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Basic Restraint and understanding
of Aggression in Dogs
Cat Ouellette, CVT
Ophthalmology Technician Supervisor
Basic Restraint
•

Patients that are great at
home can become
nervous or vicious in the
hospital

•

Pain or fear can increase
aggression
Definition of Restraint
•

The act of keeping someone or
something under control

•

Primary goal of restraining and handling
patients is not allowing anyone to get hurt
Prior to handling





Make a plan
All supplies pulled and ready to go
Assess the patient
Keep area quiet and secure
Approach
•
•
•
•
•
•

Confident and comfortable body language
Avoid fast movements
Do not grab
Come to you
Sniff the back of your hand
Watch patients body language
Muzzles
•
•
•

Best first defense
Prime time to get bitten
Snug
Handling
•

Towels or gloves


Can be used as a barrier to help protect
your self


Most teeth will go through gloves
Lifting
•

Head must be controlled at all times


Small Dogs


Lift by placing one arm around the animal’s
neck to control the head, the other arm to
scoop up under the rear end
Lifting
•

Large Dogs







Lift with your legs NOT YOUR BACK!!
Two person team works to better control
patient
Place one arm around the animal’s neck
and the other arm behind the forearms and
around the chest
Other technician will have one arm under
the belly in front of the rear legs and the
other arm to scoop up the rear end
Restraint
•

Patient’s head must be controlled at all
times


Do not be too aggressive
Restraint
•

Standing





Hugging grip with the arm around the neck
Other arm placed around abdomen and
chest
Stabilize against your body
Restraint
•

Lateral recumbency (on their side)



Positions with feet away from holder
Know when to call for help
Restraint
•

Dorsal Recumbency (on their back)




Best to use 2 handlers
Head is well restrained
Use a trough for stability
Restraint
•

IV injection or peripheral catheter
placement
Understanding Aggression
•

A way of communicating
•Definition of Aggression

-Hostile or violent behavior or attitudes toward another;
readiness to attack or confront.
-The action of attacking without provocation
Sequence of aggressive behavior
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•

Becoming very still and rigid
Prolonged eye contact
Harsh bark that sounds threatening
Lunging forward or charging at the person with no contact
Mouthing, as though to move or control the person, without applying significant
pressure
Growl
Show teeth
Snarl (growling and showing teeth together)
Snap
Quick nip that leaves no mark
Quick bite that tears the skin
Bite with enough pressure to cause a bruise
Bite that causes puncture wounds
Quick repeated bites
Bite and shake
Categories of aggressive behavior
•

Territorial


Defend where they live
Categories of aggressive behavior
•

Protective



Defend other pack members
Family or friend
Categories of aggressive behavior
•

Possessive


Protect food, toys, bed, crate
Categories of aggressive behavior
•

Social



Keep pack order
Dog feels higher in the family pack
Categories of aggressive behavior
•

Fear



Common in hospital
Fight or Flight response
Categories of aggressive behavior
•

Defensive or Dominant


Common in hospital setting



Best defense is a good offense
Make themselves look BIG
Treat each patient how you wish your pet
would be treated
Handling
•

Fearful Aggressive Dogs



Have a plan
Build Trust/Confidence
Have a plan
All supplies pulled and ready to go
Assess the patient
Keep area quiet and secure
Lowering Fearful Aggression
*Have staff members carry treats or cheerios to
toss in the cage or run door every time they pass
*Staff needs to understand the animal’s body
language and communicate to the patient that they
are not a threat with their human body language
*Goal is to use the body language and treats to
show that we are not a threat
Build Trust







Get Low
Move slowly
Allow the patient to sniff the back of your hand
Talk in a happy voice
Allow the patient to come to you
Patience
Handling
•

Defensive or Dominant




Only experienced technicians
Do not take risks
Have a plan
Don’t let your guard down
•
•

•

Can not rely on owners or doctors to tell you
that the patient is aggressive
Always monitor your patients body language

Know when to call
for help
Questions?

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Basic Restraint and Understanding of Aggression in Dogs

Notas do Editor

  1. In the habit of Ask always how is your pet in the hospital but still not 100%
  2. While we accomplish the procedure or treatment needed
  3. Even if they are not aggressive Keeps things quick and easy If patient has a bad experience they will remember it the next time
  4. Approach your patients Scared or nervous Stay calm and relaxed Sense fear Example:Rotti
  5. Snug but not cause pain Used appropriately Towels and gloves can be used as a barrier Calm hyper dogs
  6. Many of us have back issues+
  7. Keep Patient calm no fast or abrupt movements
  8. Arm around neck –better control
  9. Small dogs –forelegs held in 1 hand w/ middle finger seperating legs Elbow to hold down on neck on floor or table 2nd hand holds rear legs in similar manner Elbow applying pressure to hind quarters Larger dog –may only need to hold lower limbs
  10. Roll the patient from lateral to dorsal Pending the procedure or treatment will depend on how firm to hold
  11. Patient is backed up against wall or between technicians legs Technician controls the head with one arm and extends the front leg with the other hand
  12. One method of communicating Learning to read behavior, body language allow you to become a better technician
  13. Does not always follow this sequence Can happen in sec.
  14. Wild ancestors are territorial -Wolves are highly territorial Puppies are rarely territorial lack confidence Cage aggressive patients -Double leash allow escort of of the cage at safe distance
  15. Dogs are pack animals Pet dog will show this same behavior if they feel their family or friend is in danger Example; owner bringing human baby home and goes after family and friends to protect baby Some may only try and defend O in exam rooms, taking them away –easier to handle
  16. Wild ancestors compete for food & Shelter Although the domesticated dogs no longer need to protect some still have a tendency to do so Example; Pet dogs may become aggressive towards people who are unknowingly near these dogs cherished possession Food aggressive dogs only when near their food or even dish Difficult to know what the cherished possesion maybe
  17. Another concern for our clients Feel higher in Pack than really is Leader must keep pack order Trustworthy w/ 1 owner but not another Aggressive w/ any behavior they perceive as threatening from lower pack member Example; Touching toys, food, disturbing while sleeping pulls on leash or collar, touching ears or feet Behavior more common in males
  18. More commonly seen unfamiliar settings These dogs prefer to flee than fight Unable to flee turns to fight Fearful posture –pet to look as small as possible, Cower Signs-tail down, ears down or back, bark or growls show teeth Back in a cornerWill bite if given a chance -Bite and run Do not always give warnings
  19. Motivated by fear Best defense is a good offense Make themselves look BIG Signs- tail up, hair raised on neck and back, Ears up and forward, stand still or move forward Charge a person or dog who frighten them Give 1st bite
  20. Remember…….These patients are most likely to bite React out of fear Scared Evaluate the dog prior to any handling, especially before procedures or treatments Make a plan with your doctor prior to handling these patients
  21. Help build confidence These patients should have as much as a positive experience as possible.
  22. HELPFUL TIP
  23. Patients are scared Keep minimum distractions Do not give direct eye contact Avoid Fast movements or grabbing at the dog (May Startle patient) If owner is present; ask owner to give you the leash and step behind you (the dog will not protect the owner and this shows that the owner is on your side and may not perceive you as a threat) Offer food for a peace offeringSome patients will allow the treatment or procedure once you have gained their trust Muzzle (standard muzzling procedure) Towel wrapping or just having the towel over your patient can be helpful Ask for helpChemical restraint
  24. Remember these patients motivated by fear Have O muzzle double leash Sometimes best way to hand this type of patient is with chemical restraint Chemical restraint to prevent a bad experience Be creative; rabies pole drive by IM injections, leash through door
  25. Change with fear or Pain