In this inspiring VNAM special, CAM’s Hannah Capon speaks with Emily Ashdown, a veterinary nurse whose impressive career path has spanned clinic work, physiotherapy, hydrotherapy, global education, and industry leadership. They discuss the evolving role of veterinary nurses in managing osteoarthritis (OA), how to build sustainable arthritis services in clinic, and the importance of caregiver communication. Emily shares practical advice from her multifaceted experience, including time-saving tips, how to manage client expectations, and ways to bring meaningful change to OA care. Their honest conversation also touches on sensitive topics like euthanasia and caregiver guilt, showing how deep empathy and good communication can reshape veterinary practice.

Brief Bio

Emily Ashdown is a Registered Veterinary Nurse, qualified animal physiotherapist, and industry educator. With over 13 years of experience, she has worked in mixed and charity practice, out-of-hours care, rehabilitation, and laser therapy. She now works globally in veterinary education, delivering training and clinical support, particularly around laser therapy. Emily also runs an academy for veterinary laser education and is currently pursuing a business degree, teaching qualifications, and assessor certification.

Key Takeaways

1. Reframe arthritis clinics into arthritis care teams. Successful OA support should span weight, rehab, bloodwork, and medication follow-ups—led by coordinated, passionate vet nurses.
2. Understand what quality of life means to each pet. Success begins by identifying what matters most to each animal and caregiver, then building a plan toward that goal.
3. Laser therapy needs precision. Devices must be used with correct dosing and anatomical understanding. Caregivers deserve maximum benefit from the time and money they invest.
4. Regular, proactive check-ins matter. Even short follow-up calls or WhatsApp messages can boost owner confidence, reveal pain progression early, and increase long-term clinic loyalty.
5. Don’t delay hard conversations. Talking about euthanasia earlier with caregivers reduces stress, guilt, and rushed decisions. Advanced planning—even payment—can be empowering.

Relevant Links

Holly’s Army Facebook Support Group - https://www.facebook.com/groups/2161091580843717

Good Day / Bad Day Diary - A helpful tool for tracking your dog’s daily wellbeing to assist in managing arthritis. https://caninearthritis.co.uk/wp-content/uploads/2022/04/CAM-good-day-bad-day-v1.pdf

“It’s My Home Too” Tool - A home assessment checklist to help identify hazards or stressors in the dog’s living space.
View via CAM Tools: https://caninearthritis.co.uk/how-cam-can-help/tools/

Accessible to CAM Member Zone subscribers
• Vet Nurse Flip Chart
• Prescription Pad
• Kennel Cards
• Acute Flare Kit (Professional and Owner Versions)

Access these tools by joining the CAM Member Zone:https://caninearthritis.co.uk/how-cam-can-help/tools/

Learn more about CAM: 

Facebook: https://www.facebook.com/CAMarthritis
Instagram: https://www.instagram.com/canine_arthritis
Youtube: https://www.youtube.com/c/CanineArthritisManagement
LinkedIn: https://www.linkedin.com/company/canine-arthritis-management-ltd

Have questions send them to: [email protected]

Stay tuned to learn how early detection can make a significant difference in managing OA in younger dogs.

In this inspiring episode for Veterinary Nurse Awareness Month (VNAM), Hannah Capon is joined by Helen Silver-McMahon, a veterinary nurse turned human factors and patient safety specialist. Helen shares how her early interest in veterinary nursing led to a career focused on improving communication, teamwork, and wellbeing in veterinary settings. Together, they explore the essential role of effective communication in chronic pain management and how it impacts client satisfaction, team dynamics, and patient outcomes. With relatable stories and practical insights, the conversation encourages professionals to rethink the value of soft skills, explore new directions, and find joy in their veterinary careers.

Brief Bio

Helen is a Registered Veterinary Nurse with a background in surgical nursing and a passion for communication and human factors. After completing a master’s degree in Human Factors and Patient Safety, she co-founded Being Human, a training company focused on communication, team performance, and wellbeing in veterinary practice. Helen continues to consult on patient safety and champions a culture of empathy and open communication within vet teams.

Key Takeaways

1. Communication is a clinical skill – Helen emphasizes that communication directly affects patient outcomes, client compliance, and team morale.
2. Human factors influence everything – Veterinary teams must understand how environment, stress, and fatigue affect performance and safety.
3. Empathy leads to better care – Creating psychological safety for clients and colleagues strengthens trust, collaboration, and results.
4. Personal coping strategies matter – From emotional resets between consults to leaving mental “baggage” at the door, small habits can improve wellbeing.
5. Vet nursing opens doors – Helen’s journey proves that vet nurses can diversify into new roles, from education and coaching to systems change and consulting.

Relevant Links

Being Human – Helen’s training initiative - https://being-human.org.uk
Messy Communication Paper by Ellie Russell (referenced) - https://bvajournals.onlinelibrary.wiley.com/doi/10.1002/vetr.1068

Learn more about CAM: 
Facebook: https://www.facebook.com/CAMarthritis
Instagram: https://www.instagram.com/canine_arthritis
Youtube: https://www.youtube.com/c/CanineArthritisManagement
LinkedIn: https://www.linkedin.com/company/canine-arthritis-management-ltd

Have questions send them to: [email protected]

Stay tuned to learn how early detection can make a significant difference in managing OA in younger dogs.

In celebration of Veterinary Nurse Awareness Month (VNAM), Hannah Capon is joined by Donna Wills, a registered veterinary nurse with over 20 years of experience. Donna shares her inspiring journey, highlighting the flexibility, passion, and diversity that veterinary nursing offers. She discusses her path from general practice to rehabilitation and physiotherapy, emphasizing how nurses can carve out unique career paths within the veterinary field. Donna also talks about the importance of perseverance, self-belief, and the power of saying “yes” to new opportunities, even when it feels challenging.

Brief Bio

Donna Wills is a registered veterinary nurse with over two decades of experience in various veterinary roles. She is passionate about rehabilitation and physiotherapy, running her own physiotherapy clinics across multiple practices. Donna is also known for her work in emergency and critical care, as well as her commitment to empowering other veterinary professionals to explore diverse career paths within the field.

Key Takeaways

1. Vet nursing offers incredible flexibility and growth – Donna’s career journey shows how diverse and adaptable a career in veterinary nursing can be, with opportunities ranging from clinic work to rehabilitation.
2. Passion drives long-term fulfillment – Donna’s love for animals and rehabilitation has kept her motivated and happy in her career for over 20 years.
3. Never underestimate the power of saying yes – Taking chances, even when they’re intimidating, can lead to unexpected growth and new career paths.
4. Vet nurses have the power to create change – Donna emphasizes that even in corporate structures, vet nurses can mold their roles to better suit their passions and improve patient care.
5. Vet Nurse Awareness Month is a time to celebrate and empower – Donna’s story exemplifies how vet nurses are not only caregivers but innovators in the field.

Relevant Links

Check out our free downloads - https://caninearthritis.co.uk/how-cam-can-help/downloads/

Be part of the CAM Memberzone - https://caninearthritis.co.uk/get-involved/become-a-cam-member/

Learn more about CAM: 
Facebook: https://www.facebook.com/CAMarthritis
Instagram: https://www.instagram.com/canine_arthritis
Youtube: https://www.youtube.com/c/CanineArthritisManagement
LinkedIn: https://www.linkedin.com/company/canine-arthritis-management-ltd

Have questions send them to: [email protected]

Stay tuned to learn how early detection can make a significant difference in managing OA in younger dogs.

In this thoughtful and informative episode, Hannah Capon speaks with Dr. Zoe Belshaw about the findings from Zoe’s PhD research, which explored how vets and dog owners make decisions regarding the management of osteoarthritis. They discuss the challenges in early identification and treatment of arthritis, the emotional burden on caregivers, and the complexity of navigating treatment choices. Zoe shares strategies to make vet consultations more productive, reassures owners about the safe use of anti-inflammatories, and introduces the BRAN framework (Benefits, Risks, Alternatives, doing Nothing) as a tool to guide more confident, informed decisions.
(Published December 2020 – https://youtu.be/fDnN4IIM_30)

Bio:

Dr. Zoe Belshaw is a veterinary surgeon, European and RCVS Recognised Specialist in small animal internal medicine, and researcher with a focus on geriatric care and osteoarthritis. A Cambridge graduate, Zoe has worked in a wide range of settings, from general practice to university hospitals and veterinary charities. Her PhD from the Centre for Evidence-based Veterinary Medicine at the University of Nottingham focused on the shared decision-making process between vets and owners caring for arthritic dogs. She is an active clinical practitioner, researcher, educator, and editor in the veterinary field.

Key Takeaways:

1. Arthritis is often underdiagnosed – early symptoms are subtle and can be overlooked, delaying treatment.
2. Vet consultations can be more effective – preparation and clear communication help owners get more from appointments.
3. Anti-inflammatories are valuable tools – when used wisely, they can greatly improve a dog’s comfort and mobility.
4. Caregiver emotions are valid – confusion, anxiety, and anticipatory grief are normal and deserve compassion.
5. Use the BRAN method – when making care decisions, consider the benefits, risks, alternatives, and consequences of doing nothing.

Relevant Links

1. Explore CAM’s free tools and resources to better understand and manage your dog’s arthritis — from pain trackers to home adaptations, everything you need is at https://caninearthritis.co.uk/how-cam-can-help/tools/.
2. Join the CAM Member Zone for exclusive content, practical support, and expert guidance on managing chronic pain in dogs — become a part of the community at https://caninearthritis.co.uk/owner-member-zone/.
3. Don’t miss the Chronic Pain Symposium 2025 — connect with experts and gain the latest insights in pain management. Reserve your spot now at https://www.camonlineshop.com/chronic-pain-symposium-2025/.
4. Join Holly’s Army, CAM’s dedicated Facebook support group for dog owners managing arthritis. Connect with others, share experiences, and get guidance at https://www.facebook.com/groups/2161091580843717.

Learn more about CAM: 
Facebook: https://www.facebook.com/CAMarthritis
Instagram: https://www.instagram.com/canine_arthritis
Youtube: https://www.youtube.com/c/CanineArthritisManagement
LinkedIn: https://www.linkedin.com/company/canine-arthritis-management-ltd
Have questions send them to: [email protected]
Stay tuned to learn how early detection can make a significant difference in managing OA in younger dogs.

In this special episode for Veterinary Nurse Awareness Month (VNAM), CAM’s founder Hannah Capon is joined by Registered Veterinary Nurse Evie Tummon to highlight the vital role vet nurses play in supporting dogs with chronic pain. Evie shares her journey into veterinary nursing, her deep interest in geriatric care, and her practical experience running pain clinics and weight consultations. The discussion showcases the essential, proactive, and compassionate role vet nurses play in managing long-term conditions like osteoarthritis and emphasizes why VNAM is a time to celebrate their impact on both animals and owners.

Brief: Evie Tummon is a Registered Veterinary Nurse with over 10 years of experience in practice. She has a special interest in chronic pain management, senior pet care, and helping clients navigate the emotional side of long-term health conditions. As part of CAM’s team, she supports educational content and runs nurse-led clinics that empower owners and build trust in the veterinary-client relationship.

Key Takeaways: 1. Vet nurses are frontline allies in pain care – they offer hands-on support, consistent follow-up, and trusted communication for owners managing arthritis.
2. Weight management is a nurse-led success story – gradual, supported weight loss significantly reduces joint strain and improves quality of life.
3. Senior clinics provide proactive care – they create time and space for owners to reflect on subtle changes and take early action.
4. The vet-nurse-client triad builds better outcomes – each role supports the others, leading to a more complete and compassionate treatment approach.
5. VNAM highlights the unsung heroes – vet nurses like Evie bring continuity, care, and emotional intelligence to every stage of a dog’s arthritis journey.

Relevant Links: CAM Online Shop – https://www.camonlineshop.com
Free DOWNLOADS - https://caninearthritis.co.uk/how-cam-can-help/downloads/
Find out more about our courses - https://www.cameducation.co.uk

Learn more about CAM: 
Facebook: https://www.facebook.com/CAMarthritis
Instagram: https://www.instagram.com/canine_arthritis
Youtube: https://www.youtube.com/c/CanineArthritisManagement
LinkedIn: https://www.linkedin.com/company/canine-arthritis-management-ltd

Have questions send them to: [email protected]

Stay tuned to learn how early detection can make a significant difference in managing OA in younger dogs.

Michael Shikashio joins CAM’s Hannah Capon to explore the link between aggressive behaviours in dogs and underlying pain. Michael, who has focused on aggression-related behaviour problems for the past ten years, shares his wisdom and clinical experience. He explains that a significant proportion of his caseload involves dogs experiencing undiagnosed pain and that he often collaborates with vets and rehabilitation specialists to address both the physical source of pain and the resulting behavioural responses. This conversation highlights the importance of a team approach in tackling behavioural changes linked to chronic discomfort.
(Published February 2021 – https://youtube.com/live/g6CUnfYAJ1c)

Brief Bio

Michael Shikashio, CDBC, is a leading expert in canine aggression, founder of the Aggression in Dogs Master Course, and an internationally sought-after speaker and educator. Certified by the International Association of Animal Behavior Consultants, he has taught thousands of trainers and behaviour consultants across more than 25 countries. Michael is a regular keynote speaker at major conferences and the host of the popular podcast The Bitey End of the Dog, further advancing the understanding of aggression management worldwide.

Key Takeaways

1. Pain is a major driver of aggression – Many cases of aggression stem from undiagnosed or unmanaged physical discomfort.
2. Behaviour is often a communication tool – Aggressive behaviours are a dog’s way of expressing distress or avoiding further pain.
3. Collaboration is key – Behaviourists working alongside vets and rehabilitation specialists create better outcomes for dogs showing aggression.
4. Observation over interpretation – Owners and professionals must describe what they see rather than label the dog’s behaviour.
5. Behaviour modification must be compassionate – Helping a dog manage pain and adapt their response requires patience, empathy, and tailored strategies.

Relevant Links

Aggressive Dog – Michael Shikashio’s site – https://aggressivedog.com/
Canine Arthritis Teleguidance – https://caninearthritisteleguidance.co.uk/

Learn more about CAM: 
Facebook: https://www.facebook.com/CAMarthritis
Instagram: https://www.instagram.com/canine_arthritis
Youtube: https://www.youtube.com/c/CanineArthritisManagement
LinkedIn: https://www.linkedin.com/company/canine-arthritis-management-ltd

Have questions send them to: [email protected]

Stay tuned to learn how early detection can make a significant difference in managing OA in younger dogs.

In this episode, Tamsin Durston joins Hannah Capon to share expert insights on how to prepare dogs for veterinary visits in ways that reduce stress and improve welfare. Drawing from her background in veterinary nursing, behaviour, and dog training, Tamsin explains why vet visits can be so challenging for dogs and how owners can help ease that anxiety. She offers practical advice on desensitisation, positive reinforcement, and improving communication between pet owners and veterinary teams. The episode also explores how veterinary practices can make their environments more behaviour-friendly, ultimately supporting better outcomes for everyone involved.
(Published April 2024 – https://www.youtube.com/live/raKr3HHPstE)

Brief Bio

Tamsin Durston is a Registered Veterinary Nurse, Clinical Animal Behaviourist, and accredited Dog Training Instructor with over 25 years of experience. She has worked for organisations like Blue Cross and currently serves as the Veterinary Engagement Manager at Dogs Trust. In this role, she leads welfare-driven initiatives that embed canine behavioural principles into everyday veterinary practice. Tamsin is also an advocate for mental and emotional well-being in the veterinary field and the author of the book Emotional Well-being for the Animal Welfare Professional.

Key Takeaways

1. Preparation starts at home – Building a positive association with travel, handling, and being examined can greatly reduce vet visit stress.
2. Small changes make big differences – Implementing low-stress handling techniques, using calming aids, or even adjusting appointment timing can significantly improve the dog’s emotional experience.
3. Understanding fear responses is essential – Recognizing signs of fear and stress in dogs helps owners and veterinary teams intervene early and prevent escalation.
4. Collaborative care leads to better outcomes – Shared responsibility between owners and vet teams to prepare and support dogs through their appointments.
5. Emotional safety matters for everyone – A calmer, better-prepared dog benefits not only the animal, but also reduces stress for caregivers and vet staff, creating a safer and more effective care environment.

Relevant Links

Dogs Trust for Veterinary Professionals: https://www.dogstrust.org.uk/how-we-help/professionals/vet-
Tamsin Durston’s book – Emotional Well-being for the Animal Welfare Professional: https://a.co/d/1BVAafx
Chronic Pain Symposium 2025: https://www.camonlineshop.com/chronic-pain-symposium-2025/

Learn more about CAM: 

Facebook: https://www.facebook.com/CAMarthritis
Instagram: https://www.instagram.com/canine_arthritis
Youtube: https://www.youtube.com/c/CanineArthritisManagement
LinkedIn: https://www.linkedin.com/company/canine-arthritis-management-ltd

Have questions send them to: [email protected]

Stay tuned to learn how early detection can make a significant difference in managing OA in younger dogs.

In this insightful episode, Hannah Capon is joined by canine behaviourist Andrew Hale to explore how effective communication can transform the management of canine osteoarthritis. It’s not just about pain relief or physical care—how owners and veterinary professionals talk to each other plays a vital role in decision-making and treatment outcomes. Together, they break down the SPIKES framework (Set up, Perception, Invitation, Knowledge, Emotion, Summary/Strategy) to help dog owners and professionals improve two-way communication, navigate complex choices, and collaborate better for the welfare of dogs living with chronic pain.
(Published December 2021 – https://youtube.com/live/WXwW4LsKwKM)

Brief Bio:

Andrew Hale (BSc, ISCP.Dip.Canine.Prac) is the owner and lead behaviourist at Train Positive. With a background in psychology and a deep passion for animal welfare, he is a Certified Animal and Canine Behaviourist and a key voice in promoting dog-centred, empathetic approaches. He supports Animals in Distress, is a Behaviour Consultant for Pet Remedy and the British Isles Grooming Association, and runs the popular Dog Centred Care group on Facebook. Andrew is also a respected international speaker in the canine behaviour and training community.

Key Takeaways:

1. Communication is part of treatment – Managing arthritis isn’t just physical; good communication with your vet team is vital for success.
2. SPIKES is a useful model – The six-step SPIKES acronym helps structure clearer and more compassionate conversations between owners and professionals.
3. Emotion plays a big role – Acknowledging the emotional journey of caregivers helps reduce stress and improve decision-making.
4. Preparation empowers owners – Anticipating difficult decisions and having tools to navigate them makes owners more confident and involved.
5. Collaborative care is key – Creating space for both vet and owner perspectives improves trust and ultimately benefits the dog’s wellbeing.

Relevant Links:

• Chronic Pain Symposium 2025: https://www.camonlineshop.com/chronic-pain-symposium-2025/
• One-to-one arthritis support: https://caninearthritisteleguidance.co.uk

Learn more about CAM: Facebook: https://www.facebook.com/CAMarthritis
Instagram: https://www.instagram.com/canine_arthritis
Youtube: https://www.youtube.com/c/CanineArthritisManagement
LinkedIn: https://www.linkedin.com/company/canine-arthritis-management-ltd

Have questions send them to: [email protected]

Stay tuned to learn how early detection can make a significant difference in managing OA in younger dogs.

Dr. Katrin Jahn joins Hannah Capon to discuss the role of integrative veterinary medicine in managing chronic pain and improving animal welfare. They explore how a combination of conventional veterinary approaches and complementary therapies can enhance treatment outcomes, particularly for osteoarthritis and chronic pain conditions. The conversation covers the importance of multimodal pain management, rehabilitation techniques, and the evolving role of veterinary professionals in holistic care. Dr. Jahn emphasizes the need for evidence-based alternative therapies and how veterinary teams can work together to create the best outcomes for patients.

Brief Bio:

Dr. Katrin Jahn is a highly experienced veterinarian with a specialization in pain management, rehabilitation, and integrative veterinary medicine. She is passionate about combining conventional veterinary science with holistic therapies such as acupuncture, physiotherapy, and laser therapy to improve patient outcomes. With years of clinical experience and ongoing research contributions, she is dedicated to advancing veterinary care through education, innovation, and compassionate treatment.

Key Takeaways:

1. Multimodal Pain Management is Essential – Effective treatment for chronic conditions like osteoarthritis requires a combination of medications, rehabilitation therapies, and lifestyle adjustments.
2. Integrative Medicine Bridges the Gap – Combining traditional veterinary treatments with evidence-based complementary therapies can enhance patient care and quality of life.
3. Rehabilitation Plays a Vital Role – Physiotherapy, hydrotherapy, and targeted exercises are crucial for maintaining mobility and managing chronic pain.
4. Veterinary Teams Must Adapt – The future of veterinary medicine involves greater collaboration between vets, nurses, and rehabilitation specialists.
5. Education and Awareness are Key – Helping pet owners understand chronic pain and treatment options leads to better long-term management and improved animal welfare.

Relevant Links:

Get expert support for managing canine arthritis at caninearthritisteleguidance.co.uk. 

Don't miss the Chronic Pain Symposium 2025—reserve your spot now at camonlineshop.com.

Learn more about CAM:

Facebook: https://www.facebook.com/CAMarthritis
Instagram: https://www.instagram.com/canine_arthritis
Youtube: https://www.youtube.com/c/CanineArthritisManagement
LinkedIn: https://www.linkedin.com/company/canine-arthritis-management-ltd

Have questions send them to: [email protected]

Stay tuned to learn how early detection can make a significant difference in managing OA in younger dogs.

Professor Duncan Lascelles joins Hannah Capon to dispel common myths surrounding canine arthritis. They discuss misconceptions such as arthritis only affecting older dogs, the idea that pain comes from bone-on-bone rubbing, and the belief that painful joints must be rested. Duncan explains why using a single drug, supplement, or therapy is not enough and why early intervention with supplements alone is insufficient to prevent disease progression. He also introduces a promising new biological intervention—a monoclonal antibody directed at nerve growth factor—that could soon improve arthritis treatment. The episode ends on a positive note, with Duncan sharing his optimistic view of the future of arthritis management.

(Published November 2020 - https://youtu.be/M_adx3azXT0)

Medication availability varies around the globe, and medications recently launched will routinely have changes made to their prescribing guidelines. For this reason it is imperative that you chat to your veterinarian about the options available to you and your dog, as well as asking for comprehensive advice regarding latest developments. Pain management is very specific to the individual. What works for one may not be appropriate for another!

Brief Bio

Professor Duncan Lascelles is a leading expert in small animal surgery and pain management at North Carolina State University. His research program, Translational Research in Pain (TRiP), focuses on measuring pain associated with spontaneous disease in animals and understanding its neurobiology. His work has significantly improved pain control in companion animals and contributed to analgesic development in human medicine. He is also the director of the Comparative Pain Research and Education Centre (CPREC) and co-founder of AniV8, a company dedicated to developing innovative methods of measuring pain.

Key Takeaways

1. Arthritis is not just a disease of old dogs – younger dogs can also develop arthritis due to genetics, injury, or early joint issues.
2. Pain does not come from bone-on-bone rubbing – arthritis pain is caused by inflammation and changes in the nervous system.
3. Resting painful joints is not always beneficial – controlled movement and physiotherapy can help maintain joint function.
4. One drug or supplement is not the solution – arthritis requires a multimodal approach, combining medications, therapies, and lifestyle changes.
5. New treatments are emerging – monoclonal antibodies targeting nerve growth factor could revolutionize pain management in arthritic dogs.

Relevant links

CHRONIC PAIN SYMPOSIUM - Don’t miss out - https://www.camonlineshop.com/chronic-pain-symposium-2025/

Join Holly‘s Army and get support for your arthritis journey: https://www.facebook.com/share/g/8AcWZohTyJh9ykgD/?mibextid=K35XfP

Have a look at our FREE DOWNLOADS and find documents like the BAD DAY/GOOD DAY DIARY - https://caninearthritis.co.uk/how-cam-can-help/downloads/
and also check out our ACUTE FLARE KITS that are for free in our Member Zone (available at only £35 per year) and other helpful tools - https://caninearthritis.co.uk/how-cam-can-help/tools/

Learn more about CAM: 

Facebook: https://www.facebook.com/CAMarthritis
Instagram: https://www.instagram.com/canine_arthritis
Youtube: https://www.youtube.com/c/CanineArthritisManagement
LinkedIn: https://www.linkedin.com/company/canine-arthritis-management-ltd

Have questions send them to: [email protected]

Stay tuned to learn how early detection can make a significant difference in managing OA in younger dogs.