How to conduct a nurse-led senior clinic part 2 — patient assessment and diagnostic testing

The purpose of clinical screening of healthy ageing dogs and cats is to detect any subclinical abnormalities at a time when preventative and therapeutic intervention may be most beneficial and to establish a baseline assessment for future comparison (American Animal Hospital Association (AAHA), 2005). The AAHA (2005) estimates that only 14% of senior companion animals undergo regular health screening as recommended by their veterinary surgeon or veterinary nurse, citing the main obstacle to client compliance as the lack of a clear recommendation by the veterinary practice team. Extensive planning of nurse-led senior clinics is therefore essential and an approach to the assessment of the senior patient should be discussed and wherever possible standardised amongst all members of the practice team.

Assessment of the senior patient may take a number of forms including:

Before examining the animal, it is essential to take a detailed patient history. Owners are in a unique position to note subtle changes in daily routine, but may not offer such information unless prompted. Clients often feel rushed or under pressure when asked questions regarding their pet within the ‘clinical’ environment. Allowing clients the time to consider their pet's behaviour while they are relaxed will generally yield more comprehensive results. In order to facilitate this, a questionnaire can be sent ahead of time with the client asked to either return it prior to attending the clinic or bring it with them to their appointment.