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EFP Precautions

Precautions
Client has:

• History of animal abuse
• History of fire setting
• Suspected current or past history of physical, sexual and/or emotional abuse
• History of seizure disorder
• Gross obesity
• Medication side effects
• Stress-induced reactive airway disease (asthma)
• Migraines

Narrative for Precautions:
"Animal abuse" concerns are included in the interest of the horse's welfare. If the horse is not safe, then the session cannot be safe.

"Fire setting" histories should be carefully assessed to ensure the promotion of a safe physical environment.

"Active abuse" suspicions should always be reported to the appropriate authorities. Such reporting does not always result in cessation of the abuse. Clients are unlikely to be able to safely explore deep psychic issues in the context of a pervasively unsafe environment.

"Gross obesity" is associated with eating disorders and various other medical conditions. Obesity is a safety concern. Guidelines on weight limits for equines are included in the NARHA Standards.

"Medication side effects" can lead to severe alterations in balance, arousal level, coordination, and strength as well as difficulties with speaking and breathing. Programs develop and implement procedures and process for remaining familiar with clients' medication regimen and clients' potential for and history of side effects.

An acute episode of "reactive airway disease" can be triggered by stress and anxiety. Although all medical conditions have a psychosocial component, RAD is singled out because of its prevalence and potential for sudden, severe onset of symptoms.

If "migraine" is in process; riding is not advised.

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rev 03/04/2008