Have you ever considered having your pet undergo the temperament testing and health checks needed to become a therapy pet? If so, this post is for you.
Consider that what we know about pet therapy has always been in the positive arena of what pets can do for hospitalized patients, the elderly, reading-challenged children, etc. There’s no doubt that the benefits are nothing short of astounding. It’s one area where pets undoubtedly shine. (Who can resist the very real, physiological pleasures of unconditional love?)
Yet very little has been reported when it comes to the health risks inherent to these inter-species interactions.
So says a recent paper in the JAVMA (Journal of the American Veterinary Medical Association) on the issues raised by increased human-animal interactions in ever-popular pet therapy sessions.
Titled, “A veterinary perspective on the recently published guidelines for animal-assisted interventions in health-care facilities,” the paper takes on the milquetoast guidelines for appropriate screening and healthcare of these pets with a simple question: Are these guidelines based on science? And its answer: We need to know more before we can arrive at acceptable, science-based standards for therapy pets in human healthcare settings.
In my practice, I sign pet therapy paperwork on a regular basis. Pets arrive for their yearly checkups and I sign off on their continued good health and uber-pleasant demeanor so they can continue to provide the services their owners, the pet and the recipients of their goodwill rely on for full, meaningful lives.
It gives me great pleasure to do so. But I’ve got a few reservations stuck in my craw now that I’ve read this thoughtful paper. What considerations might I have missed in my exuberance to lend humanity some distinctly animal assistance?
Here are some issues it raises:
1-Are humans more at risk for their interaction with animals in pet therapy settings?
2-Are the animals similarly at risk of contracting human-originated diseases?
3-Are these animals typhoid Marys in fur coats? Might they be passing along hospital-borne illnesses to other clinical settings with their well-intentioned multi-hospital wanderings?
Ultimately, the paper urges us to increase our level of health surveillance of these pets for their own sake...and for their beneficiaries’ continued access to these therapy animals. It suggests that much more research is needed. And it obliquely recommends that until that’s achieved we proceed slowly, with an abundance of caution when therapy pets enter human healthcare facilities.
Though an intelligent reader might construe the paper as alarmist, anti-therapy pet propaganda on par with what the anti-animal human profession has often dished out, these are vets in the paper’s byline. And what they suggest is ultimately, as I read it, protective of animals.
Imagine a huge MRSA outbreak in a nursing home. We need enough research and tight enough guidelines to prove the beloved house cat isn’t to blame. The last thing we need, for the sake of these programs, is a backlash against them.
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I never thought of the possibility of animals transferring an illness from one room to another. THAT actually is quite frightening! If only there was a sort of fur sanitizer that could be sprayed on in between room. Something like that could make animals a whole lot safer in their wanderings.
Meri August 5th, 2008 02:09:00 PM
This is interesting and scary to think about.
You know, twice now I have become sick from a sick coworker. And a part of me wondered if my dog helped it along......she comes to work with me and loves everyone, everyone snuggles her (even the sick ones). And while we all wash our hands obsessively, and cover our mouths, etc. - the dog seems to be the weak link. Inevitably contracting a winter cold from a coworker is going to happen at least once a season. But I wonder if my dog helps the bugs along. Especially last winter when we were ALL down with the same flu.
Creature of Habit August 5th, 2008 02:53:00 PM
Sorry to post this here, but I've tried emailing you twice via your postmaster@ address, and both times it bounced several days later. Can you email me about that gender/generations piece I mentioned recently? Thanks!
Roxanne
Roxanne August 5th, 2008 03:06:00 PM
Hello Dr. Patty,
I work for the American Animal Hospital Association (AAHA) and I wanted to pass along a link to a MRSA handout for veterinary hospital staff we just produced. http://www.aahanet.org/resources/graphics/MRSA_FAQ...
I hope you find it useful.
Jason August 5th, 2008 05:18:00 PM
Thanks Jason!
And Roxanne: Here's my other email address: khulyp@bellsouth.net. I couldn't find your contact point on your site.
Dr. Patty Khuly August 6th, 2008 08:42:00 AM
No offense Dr. K., but I don't know of a reputable organization that relies solely on the vet's assessment of the dog's temperament or training, so you're off the hook there. :-)
Many hospital programs take it upon themselves to set their own standard for visitation animals high above the minimum requirements for certification. I belonged to (and evaluated animals for) a program a few years ago with very strict standards and their own training. The standards were much higher than the minimum for the training of the animals in addition to hygenic requirements. Oral and anal swabs were done (on the dogs >ggg<) and cultured to rule out zoonotic diseases. We were required to thoroughly bathe our dogs within 24 hours of visitation. (I know, it doesn't seem like it would help all that much, but when other certifying groups have absolutely no requirement for bathing ever, it's something.) Frankly, there were times when I worried more about my dogs bringing something home from the hospital than carrying something to. More than once, I bathed the dogs again when they came home!
In addition, when visiting a patient, the patient was required to thoroughly wash their hands before and after interacting with the dog. We all carried hand sanitizer to give to anyone who wanted to interact with the dog, but if we were on our way to patient rooms, we had to decline any interactions. If the dog was going to be placed on the bed or furniture, a barrier such as a towel or sheet was put down first and carefully removed (folded inward) and disposed of in the laundry when we were done. We were trained to understand signs on the doors ("neutropenic" anyone?) and not to see those patients.
The hospital did their part, we did ours and lots of patients got to safely experience the joys of seeing an animal. :-)
Deanna August 6th, 2008 09:54:00 AM
I forgot to say that after bathing the dogs, we were to keep them at home and isolated from other pets and people. Unless it was a thickly coated breed that just wouldn't dry in time (like the teddy bear Berner), we all just bathed our dogs a few hours before visiting the hospital.
Deanna August 6th, 2008 09:57:00 AM
Deanna: When my boxers would go to Ronald McDonald House in Philly, no such standards were in place. Granted, that was twelve-plus years ago. But, again, about seven years ago the hospice my first Frenchie and I would go to didn't care about anything beyond a simple annual vet visit, either.
What the paper criticizes are the varying standards from facility to facility. We need more rules like yours requires.
Dr. Patty Khuly August 6th, 2008 11:30:00 AM
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