Quality of Life and End of Life Care

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As a cat caregiver, you want to provide the best quality of life for your cat and this includes end of life care. While it can be uncomfortable to think about, end of life care is just as important as regular checkups and having a Cat Friendly home.

Discuss how to judge your cat’s quality of life (QOL) with your veterinarian so they can help you plan as needed. Analyzing your cat’s quality of life can include a series of questions that help you figure out if your cat is healthy, comfortable or in pain, and able to participate in or enjoy life events.


Cats and Pain

As your cat ages, she will likely begin to have some pain due to natural body changes, possibly from getting older, disease, or illness. It can be difficult to tell when your cat is in pain because they naturally hide signs of weakness. Your veterinarian is trained to notice these subtle signs, so it is important to bring your cat in for regular checkups. During the checkups, talk with your veterinarian and to help determine your cat’s quality of life.


Quality of Life (QOL)

Quality of life is a way to think about or determine if your cat is living a happy and healthy life. This can be difficult to determine, so veterinarians have created a series of open-ended questions for you to think about and answer based on your cat’s behavior. In order to answer the questions, it is helpful to know your cat’s normal behaviors. It is recommended to keep a journal or record of your cat’s normal behavior. Begin tracking your cat’s behaviors when you first bring them home, and update it throughout their life.

You can write this information down in a notebook or even a calendar. This can help you notice small changes that occur over time, which you can discuss with your veterinarian. Make sure to write down unusual behaviors, concerns, or questions you have for your veterinarian.

Here are some open-ended questions to explore with your veterinarian when thinking about your cat’s quality of life:


Adapted from “Shearer TS, ed. Palliative Medicine and Hospice Care, Veterinary Clinics of North America Small Animal Practice. 2011; 41(3):477-702″

DOWNLOAD CALENDAR

Here is a 12-month calendar to help you track your cat’s behavior. You can write down “good,” “bad,” or “average” on each day in order to figure out your cat’s quality of life and provide helpful information in making future decisions.

Your cat may act differently at the veterinary practice because it is an unfamiliar place. You can also make a video of your cat at home and record activities, such as jumping or eating. This video helps can help show how your cat normally behaves.


Making Hard Decisions and Creating an End of Life Plan

Saying goodbye to your cat is extremely hard, and creating an end of life plan may be even harder. However, taking these steps will help to provide a smooth transition for everyone including your cat. When creating a plan, it important to involve your veterinarian in all parts.

  • Consider end of life planning and decision-making before your cat’s health begins to decline.
  • Keep up-to-date records of your cat’s health, including test results from her checkups.
  • Prepare a back-up plan for holidays or when your veterinarian’s office is closed; check with local veterinary practices and animal hospitals for emergency services and protocols.
  • Speak with your veterinarian about the euthanasia process. There are several euthanasia methods that may be used, and it may help to understand and anticipate the unique steps involved in each.

The decision to euthanize will be very uncomfortable, unpleasant, and emotionally taxing. Pre-planning and preparation can make this decision a little easier. Remember to talk with your veterinarian and ask any questions you have about your cat’s quality of life and end of life care.


Frequently Asked Questions


“I don’t know if it is time to euthanize my cat.”

Making the decision to euthanize your cat is not simple, but you don’t have to make this decision alone. Talk with your veterinarian and go through the questions in the table above to figure out your cat’s quality of life. You want to think about what makes your cat “unique” and whether they are still acting like their normal self.

Please know it is natural to feel guilt when considering whether or not it is time to euthanize your cat. You want to make sure they are not in pain or suffering unnecessarily by delaying this decision. Having a compassionate discussion with your veterinarian and coming together with a decision that removes regret will help.


“Should children/family be present at euthanasia?”

It is important for everyone in the family to say goodbye and have closure, including children. Attending the euthanasia lets children be involved in the decision and can offer them valuable lessons about compassion, commitment, and responsibility. Be honest with your child(ren) about how sick their cat is so they understand why their cat is being euthanized. Parents or guardians should make the decision whether they should be present at the euthanasia.

It is extremely important to prepare everyone in the family ahead of time on what to expect if they are going to be present. For children, avoid using phrases such as “putting their cat to sleep” to help minimize anxiety and stress about bedtime, especially in younger children. Showing sadness and grief in front of children also teaches them that it is okay to cry. Encourage the sharing of positive, happy memories about their cat.


“Should my other pets be present at euthanasia?”

Bringing additional cats to the euthanasia appointment may depend on the nature of their relationship and your veterinarian’s recommendations. A study by the American Society for the Prevention of Cruelty to Animals showed that many cats had a decreased appetite, prolonged periods of sleep, and increased meowing after the death of a companion.

Allowing housemates to see and smell the cat may be beneficial in helping them with closure. It is also important to understand that each animal is different in how they view a housemate that has passed. Some cats may hiss at the deceased pet, act indifferent, or they may sulk for days. Surviving animals may not show the same level of grief that you are exhibiting, and that is okay.