Re: [FH] Last stages - quality of life scale
- Hi Amy,
I couldn't find a website listing these quality of life factors in the
same way, so I copied it from here: http://lightning-strike.com/forum/index.php?showtopic=3092
I'm sorry that Giorgio is having a difficult time. They are very good
at hiding how badly they feel, so I hope this scale will help you
determine when he's ready to be helped to the Bridge. Some things
apply to dogs rather than cats, but mobility is important to cats too,
although cats don't need to go for walks.
You sound like a very caring cat lover. You'll make the best decision
Pet caregivers can use this Quality of Life Scale to determine the
Pawspice care. Using a scale of 1 to 10, patients can be scored.
H: 0 - 10 HURT - Adequate pain control, including breathing ability,
is first and foremost on the scale. Is the pet's pain
successfully managed? Is Oxygen neccesary?
H: 0 - 10 HUNGER - Is the pet eating enough? Does hand feeding help?
Does the patient require a feeding tube?
H: 0 - 10 HYDRATION - Is the patient dehydrated? For patients not
enough, use subcutaneous fluids once or twice daily to
supplement fluid intake.
H: 0 - 10 HYGIENE - The patient should be kept brushed and cleaned,
particularly after elimination, avoid pressure sores and keep
all wounds clean.
H: 0 - 10 HAPPINESS - Does the pet express joy and interest? Is he
to things around him (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?
M: 0 - 10 MOBILITY - Can the patient get up without assistance?
Does the pet need human or mechanical help (e.g. a cart)?
Does he feel like going for a walk? Is he 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 his caregivers are committed to helping him.)
M: 0 - 10 MORE GOOD DAYS THAN BAD - When bad days outnumber good
days, quality of life might be too compromised.
> My question, dear cat lovers, is when do you know it's time to let[Non-text portions of this message have been removed]
> him go? My past experiences with euthanasia were clear cut and they
> had lived very long lives. Do I let him continue to decline, hope
> for a rally, or stop it? It sounds so unfeeling to write it as I
> have, I am so emotional -- I want to do right by him. It's not about
> Any thoughts would be very much appreciated.
> I wish you all the best for your cats.
> Thanks for your time.
> [Non-text portions of this message have been removed]