in Practice最新文献

Investigating concerns is a crucial element of the RCVS' role as regulator of the UK veterinary professions. This article provides an in-depth explainer about the RCVS' concerns investigation process, covering the different stages of investigation when concerns are raised about the conduct of individual veterinary surgeons and veterinary nurses; what issues the RCVS can and can't investigate; the investigation and evidence-gathering process; and how RCVS staff work to progress investigations. The process can be distressing, and so we hope this article provides some clarity and reassurance.

Background: Registered veterinary nurses (RVNs) play a crucial role in the care of complex medical patients, applying their skills to improve patient welfare and outcomes. Over the years, RVN-led consultations have expanded beyond routine services to include specialised clinics for conditions such as diabetes, renal disease and geriatric care. However, cancer remains an area where RVNs are often under used, despite its high prevalence in companion animals. With approximately one in four dogs and one in five cats developing cancer in their lifetime, a significant proportion of small animal patients require oncology nursing support. While some will be referred to specialist facilities, many will receive care within primary practice settings. Whether in a dedicated oncology role or general practice, RVNs have the potential to make a meaningful impact on the lives of cancer patients and their caregivers, ensuring optimal quality of life throughout their journey.

Aim of the article: This article aims to highlight the vital role of RVNs in oncology nursing, demonstrating how they can contribute to the care and support of cancer patients in both primary care and specialist settings. This two-part series will explore the key aspects of oncology nursing, including patient advocacy, management of clinical signs, client education and quality-of-life assessment. By equipping RVNs with the confidence and knowledge to actively engage in oncology care, this article seeks to challenge the perception that cancer treatment is futile, and emphasise the positive impact RVNs can have on patient welfare and client support.

Background: Historical methods of managing equine dystocia – prolonged attempts at standing resolution causing mare exhaustion or irrecoverable pelvic nerve injury, eventual delivery or delayed caesarean section with unsatisfactory mare survival rate – have thankfully been replaced with the efficient, stepwise processes that now achieve timely resolution of the fetal maldisposition and delivery of the foal. This article attempts to define this current approach.

Aim of the article: This article discusses the management of common fetal maldispositions with the aim of achieving rapid resolution of the equine dystocia case and maximising the likelihood of securing a successful outcome for mare, foal and client. It should be noted that while foal resuscitation during and after delivery is a vital part of current obstetrics, this subject is beyond the remit of this article.

Background: Periodontal disease is very likely the most common, but significantly underdiagnosed disease found in companion animals. Untreated periodontitis is not only locally painful, but has detrimental consequences for patient health on a systemic level. As a detailed examination and imaging under general anaesthetic are required to confirm a diagnosis of periodontal disease, the exact prevalence remains unclear, but is thought to be high. However, the frequency at which it is identified in primary-care practices is low. This discrepancy highlights not only the limitation of relying solely on conscious oral assessments, but also the need for a greater awareness and understanding of the importance of periodontal pathology in our companion animals.

Aim of the article: In this article we will strive to increase our understanding of periodontal disease and its relevance to patient wellbeing. The unique anatomy of the periodontium, what changes occur as periodontitis develops, what factors may influence susceptibility to disease between individual patients, and what the local and systemic consequences of untreated periodontitis are according to the latest insights will all be reviewed.

Background: Enteric disease in calves remains one of the most prevalent and economically costly disease conditions of calves globally. Treatment for diarrhoea centres on fluid therapy (with or without correction of metabolic acidosis), with specific treatments and prevention strategies depending on specific disease aetiology.

Aim of the article: This article, the second in a two-part series, discusses treatment and prevention of enteric disease in calves. Part one, published in last month's In Practice, focused on aetiology and diagnostics of this complex condition.

The Employment Rights Bill 2024 proposes important changes to workers' rights that will affect veterinary practices. This article breaks down the key updates, such as allowing unfair dismissal claims from day one of employment, changes to statutory sick pay rules and new requirements for zero-hours contracts. It also covers updates to flexible working rights, family leave policies and stronger rules to prevent workplace harassment. The article aims to help veterinary practices understand these changes, prepare for their impact once enacted, and take practical steps like reviewing staff contracts, improving recruitment processes and ensuring compliance with the new rules.

For animals, a trip to the vet involves being taken into an unfamiliar environment. There are slippery surfaces, excessively loud sounds, overwhelming sights and smells, and sudden (unwanted) exposure to other animals. That's before taking into account handling, restraints, unfamiliar equipment or, potentially, anaesthetic and needles. At the end of it, there's likely to be separation from pet owners – for an hour, a day, a week. It will come as no surprise that veterinary practices can be a source of stress, anxiety and fear for pet patients. Similar to animal shelters, the design of a veterinary facility can impact an animal's recovery and behavioural health, as well as staff wellness and efficiency. This article looks specifically at back-of-clinic design, a traditionally overlooked area, and how the growing trend of transparency in this space can be incorporated for the benefit of patients, clients and employees.