and not a result. Dogs trained to be guide dogs can help people with vision impairment. Dogs trained in the field of Animal-Assisted Therapy (AAT) can also benefit people with other disabilities. Pets in long-term care institutions People residing in a long-term care facility, such as a hospice or nursing home, may experience health benefits from pets. Pets help them to cope with the emotional issues related to their illness. They also offer physical contact with another living creature, something that is often missing in an elder's life. Pets for nursing homes are chosen based on the size of the pet, the amount of care that the breed needs, and the population and size of the care institution. Appropriate pets go through a screening process and, if it is a dog, additional training programs to become a therapy dog. There are three types of therapy dogs: facility therapy dogs, animal-assisted therapy dogs, and therapeutic visitation dogs. The most common therapy dogs are therapeutic visitation dogs. These dogs are household pets whose handlers take time to visit hospitals, nursing homes, detention facilities, and rehabilitation facilities. Different pets require varying amounts of attention and care; for example, cats may have lower maintenance requirements than dogs. Connection with community In addition to providing health benefits for their owners, pets also impact the social lives of their owners and their connection to their community. There is some evidence that pets can facilitate social interaction. Assistant Professor of Sociology at the University of Colorado at Boulder, Leslie Irvine has focused her attention on pets of the homeless population. Her studies of pet ownership among the homeless found that many modify their life activities for fear of losing their pets. Pet ownership prompts them to act responsibly, with many making a deliberate choice not to drink or use drugs, and to avoid contact with substance abusers or those involved in any criminal activity for fear of being separated from their pet. Additionally, many refuse to house in shelters if their pet is not allowed to stay with them. Health risks Health risks that are associated with pets include: Aggravation of allergies and asthma caused by dander and fur or feathers Falling injuries. Tripping over pets, especially dogs causes more than 86,000 falls serious enough to prompt a trip to the emergency room each year in the United States. Among elderly and disabled people, these falls have