weight optimization, and therapeutic exercise. PROMOTE YOUR VIRTUAL APPOINTMENTS AND MORE! The veterinary team plays an essential role in educating pet owners about recognizing and managing pain in their pets. A second aspect of integrative pain management is the multimodal use of medications that either block or modify multiple pain pathways. A commitment to pain management identifies a practice as one that is committed to compassionate care; optimum recovery from illness, injury, or surgery; and enhanced quality of life. Those changes are not necessarily chronologic. (J Am Anim Hosp Assoc 2015; 51:65–82. The World Small Animal Veterinary Association (WSAVA) is an ‘association of associations’ with 91 current members representing over 145,000 small animal veterinarians globally. Pain management is central to veterinary practice, alleviating pain, improving patient … By Veterinary Practice News Editors. Pain management in dogs and cats has undergone a dramatic evolution in the past decade. Relieving pain in cats and dogs should not automatically start with drugs, two veterinary organizations are reminding practitioners in an update to an eight-year-old document. A team-oriented approach, including the owner, is essential for maximizing the recognition, prevention, and treatment of pain in animals. Potential adverse drug effects and action to be taken should be emphasized. In addition, nonpharmacologic adjunctive treatment includes an appreciation of improved nursing care, gentle handling, caregiver involvement, improved home environment, and hospice care. These guidelines are endorsed by the International Veterinary Academy of Pain Management. Acupuncture has been recognized by the National Institutesof Health since 1998 as having applications in human medicine, specially pain management. To view or print the implementation toolkit, click here. The guidelines update the 2010 AAFP-AAHA: Feline Life Stage Guidelines with the important distinction that they reduce the number of feline life stages, from six to four distinct age-related stages plus an end-of-life stage. The American Animal Hospital Association and the … Maladaptive pain, or the risk for it, can occur within a matter of minutes of certain acute pain conditions (e.g., nerve injury, severe tissue trauma, or presence of pre-existing inflammation). A multimodal approach also reduces reliance on any single agent, minimizing the potential for adverse drug events. Pain management is central to veterinary practice, not adjunctive. AAHA/AAFP pain management guidelines 469 practitioner to anticipate and potentially inter- Conditions in which it is unclear how much vene or modulate pain development. If you have the appropriate software … Degenerative joint disease is one of the most significant and under-diagnosed diseases of cats and dogs. Therapy should be focused on the underlying cause of pain, (nociceptive, inflammatory, or pathological) rather than on arbitrary labels based on duration.4. Either maintaining or regaining a lean body condition score is central to the treatment of chronic pain. Accredited hospitals are the only hospitals in the U.S. and Canada that choose to be evaluated on approximately 900 quality standards that go above and beyond basic state regulations, ranging from patient care and pain management to staff training and advanced diagnostic services. Pain is the endpoint of nociceptive input and can only occur in a conscious animal; however, there is also involvement of autonomic pathways and deeper centers of the brain involved with emotion and memory. The guidelines include both pharmacologic and nonpharmacologic modalities to manage pain; they are evidence-based insofar as possible and otherwise represent a consensus of expert opinion. Journal of Feline Medicine and Surgery 2007 9: 6, 466-480 Download Citation . These guidelines are endorsed by the International Veterinary Academy of Pain Management. 12575 W. Bayaud Ave., AAHA and AAFP gratefully acknowledge the following for their sponsorship of an educational grant for the AAHA/AAFP Pain Management Guidelines for Dogs and Cats: IDEXX Laboratories, Merial Ltd, Pfizer Animal Health, Schering-Plough … the information provided in the 2007 AAHA/AAFP Pain Management Guidelines for Dogs and Cats. Rationale: The robust advances in pain management for companion animals underlie the decision of the American Animal Hospital Association (AAHA) and American Association of Feline Practitioners (AAFP) to expand on the information provided in the 2007 AAHA/AAFP Pain Management Guidelines. Preventing pain the animal experiences include some vis- risk factors early in life reduces the development ceral, gastrointestinal, and urogenital diseases; of pain later in life.
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