What Is Animal Hospice?

New Animal Hospice Guidelines from the IAAHPC

The International Association of Animal Hospice and Palliative Care has just recently released their updated Animal Hospice Guidelines.  While the document is geared towards animal health professionals, I wanted to include a link to this paper for those who are interested in learning more about the field of animal hospice.  If your current veterinarian is not well-practiced in hospice and palliative care, please feel to pass these guidelines along to him/her. Animal hospice is still in its infancy in the US, so I believe it is important to spread the word amongst as many practicing veterinarians as possible.

Of particular interest to dog parents like you and me, is Section III, “Pain, suffering, well­being, and quality of life in the animal hospice and palliative  care patient.”  Of particular note was the information on Quality of Life Assessment, and this excerpt:

“They encourage us to ask “what is important to this animal in his  or her life?” and to remember that each individual animal has unique likes and dislikes. For  example, loss of mobility might negatively impact a dog who loves to play ball and Frisbee  more significantly than it would a dog whose favorite activity is sleeping in a sunny spot under a window. Individual animals also have unique capacities to adapt to change. A disabled animal may continue to enjoy his or her favorite activities if creatively modified to fit the animal’s condition. A disabled animal may also develop “new” favorite activities.”

This made me reflect on my recent experience with Scooby.  Scooby was a dog who lived to eat.  He enjoyed going on walks, being close to his people and getting his massages. At the end, when Scooby no longer wanted food, could not even stand to go for a walk without assistance and did not seem to register touch or he presence of our family very well, I knew that this was not the quality of life deserving of my sweet boy.  It was undignified that he could not defecate, except when lying down, and that sometimes, even with assistance to get out to urinate, he struggled and was unbalanced anyway.  This was how I knew that his quality of life had degraded to the point where I could not let him continue on this path.

In the end, Scooby was at home, where he loved to be, surrounded by the people who loved him most in the world, and even a few people who did not know him that well, but recognized how special he was.  He passed peacefully and simply, in a way that honored him.  I am proud that we could give that to him.


What Do I Tell My Kids?

Five Ways to Support Children When a Pet Dies

Pet Loss Grief Book for Children

Pet Loss Grief Book for Children

Your pet’s death may be your children’s first experience with loss and feelings of grief. This experience presents an opportunity for you to teach your children to express grief in emotionally healthy ways, free of shame or embarrassment.

Many grief specialists believe that children can learn and grow from the grief if the adults in their lives follow a few key guidelines:

1. Be as honest as possible 

It’s tempting to try to protect children from any kind of emotional pain. Yet, attempting to “soften the blow” by telling children that a pet ‘ran away’ or ‘went to live with someone else’ only creates a different kind of pain. Losing a pet under any circumstances will cause children to grieve and thinking that a family pet ran away may add feelings of abandonment and rejection.

2. Encourage children to view a pet’s body and to say good-bye 

If a pet dies suddenly, it can be beneficial for your child to see the pet’s body and be able to say good-bye in whatever way they are comfortable. This may include touching the pet, holding and hugging the pet, and even spending time alone with the pet’s body. Depending on where the pet’s death occurs, either you or your veterinarian can clean the pet’s fur of any blood, remove any medical equipment or supplies (catheters, tape, etc.) and position the body so it is soothing to see, perhaps curled into a pet bed or nestled into a container that has been lined with a soft blanket.

3. Involve children in the euthanasia process

The key to a comforting good-bye process for children is how well they are prepared to face their pet’s death. Speak with your veterinarian before your pet is euthanized so you are well informed about the procedures your child will witness and about the level of emotional support you and your child can expect to receive.

Children who are well prepared can usually handle the intense emotions that are part of euthanasia. Research, along with clinical experience, shows that it is beneficial for children to say a personal good-bye to a loved one who has died.

4. Allow children to make their own choices 

Children should be allowed to make their own choices about how much they wish to be involved with the process of saying good-bye to a pet. Older children may choose to be with a pet when the euthanasia is performed, while younger children may choose to say good-bye while their pet is still alive. Other children may choose to view a pet’s body only after death has occurred, reassuring themselves that their beloved pet has really died.

Very young children don’t really understand death and have short attention spans. If your young child wants to be included, it’s a good idea to ask a friend to be with your family when your pet dies, so he or she can take care of your young child. This allows you and your older children uninterrupted time to say your own good-byes.

5. Allow time for grief

Since children have shorter attention spans than adults and because they express their grief differently, be aware that your children may grieve the loss in “short bursts.” Children are unable to sustain intense grief emotions for long periods of time. Therefore, it is normal for children to go from crying and being very upset one minute, to wanting to go and play the next. This is not a sign of indifference or poor coping; it is simply they way in which they need to work through their grief.

As a caring parent, it may be tempting for you to try to “cheer up” your grieving children by immediately adopting a new pet. Sometimes this works and it is often at the children’s own request.  However, while some people are able to bond with a new pet and grieve for the one who died at the same time, there’s no “right” time to adopt a new pet. You want to be sure that your children don’t get the message that a family member who dies is easily replaceable.

While adopting a new pet may help your whole family feel better, grieving together can also bring you closer together. Then, when everyone feels ready, a new pet can join you and find his or her own joyful place in your family.

from Dana Durrance, M.A. Veterinary Grief Specialist and Consultant