Euthanasia - When is it time?

 Pet Euthanasia - When is it time?

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The decision regarding the euthanasia of a beloved pet may be the most difficult decision one makes in one’s entire life; obviously, the consequences are irrevocable. Whatever the decision is, it should be one that you can always look back upon and know that the best decision was made and that you would make the same decision over again in the same situation. So how do you know if it is time?

There are several criteria used in evaluating life quality. Consider your pet as you answer these questions.

  • Is your pet eating? Basically, quality life involves eating or at least interest in food. An animal that is hungry has vitality that must be considered, though this is not the only consideration.
  • Is your pet comfortable? The pet should be free of debilitating pains, cramps, aches or even the psychological pain that comes from the development of incontinence in an animal who has been housebroken for an entire life.
  • Does the pet still enjoy favorite activities? The elderly pet does not necessarily need to continue chasing balls or jumping after discs but he should enjoy sleeping comfortably, favorite resting spots, the company of family, etc.

You know your pet better than anyone and only you can truly answer these questions.

Dr. Alice Villalobos, the veterinarian who started Pawspice, a quality of life program for terminal pets, has published a scoring system for life quality called The HHHHHMM scale. The letters stand for: Hurt, Hunger, Hydration, Hygiene, Happiness, Mobility, and More Good Days than Bad.

The HHHHHMM Scale

Pet caregivers can use this Quality of Life Scale to determine the success of Pawspice care. Score patients using a scale of 1 to 10. Score Criterion

1-10 HURT - Adequate pain control, including breathing ability, is first and foremost on the scale. Is the pet's pain successfully managed? Is oxygen necessary?

1-10 HUNGER - Is the pet eating enough? Does hand feeding help? Does the patient require a feeding tube? 1-10 HYDRATION - Is the patient dehydrated? For patients not drinking enough, use subcutaneous fluids once or twice daily to supplement fluid intake.

1-10 HYGIENE - The patient should be brushed and cleaned, particularly after elimination. Avoid pressure scores and keep all wounds clean.

1-10 HAPPINESS - Does the pet express joy and interest? Is the pet responsive to things around him or her (family, toys, etc.)? Is the pet depressed, lonely, anxious, bored or afraid? Can the pet's bed be close to the family activities and not be isolated?

1-10 MOBILITY - Can the patient 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, yet an animal who has limited mobility but is still alert and responsive can have a good quality of life as long as caregivers are committed to helping the pet.)

1-10 MORE GOOD DAYS THAN BAD - When bad days outnumber good days, quality of life might be compromised. When a healthy human-animal bond is no longer possible, the caregiver must be made aware the end is near. The decision needs to be made if the pet is suffering. If death comes peacefully and painlessly, that is okay.

*TOTAL *A total over 35 points represents acceptable life quality

Adapted by Villalobos, A.E., Quality of Life Scale Helps Make Final Call, VPN, 09/2004, for Canine and Feline Geriatric Oncology Honoring the Human-Animal Bond, by Blackwell Publishing, Table 10.1, released 2006.


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Euthanasia - What if it's treatable?

When Considering Euthanasia

is the condition treatable?If you are considering euthanasia, discuss the pet’s condition with your veterinarian prior to making a decision or even coming in for an appointment. Every veterinarian has a story or two about the pet that was brought in for euthanasia but turned out to have a relatively simple problem and ultimately achieved a complete recovery.

The mental process of making the euthanasia decision is heart breaking and you do not want to have to undergo this process twice but, on the other hand, you do not want to euthanize a pet with a treatable disease. Many times people come in for their euthanasia appointment having already made their decision when, in fact, their pet has a reversible problem. Do not assume your pet’s condition is untreatable.

Call your veterinarian first and discuss the situation before you are too far into this emotional process to turn back. Use the medical resources available to you to get all the facts and options before making this decision.

Should You be Present?

Again, this is a very personal decision. On one hand, you probably do not want your pet to be alone with strangers in the final moments but on the other hand you may not be up to watching your pet’s death. Every owner wants to think of euthanasia as a gentle slipping into death, much like falling asleep.

In reality, the pet will probably not close his eyes, and there may be a final twitch, gasp, or even urination. Some animal hospitals do not allow pet owners to be present for euthanasia as it may be disturbing to an owner. To help ease this transition between and death, sometimes a tranquilizer is given first to alleviate some of the above, but you should keep in mind that this may not be how you want to remember your pet. The issue of children being present is a personal one and the above information should be considered.

How is the Procedure Performed?

Different clinics have different approaches. At my clinic, appropriate forms must be signed in order for the procedure to take place. If the owner is to be present, an intravenous catheter may be placed. This takes a few minutes and is usually done while the owner pays for the procedure and deals with paperwork. The payment transaction is done prior to the procedure so that the owner will not have to tearfully sign checks or credit card slips just following the emotional height of the procedure.

The intravenous catheter serves several purposes. First, the euthanasia solution is painful if administered outside the vein. The catheter ensures clean access to the vein, even if the owner is holding the pet. The catheter also allows for a sedative to be administered prior to the euthanasia solution. After the catheter is placed, the pet re-joins the owner in the exam room.

The owner may spend some last time alone with the pet if desired. The procedure itself is very fast. If a sedative is to be used, it is given first so that the pet is euthanized from a sleeping status. The euthanasia solution, generally dyed a bright color so that it cannot be mistaken for anything else, is delivered and death comes peacefully in a matter of seconds. The owner is allowed to remain with the pet for final private goodbyes. At the end of this time, after the last goodbyes and caresses are completed, the owner simply exits the room when ready and the hospital staff takes over.

Let the veterinarian know in advance if you would like a lock of hair or the collar as a keepsake.

What Happens To My Pet Afterwards?

Most clinics offer several disposal methods.

1. A rendering provider can be contracted to dispose of pet remains. This is via a chemical process called rendering, and is sometimes free of charge.

2. As another option, your pet’s remains can be part of a group cremation. There is usually an extra charge for this service.

3. If you wish, you may have a private cremation and the ashes will be returned to you either in an urn of your choosing or a cedar box (the basic option). There is an additional charge for the service and the urn.

4. Private services can sometimes be arranged through local providers. 5. Many city ordinances prohibit the burial of a pet’s body at home, so check what is legal in your area.

Autopsy (called necropsy for animals) is available and is compatible with any of the options listed above. There are different levels of detail for this procedure. If you have unanswered questions or a legal interest in these results, please discuss the details with your veterinarian.

Grieving

Grief is a natural part of loss and has predicable stages. Do not feel ashamed or embarrassed about grieving for the loss of an animal. Our pets are beloved family members and their loss is keenly felt. Still, it is important to realize that death is a natural end to life and that love will always continue. There are many resources available to assist you in your grieving process.

The UC Davis School of Veterinary Medicine has a Pet Loss Support Program that offers toll-free telephone support to callers. The hours are Monday through Friday, from 6:30 am to 9:30 pm Pacific Standard Time.

1-800-565-1526 1-800-565-1526

In addition, the following on-line areas may be helpful:

www.petloss.com

www.in-memory-of-pets.com/pet-loss.htm

Helpful books are available as well:

Final Farewell: Preparing For and Mourning the Loss of Your Pet By Marty Tousley and Katherine Heuerman. 85 pages; illustrated. Our Pals Publishing Co, 3629 N 40th Ave. Phoenix AZ 85019. 1997

Healing the Pain of Pet Loss: Letters in Memorium edited by Kymberly Smith, The Charles Press.

Absent Friend: Coping with the Loss of a Treasured Friend by Laura and Martyn Lee, pub. by Henston Press, High Wycombe, Bucks, England, 1992.

Euthanasia - Saying Goodbye

Saying Good-bye

best-dog-vetThe decision to end a pet’s suffering is one of the most difficult but important ones that a pet owner can face. It may help to recall the meaning of the word euthanasia – “an easy and painless death”. We would all like to hope that when the time comes our pet would be able to die peacefully in their sleep at home, in a timely fashion before any suffering occurred,.

Unfortunately, this is seldom the case. If your friend has chronic unmanageable pain, is sick and dying or is elderly with a multitude of problems and diminished quality of life, euthanasia may well be your best option. Fortunately your pet is spared your mental anguish of your difficult decision and knows only that you are there to help.

We will strive to ensure that the process is a peaceful and painless one. You may bring your pet to the hospital, or if you are able to plan a few days in advance we often arrange a home visit. Many owners choose to stay with their pets to provide comfort and support, but please let us know if you are not comfortable with this idea. First, a small injection under the skin is given to make your pet drowsy and relieve any anxiety or pain that they may be experiencing. This will take 10-15 minutes to take effect. Your friend will appreciate your presence and loving touch during this time. Smaller pets may even fall asleep in their owner’s arms. When your pet is feeling truly calm and peaceful, an area of hair is shaved over the vein of the front arm or back leg and an intravenous injection is given. We use an injectable anesthetic in overdose to stop the heart. In fact you may have received a similar anesthetic if you have ever undergone surgery, (the one where your doctor asks you to count backwards from 100 and you only get to 95…),

the difference being that we give enough anesthetic that your pet will not wake up. This is a completely pain free procedure. The anesthetic acts very rapidly and many pets are gone before we have finished the injection.

If burial is not an option, both communal and private cremation services are available. We will discuss these options with you before the procedure. With private cremation, your pet’s ashes will be returned to you in an attractive urn and a ceramic paw print will be made.

The grieving process is a very personal experience. The length of time it takes to come to terms with the loss of a pet is different for everyone. Talking to family and friends about your difficult decision, reminiscing about your friend’s younger years, or creating a memento such as a photo album are all helpful. If you have young children, there are some excellent books that you can read together to help them understand their loss. If you are feeling truly overwhelmed, please let us know. We are always there to listen.

Signed

Veterinarians and Pet Care Staff of Care Pet Wellness Group