The Effects of Animals on Human Health and Well‐Being The Effects of Animals on Human Health and Well‐Be | Page 7

Intergrating the pet effect into general practice Companion animals can be helpful in practical ways for patients with weight problems, high blood pressure, susceptibility to stress and anxiety, loneliness, depression and difficulty socialising. The psychological benefits are greatest among vulnerable populations such as children, the elderly, and the socially isolated, chronically ill or handicapped, but these benefits can be highly variable. Recommendations to patients, which may be as simple as increasing the time spent with their pet (eg. walking the dog), have the potential to become integrated into self management plans for patients with chronic diseases. Incorporating pets into these plans provides an individualised way for patients to be actively involved in their own healthcare. Companion animals can also provide benefits in clinical situations. For example, for children with particular conditions such as autism who are usually distressed in clinical settings (eg. physical examinations or hospitalisation), the use of companion animals has been found to decrease procedure-induced stress, as well as help develop rapport between the therapist and child. Guidelines for animal assisted interventions in healthcare facilities have been developed by Lefebvre et al. The level of attachment to a pet is important to determine, particularly for older and/or socially isolated patients. For example, evidence indicates that high attachment is associated with a reluctance to adhere to medical advice, future avoidance of care11 and a failure to leave inferior housing conditions. Such information is critical for patients who may need prolonged hospital admissions, those who have difficulty coping alone and for patients who need residential care. Encouraging discussion Information about smoking, nutrition, alcohol and physical activity is routinely collected when a patient's medical history is taken. The subject of companion animals is rarely discussed. Asking patients in high risk groups (eg. those who are overweight, depressed or lonely), 'do you have any pets at home?', and determining the level of pet attachment, can provide a wealth of