Quality of Life Scale
Pet caregivers can use this Quality of Life Scale to determine the quality of
a pet’s current life.
Score patients using a scale of: 0 to 10 (10 being ideal).
HURT - Adequate pain control and breathing ability is of top concern. Trouble
breathing outweighs all concerns. Is the pet’s pain well managed? Can the pet
breathe properly? Is oxygen supplementation necessary?
HUNGER - Is the pet eating enough? Does hand feeding help? Does the pet need
a feeding tube?
HYDRATION - Is the pet dehydrated? For patients not drinking enough water, use subcutaneous fluids daily or twice daily to supplement fluid intake.
HYGIENE - The pet should be brushed and cleaned, particularly after eliminations. Avoid pressure sores with soft bedding and keep all wounds clean.
HAPPINESS - Does the pet express joy and interest? Is the pet responsive to family, toys, etc.? Is the pet depressed, lonely, anxious, bored or afraid? Can the pet’s bed be moved to be close to family activities?
MOBILITY - Can the pet get up without assistance? Does the pet need human or mechanical help (e.g., a cart)? Does the pet feel like going for a walk? Is the pet having seizures or stumbling? (Some caregivers feel euthanasia is preferable to amputation, but an animal with limited mobility yet still alert, happy and responsive can have a good quality of life as long as caregivers are committed to helping their pet.)
MORE GOOD DAYS THAN BAD - When bad days outnumber good days, quality of life might be too compromised. When a healthy human-animal bond is no longer possible, the caregiver must be made aware that the end is near. The decision for euthanasia needs to be made if the pet is suffering. If death comes peacefully and painlessly at home, that is okay.
Add the total. A total over 35 points represents acceptable life quality to continue with pet hospice. Alice Villalobos, DVM, DPNAP, a renowned veterinary oncologist, introduced Pawspice, a quality of life program for terminally ill pets. Pawspice starts at diagnosis and includes symptom management, gentle standard care and transitions into hospice as the pet nears death. Dr. Villalobos developed this scoring system to help family members and veterinary teams assess a pet’s life quality.
Original concept: Oncology Outlook by Dr. Alice Villalobos, Quality of Life Scale Helps Make Final Call, VPN, 09/2004; scale format created for author’s book, Canine and Feline Geriatric Oncology: Honoring the Human-Animal Bond, Blackwell Publishing, 2007. Revised for the International Veterinary Association of Pain Management (IVAPM) 2011 Palliative Care and Hospice Guidelines. Reprinted with permission from Dr. Alice Villalobos & Wiley-Blackwell.
Just this side of heaven is a place called Rainbow Bridge.
When an animal dies that has been especially close to someone here, that pet goes to Rainbow Bridge. There are meadows and hills for all of our special friends so they can run and play together. There is plenty of food, water and sunshine, and our friends are warm and comfortable.
All the animals who had been ill and old are restored to health and vigor. Those who were hurt or maimed are made whole and strong again, just as we remember them in our dreams of days and times gone by. The animals are happy and content, except for one small thing; they each miss someone very special to them, who had to be left behind.
They all run and play together, but the day comes when one suddenly stops and looks into the distance. His bright eyes are intent. His eager body quivers. Suddenly he begins to run from the group, flying over the green grass, his legs carrying him faster and faster.
You have been spotted, and when you and your special friend finally meet, you cling together in joyous reunion, never to be parted again. The happy kisses rain upon your face; your hands again caress the beloved head, and you look once more into the trusting eyes of your pet, so long gone from your life but never absent from your heart.
Then you cross Rainbow Bridge together.
Contact Poison Control Immediately at (888) 426-4435
Acetaminophen (i.e., Tylenol)
Dog Flea & Tick Meds
Ibuprofen (i.e. Advil)
© 2014-2019 For the Love of JOBE, LLC
Founded in 2014
When Is the Right Time to Euthanize a Pet
This is probably the most difficult decision we are asked. The answer varies depending on the pet and the disease. You know your pet best and will be able to see specific changes that indicate the time is right such as:
No longer interested in food or water;
Incontinence (accidents in the house) or unable to go to the bathroom without falling down;
No longer greeting you when you come home;
No longer patrolling the yard or protecting their territory the way they used to;
Lack of grooming (cats and some dogs);
No longer wags his/her tail or holds it down constantly;
Isolates themselves from the people or other pets in the home, particularly in places they usually do not go;
Decreased interest in playing;
Unable to stand or walk on their own;
Change in attitude (depression, aggression, confusion);
Not wanting to do the things they love;
Fewer "good" days than bad.
7 Things That Help Me Cope With Grief After Losing a Cat
It’s never easy letting go after losing a cat. These are things I’ve learned by paying attention to the grief process. It’s not easy to prepare for grief, as each end-of-life journey is different. That being said, I’ve been through this a few times and have discovered that I do certain things to help me cope with losing a cat. Hopefully, some of these suggestions can help you navigate the grief process after the loss of a pet.
1. I celebrate the cat’s (whole) life
At the end of life, whether it’s prolonged or sudden, it’s easy to get caught up in the sadness and intensity of that current moment. Sometimes, when I’ve found myself in this place, I realize I’m not honoring the rest of the cat’s life. What about the amazing years or months I had with the cat? What about the funny things my cat did? Or the loving bond we had? What about the wonderful memories and stories of the cat? I try to focus on the life I’ve shared with the cat, even though it’s very easy to want to focus totally on the end of life.
2. I find people who understand what losing a cat is like
Whether your cat has passed on or is likely to pass on soon, obviously you’ll want to be around people who understand. Now is not the time to take comments like “it’s only a cat” to heart. If you do run across someone who says something like this, try to breathe and let it go. You need your energy to get through grieving, not to get mad about ill-placed comments. Instead, find people who understand and are respectful of your loss of a pet and the grief process, whether they love cats or not. A compassionate person and friend will give you the space and respect your need to grieve.
3. I take time to be alone, if I need it
Some of us like to share; others are intensely vulnerable when going through grief. I’m a little of both. Know yourself. If you need to be alone, honor that. It’s OK.
4. I understand that loss of a pet and grief is a powerful process
Sometimes, grief reminds me of the waves of an ocean. You’re feeling fine and then WHAM, some piece of grief hits you and you’re down, or crying, or both. I’m not sure why it is, but just knowing that this happens has made me prepared for when it happens again. I try to flow with it. Everyone grieves differently. We all grieve in our own time, and in our own way. Let it happen the way it needs to happen for you.
5. I breathe (deeply)
This is a yoga tool, but it’s also a relaxation technique, which anyone can do. When you’re exhausted from stress or grieving, breathing deeply through your nose can really help relax you and restore your mind and body to a state of calmness. Even a minute or two of this has great benefits. I do this all the time during periods of stress, or if I’m grieiving the loss of a pet. From a physiological standpoint, this activates your parasympathetic nervous system (which induces relaxation) rather than your sympathetic nervous system (which is all about fight or flight). Try breathing deeply in any stressful situation or any time you find yourself holding your breath.
6. I’m good to myself and my body
I’m no good to my cats if I’m a mess. So even though it’s hard (grief is exhausting), I try to remember to be good to my body. I try to remember to eat good stuff (not junk), get outside, exercise, breathe — all good things for me. Find the good things for you and remember to do them.
7. I honor the immensity of grief
It’s a big deal, and we all get to go through it. The sadness in grief is huge, but strangely, so is the joy. Celebrate these wonderful creatures we love, whether we’re going through life with them or whether we’re letting them go.
By Catherine Holm
Humane Society of United States Pet Loss
Members of the family
We know how much pets mean to most people. People love their pets and consider them members of their family. Caregivers often celebrate their pets' birthdays, confide in their animals and carry pictures of them in their wallets. So when a beloved pet dies, it's not unusual to feel overwhelmed by the intensity of your sorrow.
Animals provide companionship, acceptance, emotional support, and unconditional love. If you understand and accept this bond between humans and animals, you've already taken the first step toward coping with pet loss: knowing that it is okay to grieve when your pet dies.
Finding ways to cope with your loss can bring you closer to the day when memories bring smiles instead of tears.
Honor Your Pet's Memory on myHumane»
The grief process
The grief process is as individual as the person, lasting days for one person, years for another. The process typically begins with denial, which offers protection until individuals can realize their loss.
Some caregivers may try bargaining with a higher power, themselves, or even their pet to restore life. Some feel anger, which may be directed at anyone involved with the pet, including family, friends, and veterinarians. Caregivers may also feel guilt about what they did or did not do; they may feel that it is inappropriate for them to be so upset.
After these feelings subside, caregivers may experience true sadness or grief. They may become withdrawn or depressed. Acceptance occurs when they accept the reality of their loss and remember their animal companion with decreasing sadness.
Coping with grief
While grief is a personal experience, you need not face your loss alone. Many forms of support are available, including pet-bereavement counseling services, pet-loss support hotlines, local or online pet-bereavement groups, books, videos, and magazine articles.
Here are a few suggestions to help you cope:
· Acknowledge your grief and give yourself permission to express it.
· Don't hesitate to reach out to others who can lend a sympathetic ear. Do a little research online and you'll find hundreds of resources and support groups that may be helpful to you.
· Write about your feelings, either in a journal or a poem, essay, or short story.
· Call your veterinarian or local humane society to see whether they offer a pet-loss support group or hotline, or can refer you to one.
· Prepare a memorial for your pet.
The loss of a pet may be a child's first experience with death. The child may blame themself, their parents, or the veterinarian for not saving the pet. And they may feel guilty, depressed, and frightened that others they love may be taken from them.
Trying to protect your child by saying the pet ran away could cause your child to expect the pet's return and feel betrayed after discovering the truth. Expressing your own grief may reassure your child that sadness is ok and help them work through their feelings.
Coping with the loss of a pet can be particularly hard for seniors. Those who live alone may feel a loss of purpose and an immense emptiness. A pet's death may also trigger painful memories of other losses and remind caregivers of their own mortality. What's more, the decision to get another pet is complicated by the possibility that the pet may outlive the caregiver and that the decision to get another pet hinges on the person's physical and financial ability to care for a new pet.
For all these reasons, it's critical that senior pet owners take immediate steps to cope with their loss and regain a sense of purpose.
If you are a senior, try interacting with friends and family, calling a pet-loss support hotline, even volunteering at a local humane society.
Surviving pets may whimper, refuse to eat or drink, and suffer lethargy, especially if they had a close bond with the deceased pet. Even if they were not the best of friends, the changing circumstances and your emotional state may distress them. (However, if your remaining pets continue to act out of sorts, there could actually be a medical problem that requires your veterinarian's attention.)
Give surviving pets lots of TLC and try to maintain a normal routine. It's good for them and for you.
Getting another pet
Rushing into this decision isn't fair to you or your new pet. Each animal has their own unique personality and a new animal cannot replace the one you lost. You'll know when the time is right to adopt a new pet after giving yourself time to grieve, considering whether you're ready, and paying close attention to your feelings.
When you're ready, remember that your local animal shelter or rescue is a great place to find your next special friend.