{"title":"Vraag & Antwoord","authors":"C. Kemel","doi":"10.21825/vdt.89692","DOIUrl":"https://doi.org/10.21825/vdt.89692","url":null,"abstract":"Hittebestrijding en ventilatie bij melkvee","PeriodicalId":23487,"journal":{"name":"Vlaams Diergeneeskundig Tijdschrift","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135978871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Belgische dierenartsen kunnen diergeneeskundige voorschriften opmaken waarmee de eigenaar humane geneesmiddelen of magistrale bereidingen voor het gebruik bij dieren kan afhalen bij een officina-apotheek. Er werd een enquête opgesteld waarin gepeild werd naar het gebruik van deze voorschriften. De enquête werd uitgevoerd tijdens de periode april 2021-maart 2022. Er werd onder meer nagegaan wat de beperkingen zijn van de beschikbaarheid van de huidige diergeneesmiddelen. Er namen 132 Vlaamse dierenartsen deel; 117 (88,6%) van de respondenten schrijft medicatie voor. Hiervan schrijft 94,9% humane geneesmiddelen voor en 55,5% magistrale bereidingen. Daarnaast werd nagegaan welke geneesmiddelenklassen dierenartsen het vaakst voorschrijven. Bij humane geneesmiddelen zijn dit respiratoire geneesmiddelen (72,1%), gastro-intestinale farmaca (69,4%) en oogmedicatie (64,9%). Bij de magistrale bereidingen zijn dit eveneens respiratoire (38,5%) en gastro-intestinale farmaca (30,8%) en ook anti-epileptica (30,8%).
{"title":"Het voorschrijven van humane geneesmiddelen en magistrale bereidingen in de diergeneeskundige praktijk","authors":"P. Dolfeyn, M. Devreese, S. Croubels","doi":"10.21825/vdt.89689","DOIUrl":"https://doi.org/10.21825/vdt.89689","url":null,"abstract":"Belgische dierenartsen kunnen diergeneeskundige voorschriften opmaken waarmee de eigenaar humane geneesmiddelen of magistrale bereidingen voor het gebruik bij dieren kan afhalen bij een officina-apotheek. Er werd een enquête opgesteld waarin gepeild werd naar het gebruik van deze voorschriften. De enquête werd uitgevoerd tijdens de periode april 2021-maart 2022. Er werd onder meer nagegaan wat de beperkingen zijn van de beschikbaarheid van de huidige diergeneesmiddelen. Er namen 132 Vlaamse dierenartsen deel; 117 (88,6%) van de respondenten schrijft medicatie voor. Hiervan schrijft 94,9% humane geneesmiddelen voor en 55,5% magistrale bereidingen. Daarnaast werd nagegaan welke geneesmiddelenklassen dierenartsen het vaakst voorschrijven. Bij humane geneesmiddelen zijn dit respiratoire geneesmiddelen (72,1%), gastro-intestinale farmaca (69,4%) en oogmedicatie (64,9%). Bij de magistrale bereidingen zijn dit eveneens respiratoire (38,5%) en gastro-intestinale farmaca (30,8%) en ook anti-epileptica (30,8%).","PeriodicalId":23487,"journal":{"name":"Vlaams Diergeneeskundig Tijdschrift","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135979032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L. Geerinckx, R. Hiltrop, L. Sonck, M.-C. Hottat, L. Vermeire, L. Van Brantegem
Sclerosing encapsulating peritonitis (SEP), also known as encapsulating peritoneal sclerosis, is a very rare disease described in humans as well as in animals. This condition is characterized by a chronic, diffuse, fibrocollageneous thickening of parietal and visceral peritoneum with secondary encapsulation of abdominal organs, mostly small intestines. Etiopathogenesis remains incompletely understood. SEP can be divided into primary, idiopathic forms and secondary forms. Secondary SEP can be caused by many different underlying disorders of which peritoneal dialysis is the most common one in humans. Diagnosis of SEP remains difficult due to its vague clinical symptoms; therefore, a combination of medical imaging, surgery and histopathology is warranted. Treatment is challenging and the prognosis is variable, depending on the severity of the disease. A combination of surgery, medicinal therapy, nutritional support and treatment of underlying disorders is used. In this article, two feline cases of SEP are described, followed by a review of the literature.
{"title":"Sclerosing encapsulating peritonitis: a very rare disease entity in cats","authors":"L. Geerinckx, R. Hiltrop, L. Sonck, M.-C. Hottat, L. Vermeire, L. Van Brantegem","doi":"10.21825/vdt.89690","DOIUrl":"https://doi.org/10.21825/vdt.89690","url":null,"abstract":"Sclerosing encapsulating peritonitis (SEP), also known as encapsulating peritoneal sclerosis, is a very rare disease described in humans as well as in animals. This condition is characterized by a chronic, diffuse, fibrocollageneous thickening of parietal and visceral peritoneum with secondary encapsulation of abdominal organs, mostly small intestines. Etiopathogenesis remains incompletely understood. SEP can be divided into primary, idiopathic forms and secondary forms. Secondary SEP can be caused by many different underlying disorders of which peritoneal dialysis is the most common one in humans. Diagnosis of SEP remains difficult due to its vague clinical symptoms; therefore, a combination of medical imaging, surgery and histopathology is warranted. Treatment is challenging and the prognosis is variable, depending on the severity of the disease. A combination of surgery, medicinal therapy, nutritional support and treatment of underlying disorders is used. In this article, two feline cases of SEP are described, followed by a review of the literature.","PeriodicalId":23487,"journal":{"name":"Vlaams Diergeneeskundig Tijdschrift","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135979036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Computer tomography has been described for the detection and characterization of different thoracic neoplastic diseases in dogs, both primary and metastatic. Its use and availability in veterinary medicine are rapidly increasing in the clinical setting, particularly in referral practices. Due to the cross-sectional nature of this modality, CT is particularly useful in the assessment of complex anatomical regions, such as the thoracic cavity. In this review, the most common applications of thoracic CT for the diagnosis and staging of different neoplastic processes in dogs are highlighted.
{"title":"Thoracic computed tomography in dogs with neoplasia","authors":"A. Cordella, E. Stock, J.H. Saunders","doi":"10.21825/vdt.89685","DOIUrl":"https://doi.org/10.21825/vdt.89685","url":null,"abstract":"Computer tomography has been described for the detection and characterization of different thoracic neoplastic diseases in dogs, both primary and metastatic. Its use and availability in veterinary medicine are rapidly increasing in the clinical setting, particularly in referral practices. Due to the cross-sectional nature of this modality, CT is particularly useful in the assessment of complex anatomical regions, such as the thoracic cavity. In this review, the most common applications of thoracic CT for the diagnosis and staging of different neoplastic processes in dogs are highlighted.","PeriodicalId":23487,"journal":{"name":"Vlaams Diergeneeskundig Tijdschrift","volume":"7 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135978847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A seventeen-month-old draft horse gelding was presented with acute abdominal bleeding following castration. After two blood transfusions and medical treatment, clinical parameters stabilized, and the horse seemed to recover. Four days after admission, the horse suddenly developed tachycardia, tachypnea and pyrexia. Electrocardiography revealed paroxysmal monomorphic ventricular tachycardia related to myocardial injury. The horse recovered progressively after medical treatment and returned to normal sinus rhythm. In this case report, the importance to monitor for myocardial injury and cardiac arrhythmias after acute hemorrhage is highlighted.
{"title":"Myocardial injury following acute abdominal hemorrhage and septicemia in a seventeen-month-old draft horse","authors":"E. de Bruijn, A. Dufourni, L. Lefère, G. van Loon","doi":"10.21825/vdt.89688","DOIUrl":"https://doi.org/10.21825/vdt.89688","url":null,"abstract":"A seventeen-month-old draft horse gelding was presented with acute abdominal bleeding following castration. After two blood transfusions and medical treatment, clinical parameters stabilized, and the horse seemed to recover. Four days after admission, the horse suddenly developed tachycardia, tachypnea and pyrexia. Electrocardiography revealed paroxysmal monomorphic ventricular tachycardia related to myocardial injury. The horse recovered progressively after medical treatment and returned to normal sinus rhythm. In this case report, the importance to monitor for myocardial injury and cardiac arrhythmias after acute hemorrhage is highlighted.","PeriodicalId":23487,"journal":{"name":"Vlaams Diergeneeskundig Tijdschrift","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135978870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Behandeling van chronische eileg bij een grijze roodstaartpapegaai
治疗非洲灰鹦鹉的慢性产卵
{"title":"Vraag & Antwoord","authors":"A. Garmyn, T. Hellebuyck","doi":"10.21825/vdt.89130","DOIUrl":"https://doi.org/10.21825/vdt.89130","url":null,"abstract":"Behandeling van chronische eileg bij een grijze roodstaartpapegaai","PeriodicalId":23487,"journal":{"name":"Vlaams Diergeneeskundig Tijdschrift","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135088409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Holemans, M. Meeremans, M. Oosterlinck, C. De Schauwer
Horses in all equestrian disciplines are suffering from tendon injuries followed by several months of rehabilitation. Additionally, the scar tissue formed after injury is of inferior quality, resulting in high re-injury rates. Conventional treatments include rest, controlled exercise and anti-inflammatory drugs administration. In order to improve tissue regeneration and prevent reinjury, biological treatments, such as mesenchymal stem cells (MSCs) are gaining popularity. In this survey, the use of MSCs as treatment for tendon injuries by Flemish equine veterinary practitioners was evaluated. Although the respondents were in general unsatisfied with conventional therapy, it remains the preferred treatment. Approximately half of the survey population (47%) have already used MSCs therapy to treat tendon injuries. The other participants reported the high costs and complexity as major limitations. According to the respondents, the availability of strong scientific evidence of the mechanisms of action, accompanied by clear practical guidelines, could help to increase the practical application of MSC therapy.
{"title":"A survey on Flemish veterinary practitioners’ experience with stem cell therapy to treat equine tendon injuries","authors":"S. Holemans, M. Meeremans, M. Oosterlinck, C. De Schauwer","doi":"10.21825/vdt.89128","DOIUrl":"https://doi.org/10.21825/vdt.89128","url":null,"abstract":"Horses in all equestrian disciplines are suffering from tendon injuries followed by several months of rehabilitation. Additionally, the scar tissue formed after injury is of inferior quality, resulting in high re-injury rates. Conventional treatments include rest, controlled exercise and anti-inflammatory drugs administration. In order to improve tissue regeneration and prevent reinjury, biological treatments, such as mesenchymal stem cells (MSCs) are gaining popularity. In this survey, the use of MSCs as treatment for tendon injuries by Flemish equine veterinary practitioners was evaluated. Although the respondents were in general unsatisfied with conventional therapy, it remains the preferred treatment. Approximately half of the survey population (47%) have already used MSCs therapy to treat tendon injuries. The other participants reported the high costs and complexity as major limitations. According to the respondents, the availability of strong scientific evidence of the mechanisms of action, accompanied by clear practical guidelines, could help to increase the practical application of MSC therapy.","PeriodicalId":23487,"journal":{"name":"Vlaams Diergeneeskundig Tijdschrift","volume":"174 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79632544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L. Kiggen, J. Lannoo, P. Banchi, G. Domain, R. Van Leeuwenberg, H. Ali Hassan, A. Van Soom
Dit onderzoek had als doel de normale ontwikkeling en groeicurve van kittens in kaart te brengen. De studie werd uitgevoerd bij raskatten uit België en Nederland waarin kittens werden opgevolgd tijdens de eerste vier levensweken. Het grootste deel van de kittens werd gezoogd door hun moeder, slechts enkele kregen kunstmatige bijvoeding. De kittens met een laag geboortegewicht bleken een grotere kans te hebben op het “fading kitten”-syndroom, meer bepaald als het geboortegewicht lager lag dan 90 g. Het geboortegewicht werd beïnvloed door de pariteit van het moederdier. De leeftijd van het moederdier en het geslacht van de kittens leken geen invloed te hebben op het geboortegewicht van de kittens. De kittens kwamen gemiddeld 10 g per dag aan en verdubbelden hun gewicht op de tiende dag. Op basis van gewichtskwartielen is te zien dat de kittens uit kwartiel 1 een hogere gewichtstoename hadden na 48 uur dan kittens uit de andere kwartielen. Kleinere kittens groeiden sneller dan grotere kittens, waardoor de gewichtsverschillen de neiging hadden te verdwijnen na de eerste drie levensweken.
{"title":"De groeicurve van kittens van populaire raskatten tijdens de neonatale periode","authors":"L. Kiggen, J. Lannoo, P. Banchi, G. Domain, R. Van Leeuwenberg, H. Ali Hassan, A. Van Soom","doi":"10.21825/vdt.89129","DOIUrl":"https://doi.org/10.21825/vdt.89129","url":null,"abstract":"Dit onderzoek had als doel de normale ontwikkeling en groeicurve van kittens in kaart te brengen. De studie werd uitgevoerd bij raskatten uit België en Nederland waarin kittens werden opgevolgd tijdens de eerste vier levensweken. Het grootste deel van de kittens werd gezoogd door hun moeder, slechts enkele kregen kunstmatige bijvoeding. De kittens met een laag geboortegewicht bleken een grotere kans te hebben op het “fading kitten”-syndroom, meer bepaald als het geboortegewicht lager lag dan 90 g. Het geboortegewicht werd beïnvloed door de pariteit van het moederdier. De leeftijd van het moederdier en het geslacht van de kittens leken geen invloed te hebben op het geboortegewicht van de kittens. De kittens kwamen gemiddeld 10 g per dag aan en verdubbelden hun gewicht op de tiende dag. Op basis van gewichtskwartielen is te zien dat de kittens uit kwartiel 1 een hogere gewichtstoename hadden na 48 uur dan kittens uit de andere kwartielen. Kleinere kittens groeiden sneller dan grotere kittens, waardoor de gewichtsverschillen de neiging hadden te verdwijnen na de eerste drie levensweken.","PeriodicalId":23487,"journal":{"name":"Vlaams Diergeneeskundig Tijdschrift","volume":"57 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75100695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ovariectomy and laparoscopic ovariectomy (lap OVE) are the routine spaying procedures in many countries. With these procedures, the uterus remains in situ and later in life, a uterine pathology such as cystic endometrial hyperplasia, pyometra or uterine neoplasia, can potentially develop. The patient files of 308 clinically healthy dogs that underwent elective lap OVE, were retrospectively searched during a study period of twelve years. For 173 dogs (56%), the owners could be contacted for a telephone survey. The median age at the time of lap OVE was 1.2 years (range: 0.4-12.3 years) and median body weight was 17.0 kg (range: 2.0-65.0 kg). At a median follow-up period of 4.5 years (range: 0.2-12.3 years), in none of the dogs, any clinical signs developed related to a uterine pathology. In 14/173 dogs (median age 8.0 years (range: 2.1-11.5 years); median body weight 24.4 kg (range: 2.0-65.0 kg)), early-stage uterine changes (uterine cysts, cystic endometrial hyperplasia, and/or uterine luminal collections) were visible at the time of lap OVE. Two of these fourteen dogs underwent an abdominal ultrasound, at respectively 1.3 and 3.5 years after lap OVE, that identified regression of previous pathologies to a normal uterus. In none of the remaining twelve dogs, any sign of a uterine pathology developed at a median follow-up of 3.9 years (range: 1.1-11.1 years). In this study, it was found that advanced age and even the presence of early-stage hormonally dependent uterine changes should not be considered contraindications to perform lap OVE in clinically healthy dogs.
卵巢切除术和腹腔镜卵巢切除术(lap OVE)是许多国家的常规手术。通过这些手术，子宫保持原位，在以后的生活中，子宫病理，如囊性子宫内膜增生，子宫积脓或子宫瘤变，可能会发展。在12年的研究期间，我们回顾性地检索了308只临床健康犬的患者档案。对于173只狗(56%)，可以联系主人进行电话调查。lap OVE时的中位年龄为1.2岁(范围:0.4-12.3岁)，中位体重为17.0 kg(范围:2.0-65.0 kg)。在中位随访期为4.5年(范围:0.2-12.3年)，没有一只狗出现与子宫病理相关的任何临床症状。173只狗中有14只(中位年龄8.0岁(范围:2.1-11.5岁);中位体重24.4 kg(范围:2.0-65.0 kg))， lap OVE时可见早期子宫改变(子宫囊肿、囊性子宫内膜增生和/或子宫腔积液)。这14只狗中的2只分别在圈养后1.3年和3.5年进行了腹部超声检查，发现以前的病变恢复到正常子宫。其余12只狗在中位随访3.9年(范围:1.1-11.1年)期间没有出现任何子宫病理迹象。在本研究中，我们发现高龄甚至早期存在激素依赖性子宫改变不应被视为临床健康犬进行膝上卵巢手术的禁忌症。
{"title":"Does laparoscopic ovariectomy in dogs prevent the development of uterine pathologies at a later age?","authors":"J. Wellens, B. van Goethem, H. de Rooster","doi":"10.21825/vdt.89125","DOIUrl":"https://doi.org/10.21825/vdt.89125","url":null,"abstract":"Ovariectomy and laparoscopic ovariectomy (lap OVE) are the routine spaying procedures in many countries. With these procedures, the uterus remains in situ and later in life, a uterine pathology such as cystic endometrial hyperplasia, pyometra or uterine neoplasia, can potentially develop. The patient files of 308 clinically healthy dogs that underwent elective lap OVE, were retrospectively searched during a study period of twelve years. For 173 dogs (56%), the owners could be contacted for a telephone survey. The median age at the time of lap OVE was 1.2 years (range: 0.4-12.3 years) and median body weight was 17.0 kg (range: 2.0-65.0 kg). At a median follow-up period of 4.5 years (range: 0.2-12.3 years), in none of the dogs, any clinical signs developed related to a uterine pathology. In 14/173 dogs (median age 8.0 years (range: 2.1-11.5 years); median body weight 24.4 kg (range: 2.0-65.0 kg)), early-stage uterine changes (uterine cysts, cystic endometrial hyperplasia, and/or uterine luminal collections) were visible at the time of lap OVE. Two of these fourteen dogs underwent an abdominal ultrasound, at respectively 1.3 and 3.5 years after lap OVE, that identified regression of previous pathologies to a normal uterus. In none of the remaining twelve dogs, any sign of a uterine pathology developed at a median follow-up of 3.9 years (range: 1.1-11.1 years). In this study, it was found that advanced age and even the presence of early-stage hormonally dependent uterine changes should not be considered contraindications to perform lap OVE in clinically healthy dogs.","PeriodicalId":23487,"journal":{"name":"Vlaams Diergeneeskundig Tijdschrift","volume":"14 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85489705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
De communicatie tussen dierenarts en klant evolueert naar een meer klant- of relatiegericht patroon, waarbij eigenaars inspraak wensen en het belangrijk vinden dat hun perspectief gehoord wordt. “Shared decision making” of gezamenlijke besluitvorming is een proces waarbij dierenarts en eigenaar van het dier samen tot een beslissing komen over verdere medische stappen. Dit wordt toegepast indien er meerdere evenwaardige opties qua diagnostiek of behandeling zijn. Het proces bestaat uit drie stappen. In de eerste stap (“choice of team talk”) wordt aangegeven dat een keuze moet gemaakt worden uit meerdere opties, en wordt gepeild naar de initiële voorkeur van de eigenaar. In de tweede stap (“option talk”) worden de voor- en nadelen van alle opties overlopen. In de laatste stap (“decision talk”) worden de voorkeur, waarden en overtuigingen van de eigenaar geïntegreerd bij het nemen van een finale gezamenlijke beslissing. Dit vereist excellente communicatieve vaardigheden, met nadruk op open vragen, actief luisteren en empathie.
{"title":"“Shared decision making” of gezamenlijke besluitvorming: wanneer dierenarts en eigenaar samen beslissingen nemen","authors":"A. Decloedt","doi":"10.21825/vdt.89127","DOIUrl":"https://doi.org/10.21825/vdt.89127","url":null,"abstract":"De communicatie tussen dierenarts en klant evolueert naar een meer klant- of relatiegericht patroon, waarbij eigenaars inspraak wensen en het belangrijk vinden dat hun perspectief gehoord wordt. “Shared decision making” of gezamenlijke besluitvorming is een proces waarbij dierenarts en eigenaar van het dier samen tot een beslissing komen over verdere medische stappen. Dit wordt toegepast indien er meerdere evenwaardige opties qua diagnostiek of behandeling zijn. Het proces bestaat uit drie stappen. In de eerste stap (“choice of team talk”) wordt aangegeven dat een keuze moet gemaakt worden uit meerdere opties, en wordt gepeild naar de initiële voorkeur van de eigenaar. In de tweede stap (“option talk”) worden de voor- en nadelen van alle opties overlopen. In de laatste stap (“decision talk”) worden de voorkeur, waarden en overtuigingen van de eigenaar geïntegreerd bij het nemen van een finale gezamenlijke beslissing. Dit vereist excellente communicatieve vaardigheden, met nadruk op open vragen, actief luisteren en empathie.","PeriodicalId":23487,"journal":{"name":"Vlaams Diergeneeskundig Tijdschrift","volume":"63 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74139616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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