Fear aversion in a dog with otitis externa: a carer doing a good job or sign of potential abuse?

The article focuses on the ethical and practical challenges faced by veterinary practitioners when managing a dog, Fido, with chronic otitis externa whose behavior suggests possible mistreatment during medication administration by a carer. It highlights the need to balance the welfare of the animal, the elderly owner Mrs Smith, her daughter, and the carer, while addressing concerns about potential abuse without clear evidence. The article recommends careful communication with Mrs Smith, thorough documentation of observations and concerns, repeat monitoring of the dog’s behavior, and, if necessary, reporting to appropriate authorities such as the RSPCA. It also emphasizes sensitivity in discussing the suitability of the dog’s ongoing care given Mrs Smith’s health and the importance of considering both animal and human welfare in such complex cases.