Lethal Love Dignity in Death Main Goal Stress Goals
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1/9/2015 Lethal Love Main Goal Dignity in Death How Euthanasia Can Save Lives • Release! (Including Your Own!) Stress Goals • Minimize stress • Balance suffering with probability of release • Take care of ourselves! 1 1/9/2015 2 1/9/2015 Compassion Fatigue • What is it? • Form of secondary PTSD; also called secondary traumatic stress (STS) • Secondary traumatic stress from witnessing the suffering of others • Compassion fatigue can reduce caretakers’ empathy which can decreases the quality of care given to patients Effects of Compassion Fatigue • Normal displays of stress! 3 1/9/2015 Individual Symptoms • • Excessive blaming Organizational Symptoms • • Bottled up emotions • • Isolation from others • High absenteeism • • Receives unusual amount of complaints from others • • Constant changes in co-workers relationships • • Inability for teams to work well together • • Voices excessive complaints about administrative functions • • Desire among staff members to break company rules • • Substance abuse used to mask feelings • • Outbreaks of aggressive behaviors among staff • • Compulsive behaviors such as overspending, overeating, gambling, sexual addictions • • Inability of staff to complete assignments and tasks • • Poor self-care (i.e., hygiene, appearance) • • Inability of staff to respect and meet deadlines • • Legal problems, indebtedness • • Lack of flexibility among staff members • • Reoccurrence of nightmares and flashbacks to traumatic event • • Negativism towards management • • Chronic physical ailments such as gastrointestinal problems and recurrent colds • • Strong reluctance toward change • • Apathy, sad, no longer finds activities pleasurable • • Inability of staff to believe improvement is possible • • Difficulty concentrating • • Lack of a vision for the future • • Mentally and physically tired • • Preoccupied • • In denial about problems Cuteness Interlude • Including suicide How do we cope with compassion How do we avoid/treat compassion fatigue? fatigue? • ? • ? • Ignoring the problem/bottle • Awareness! it up poor standard of • Processing the secondary care trauma • Become detached from our • By setting limits patients – So we have time to fully • Loss of motivation ( loss process (grieve) the trauma of productivity...b/c less • Taking breaks productivity means • Balance caring with the experiencing less secondary rest of your life trauma) • BURNOUT 4 1/9/2015 Bottom Line • WRC • If you stretch your limits, the quality of care – Independent non-profit located in St Paul, MN you give ALL your patients will be LOWER – One of the largest wildlife rehabilitation centers in the country – Admit ~ 9000 animals/year – Over 160 species – 2 full-time DVMs and 2 CVTs – 8 full-time staff members – >500 volunteers 100.0% WRC Example 90.0% 80.0% • ~1500 70.0% TOTAL ECTR/yr 60.0% eoa 50.0% • 500-600 dic/e <50g/yr 40.0% released 30.0% 20.0% 10.0% 0.0% 2003 2004 2005 2006 2007 2008 2009 2010 How do we set limits? Guidelines for analyzing data • Dedicate time to the rest of your life know • Do NOT compare yourself to other how much time AWAY from wildlife allows you centers/rehabilitators to work optimally – Variables are usually not the same • Analyze your past data (in the off season) to • Different types of facility (home vs center) • Different budgets find your limits • Different access to resources (volunteers, veterinary services, etc) • Different amounts of available time. • Different areas of the country • Different seasons • Different species • Release rates are calculated differently!!! 5 1/9/2015 100.0% The Release Rate Riot 90.0% “Release Rate” 80.0% Carolina Raptor Center 75% -EXCLUDES those that die/euth w/in 24 hrs of admission 70.0% -INCLUDES placed raptors (100+ on site) -admit 700/year 60.0% UK Paper 42% -EXCLUDES those that died w/in 48 hours eoa 50.0% of admit dic/e WRC nursery ECTR 35% -INCLUDES ALL ECTRs admitted 40.0% released WRC nursery ECTR 60% -EXCLUDES ONLY EOA and DOA 30.0% E wild again- rehabber avg 67% -based on each rehabber, regardless of 20.0% release rate admit size E wild again-overall avg 52% -based on ALL animals admitted 10.0% release rate 0.0% 2003 2004 2005 2006 2007 2008 2009 2010 E wild again numbers-ex. of calculations 100.0% # patients/year 90.0% Jane Doesaver 35 80% -only does baby 80.0% mammals John Studebaker 67 70% -does everything 70.0% Mcrehabberschmidt TE HS 5000 45% -contract with city 60.0% (TakesEverything and has to take all eoa 50.0% Humane Society) widlife dic/e Total # AVG per 40.0% released admitted: 5102 rehabber: (80+70+45)/3= 30.0% 65% AVG per animal: 28, 47, 2250 20.0% (0.8*35)+(0.7*67) 10.0% +(0.45*5000)=23 25/ 0.0% 5102=45.6% 2003 2004 2005 2006 2007 2008 2009 2010 Guidelines for analyzing data Euthanasia • Do NOT compare yourself to other The “How-To” centers/rehabilitators • Compare YOUR past statistics to YOUR current statistics • Very easy and quick to do based on an electronic state/fed report....hint hint.... *coughwild-onecough* 6 1/9/2015 “Euthanasia” Indications (companion animals) • From the greek ‘euthanatos’ (Merriam-Webster, 2008): • Terminal disease – Eu= good – Thantos= death • Overpopulation • Ideal euthanasia (AVMA, 2007): • Laboratory testing – rapid loss of consciousness • Herd health – cardiac or respiratory arrest – loss of brain function. • Slaughter – + minimize distress and anxiety experienced by the animal prior to loss of consciousness **With out these requirements ‘termination of life’, NOT euthanasia** Indications (wildlife rehabilitation) Methods • Illegal • How do we know which are “best”? • Low chance/will not be able to survive in the wild • Low chance/will not be able to reproduce in the wild • Too much pain/suffering • Lack of time/resources AVMA Standards • Ability to induce loss of consciousness and death WITHOUT causing pain, distress, anxiety, or apprehension • American Veterinary Medical Association) =sufferinghappens in cerebral cortex (AVMA) reviews euthanasia in the scientific • Time required to induce loss of consciousness literature every few years and states which • Reliability methods it considers humane • Safety of personnel • (FREE) • Irreversibility • Compatibility with purpose https://www.avma.org/KB/Policies/Document • Emotional effect on observers or operators s/euthanasia.pdf • Compatibility with species, age and health status • Ability to maintain equipment in proper working order • Safety for predator/scavengers should the carcass be consumed 7 1/9/2015 Euthanasia Euthanasia Methods EUTH... ENDING PLANS METHODS POTPOURRI ETHICS THEIR FOR SKILL OF OF AGONY PULLING THE KILL MURDER THE PLUG This procedure involves first rendering the animal unconscious and THEN stopping the heart.... Euthanasia Euthanasia Methods • Steps: • Physical – Captive Bolt 1. Render animal • Penetrating Adjunct: • Non-penetrating Exsanguination unconscious – Gunshot 2. Stop heart – Manual blunt force trauma Pithing – Cervical dislocation KCl – Percussive stunning • Chemical – Injection – IV, IP, intra-liver, intra-kidney • Barbituates, Tributame, T-61 – Inhalation • CO2, anesthetics, nitrogen, argon, helium – Lethal dose of intoxicant to food or water 8 1/9/2015 EUTH... ENDING PLANS METHODS POTPOURRI ETHICS THEIR FOR SKILL OF OF AGONY PULLING THE KILL MURDER THE PLUG This method of euthanasia is NOT “aimed between the eyes” Euthanasia Methods- Physical Gunshot • Target (Gunshot, Captive Pros Cons Bolt) • Rapid and Humane Death • Skilled in technique – Line from the base of the • Target cerebral region and • NEVER in contact with skull horns to the lateral canthus brainstem for immediate • Appropriate equipment of the opposite eye unconsciousness – Varies by species and distance where 2 lines cross • Good for hoofstock – hollow pointed bullets; Angle so bullet will exit • No carcass residues frangible iron plastic foramen magnum composition bullets; or • Distance or close proximity (brainstem) powdered iron missiles • Silencers available • PPE – head and eye gear – NOT “middle of the eyes” NAHEMS 2011 • <400# = 300ft lbs ; >400# = • Potential for collateral – Chart of calibers online 1000ft lbs muzzle energy damage large Penetrating Captive Bolt Non-penetrating Captive Bolt Pros Cons Pros Cons • Rapid and Humane Death • Skilled in technique • Concussive trauma to brain • Must be prepared to use • Target cerebral region and • Appropriate equipment • Target cerebral region and adjunct method to ensure brainstem for immediate – Seals and stop washers brainstem for immediate rapid death unconsciousness replaced regularly unconsciousness • Neonatal animals only • Good for hoofstock • Must be in contact with without adjunct method • No carcass residues skull • Energy required is 200 J • Only more recent bolt guns kill without second step (extended length penetrating bolt) 9 1/9/2015 EUTH... ENDING PLANS METHODS POTPOURRI ETHICS THEIR FOR SKILL OF OF AGONY PULLING THE KILL MURDER THE PLUG This method of euthanasia requires no special equipment... Cervical Dislocation Blunt Trauma by Manual Force Pros Cons Pros Cons • Immediate unconsciousness • Technique requires practice • No equipment • Aesthetically objectionable • Quick death • Aesthetically unappealing • Single sharp blow delivered • Skilled technique • No tissue contamination • Continued muscular to the central skull bones in • Requires practice • No special equipment or movement undesirable the region over the brain • Requires strength • supplies • Limited to small birds, mice, Neonates ONLY • Requires resolve immature rats, rabbits EUTH... ENDING PLANS METHODS POTPOURRI ETHICS