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Hospice Care
Hospice care eases the way
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They have been our loyal companions throughout their lives, and in hospice, they need to know that we will dance to the end of the song with them.
—Thomas F. Wilson, PhD

When our dogs are young and healthy, it seems as though we have all the time in the world with them. But, as it always does, time catches up with us, and eventually, the “end of the song” begins to play. For many of us, our companion animals are so integral to our lives that their decline and death affect us similarly to the loss of human family members.

However, the heart-wrenching words “Nothing else can be done” do not mean that euthanasia is the only option. As they move into the closing stages of their lives, pets (we’ll focus on dogs here, but the concept is the same for other companion animals) can benefit from animal hospice, and so can their people.

Like the program for humans, animal hospice exists to provide support and care during the last phase of an incurable disease or at the natural end of life; its primary goal is to manage pain. As such, hospice care is geared toward maintaining comfort and ensuring the highest quality of life possible during a time that may be measured in months, weeks or days. It focuses on creating a safe, loving and intimate endof- life experience in a familiar setting. This approach also gives us time to plan, grieve and say good-bye to our dogs. And—perhaps most importantly —it is a way to allow our best friends to spend their final days at home rather than in a hospital setting. This interval can be invaluable, as it helps us come to grips with our dog’s condition, and to say good-bye in our own way.

Though it can be extremely rewarding, hospice care does require preparation and effort. The first step is to connect with a veterinarian who is comfortable with the concept (not all are).

He or she will guide you in how to best provide for your dog’s needs, and in setting up a care plan to carry out at home: administering medications, supplying nutritional support, recognizing pain, implementing proper nursing care and tuning into your dog’s general emotional and physical state. If you are unsure about taking on these kinds of responsibilities, you may be able to employ a vet technician to assist you as needed.

As mentioned, one of the most important aspects of hospice care is pain management. Because it is easier to prevent pain than to relieve it, a multimodal approach—in which a variety of methods, including various classes of pain medications, natural supplements, acupuncture and massage therapy, to name a few, are employed—usually results in the best control. Part of this protocol involves monitoring your dog’s behavior and physical state, since agitation and vocalization may be signs of pain. In providing hospice care, you are the eyes and ears of the veterinary team, recording changes in your dog’s weight, temperature, eating habits, mobility and other characteristics and reporting them to the vet so that interventions or adjustments to the care plan can be made in a timely manner.

When it comes to end-of-life matters, we are faced with the difficult decision of allowing for a natural death or intervening with humane euthanasia; for some, a natural death is preferable to euthanasia as long as no suffering is involved. The decision if and when to euthanize is as individual and personal as you and your dog, and it’s important to keep in mind that no one knows your dog better than you do. You have spent your dog’s lifetime learning to communicate by reading body language and developing a unique bond. Attend to what your dog may be trying to tell you and, above all, trust your heart.

Identifying the point at which your dog’s quality of life has irrevocably ebbed requires personal courage and sacrifice, and many people fear they will not be able to recognize when the time is right. Seek guidance in the decision- making process from family members and friends, as well as from your veterinarian, all of whom share a bond with your dog. You will need the support of those who truly understand.

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