What is Hospice Care for Dogs and Cats?

The bond we share with our dogs and cats is unique, characterized by unconditional love, playful antics, and a special companionship. So, when the inevitable early signs of aging and declining health begin, it’s natural for our hearts to ache.
Navigating this challenging time can feel overwhelming, filled with difficult decisions and intense emotions. However, within this period, there is an option that is often overlooked or undiscussed – a compassionate pathway to provide our pets with comfort, dignity, and peace in their final chapter: hospice and palliative care.
This isn’t about giving up on your beloved pet; it’s about embracing a different kind of care and prioritizing their quality of life when a cure is no longer within reach.
In this post, I’ll share what hospice care truly means for our dogs and cats, when it may be the most loving choice, and what you can expect as you navigate the emotional decisions during this part of their journey.
Understanding Hospice and Palliative Care
Both hospice and palliative care are about more than just accepting the end; they are about actively ensuring the best possible quality of life for your pet during this chapter. The two have some similarities, but also some notable differences.
Hospice Care
Hospice care shifts the focus away from treating the underlying illness when a cure is no longer possible. At this point, the central goal is to maximize your pet’s comfort and well-being so they can enjoy their remaining time. This involves minimizing pain and suffering, managing distressing symptoms, and providing emotional support to your pet and your family as you navigate this stage. This care and support can be provided primarily in a familiar environment, like your home, rather than a specific facility.
Palliative Care
In contrast to hospice, palliative care can begin earlier during a serious illness, often while your pet is still receiving treatments, and a cure is still possible. The focus of palliative care is the effective management of symptoms to improve your pet’s comfort and overall quality of life at any stage of their illness.
Palliative care aims to improve your pet’s well-being regardless of their prognosis. Think of it as providing ongoing supportive care throughout a challenging illness, helping to manage discomfort and improve their daily life. After all, treatment isn’t always a comfortable or easy process.
Key Differences and Overlap
The main difference between hospice and palliative care lies in the timing relative to their treatment journey. Palliative care can start earlier, while hospice is specifically for the end-of-life stage when treatment is no longer a reasonable option. However, both approaches share a similar fundamental goal – prioritizing comfort, maximizing quality of life, and providing emotional support for the pet and their family as they navigate this chapter.
When Might Hospice or Palliative Care Be the Right Choice?
If your pet is currently dealing with medical challenges, it can be an emotional time. When it comes to deciding if hospice or palliative care might be the right path, there is no universal “right” moment. Instead, you will need to take some time to carefully (and honestly) assess your pet’s overall well-being and quality of life.
With palliative care being an option that doesn’t require you to stop treatment, there is no reason not to prioritize their comfort throughout the process.
Pay close attention to subtle shifts in their physical and mental behavior. Certain indicators can signal that it may be time to have a heartfelt conversation with your veterinarian about your supportive care options.
Changes to Watch Out For
To help you on this journey, here are a few specific changes you might notice in your pet that could suggest it’s time to consider hospice or palliative care:
- Changes in Eating and Drinking: Keep an eye out for a loss of appetite, increasing difficulty eating or drinking, or noticeable and unexplained weight loss.
- Changes in Mobility and Activity: You might notice your pet struggling to stand or walk, showing a reluctance to move, experiencing increased weakness, or becoming unsteady on their feet and stumbling.
- Changes in Behavior and Interaction: Look for signs that your pet may be withdrawing from their usual family life, showing a decreased interest in their favorite activities, hiding more often, experiencing significant changes in their sleep patterns, or showing a reduced desire to interact with you and your other household members.
- Uncontrolled Pain or Discomfort: Despite receiving pain medication, your pet may still show obvious signs of discomfort, such as whimpering, excessive panting, restlessness, or a reluctance to be touched in certain areas.
- Loss of Bladder or Bowel Control: If your pet is experiencing incontinence that is becoming increasingly difficult to manage and is negatively impacting their quality of life, this is an important consideration.
- Difficulty Breathing: Noticeable changes in their breathing, such as persistent coughing, labored breathing, or an increased effort required to breathe “normally,” can signal declining health.
- Lack of Response to Treatment: When ongoing medical interventions no longer effectively slow the progression of your pet’s illness and improve their quality of life, it may be time to consider a different approach focused on comfort.
Noticing one or two of these signs doesn’t automatically mean it’s time for hospice or palliative care. The decision to take this step isn’t “black and white.” Instead, these signs of decreasing quality of life should lead to an open and honest conversation with your veterinarian. They can provide valuable insights into your pet’s prognosis and help you assess the situation with realistic expectations. This discussion will help you make the most loving and informed decision for your best friend.
What to Expect from Pet Hospice and Palliative Care
The decision to begin the hospice or palliative care journey will have a significant impact on both you and your pet. Understanding this process can help you feel more prepared for what’s to come and supported in taking these steps confidently.
Veterinary Involvement
Your vet will play a central role in both hospice and palliative care. While your pet likely won’t have to stay at the clinic under constant supervision, you can expect to make regular trips for appointments to check on your pet’s well-being and assess their comfort and pain levels. This is important as your vet may need to make minor tweaks and changes to your approach along the way to ensure your pet’s needs are being met and address any concerns that may arise. Medication management is another key aspect. This will focus on providing effective pain relief, anti-nausea medications if needed, and any other treatments necessary to alleviate specific symptoms that may cause discomfort.
Additionally, your vet will be a source of information and guidance as you consider the possible changes that should be made to your home to better suit their needs, including both comfort and safety. This may include changing their bedding setup or limiting their access to certain areas of your home.
They can also provide nutritional advice to help ensure your pet is getting the nourishment they need in a way that is manageable for them. For example, if they have difficulty chewing, they may need a softer and easier-to-eat type of food.
In short, your vet will be a source of knowledge and ongoing support for you and your family every step of this journey. Don’t hesitate to ask questions, share concerns, and always keep the lines of communication open.
In-Home Care vs Clinic-Based Support
One of the most comforting parts of hospice and palliative care is that much of it will happen in the most familiar place to your pet, their own home. This allows your pet to stay in a safe and comfortable space, surrounded by the people they love, avoiding the stress and anxiety of being put into an unfamiliar environment.
Depending on your location and the services available, you may even have the option of having home visits from a vet or specialized hospice nurse to provide any necessary medical care in these familiar surroundings. However, even if those options are available, there may be times when clinic visits are necessary, such as for specific treatments that can’t be carried out properly at home.
There is no black and white answer to the balance between in-home care and clinic-based support. Instead, you and your vet team will work together to decide on the best approach for your pet’s individual situation.
Focus on Comfort and Quality of Life
The primary goal of hospice and palliative care is to maximize your pet’s comfort and overall quality of life. To meet this goal, you will need to use a range of strategies that are customized and tailored to your pet individually (after all, no two pets are the same).
Some common considerations during this stage of life include:
- Providing comfortable bedding that relieves any pain or pressure, such as an orthopedic bed, and helps your pet maintain a comfortable body temperature, like self-heating mats.
- Gentle grooming may help them feel better and address any hygiene concerns. Grooming wipes can be helpful for spot cleaning easily without disrupting your pet too much.
- If your pet has mobility issues, your vet can make recommendations to help them safely and comfortably. This may involve using special equipment like a simple lifting sling or a more elaborate support harness.
During this time, you should try to create and stick to a predictable routine, allowing your pet to continue enjoying their favorite things as much as possible. By letting them learn and adjust to a routine that fits their new “normal,” you can help make things more comfortable and less stressful, meaning a better overall quality of life.
Emotional and Practical Support for YOU
As I mentioned earlier, this journey isn’t only going to impact your pet. This is going to take an emotional toll on you, too. It’s important to remember that hospice and palliative care also extends to you as the pet parent.
Take time to explore the emotional support resources available, such as grief counseling or support groups where you can connect with others who understand what you’re going through. If you’re unfamiliar with any such groups in your area, ask your vet or search for an online option.
You can also expect practical advice from your vet throughout the process on many decisions you’ll face, including end-of-life planning. The team is there to answer your questions honestly and compassionately and offer a steady hand to help guide you through the process. There are no “silly” questions – they have likely heard any questions you have many times before!
End-of-Life Care
When the time comes and your pet’s journey nears its end, the focus will continue to be on giving them a peaceful and comfortable path to travel. You may notice a gradual decline in their energy levels and responsiveness. Just continue to be there, supporting them and showing them love.
The topic of euthanasia, while incredibly difficult, is an important consideration. It’s a peaceful and humane option to relieve suffering when your pet’s quality of life can no longer be maintained despite all efforts from you and your vet team. Please know that choosing this option is often the ultimate act of love and compassion for your pet. You are freeing them from their pain and discomfort.
Depending on what is available in your area, in-home euthanasia may be an option. This would allow your pet to pass away peacefully in their familiar surroundings, surrounded by your love. We recently chose this option for my senior dog, Daviana, allowing her to pass comfortably with her head in my lap in the living room she knew so well.
Healing After the Loss of a Pet
While your pet’s pain and suffering may be over, this isn’t the end of your emotional journey. It’s important to acknowledge the depth of the pain and grief you are feeling over your loss. Please know that whatever you are feeling is valid, and it’s okay to grieve deeply for the best friend who has touched your life so significantly.
As you work through this difficult time, don’t hesitate to reach out to your support system, including friends and family who understand your bond with your pet. You may also find comfort in connecting with support groups or considering grief counseling. But remember that YOU are an important priority.
Remember that the love and the beautiful bond you shared with your pet will forever be a part of you.
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Britt Kascjak is a proud pet mom, sharing her heart (and her home) with her “pack” which includes her husband John, their 2 dogs – Lucifer and Willow – and their 3 cats – Pippen, Jinx, and Theia. She has been active in the animal rescue community for over 15 years, volunteering, fostering and advocating for organizations across Canada and the US. In her free time, she enjoys traveling around the country camping, hiking, and canoeing with her pets.
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