Quality of Life

young woman gently placing a bow on her happy dog

Evaluating Quality of Life to Help Know if it's Time:

Common and often age-related diseases eventually take hold of our pet’s comfort level and ability to carry out their activities of daily living.  Pets may endure a very poor quality of life as even the thought of providing them a peaceful passing can be very heart-wrenching.  We often cling to the idea they will pass peacefully on their own when in reality a peaceful death from disease is rarely the case.  Pet owners often find themselves doing a quick, daily check-in that their pet is “doing ok” if there’s a tail wag or a brief moment where they enjoyed a special treat. 

Taking a more objective inventory of how your pet is compensating for their known or unknown life-limiting disease(s) is actually how we need to assess whether their quality of life is acceptable or teetering towards a crisis situation:

  • Serious injury due to impaired mobility secondary to very painful conditions like osteoarthritis
  • Acute respiratory distress requiring oxygen that is not readily available
  • Neurological disease to where the pet is completely unaware of their surroundings and develops severe anxiety and stress
  • Debilitating cancer that has ravaged their body and left them in a constant state of unrelenting pain
  • Advanced metabolic disease (e.g. kidney failure) that has weakened them to the extent that they have quickly become dehydrated and moribund

Quality of Life & End-of-Life Decisions

If possible, end-of-life decisions should always be made with your pet’s comfort and dignity in mind. Many pet owners find it helpful to use a structured quality-of-life guide to better understand how their pet is feeling day to day.

One widely used scale is the HHHHHMM Quality of Life Scale, developed by veterinary oncologist Dr. Alice Villalobos. This scale helps assess key factors such as pain, appetite, hydration, mobility, happiness, and whether your pet is experiencing more good days than bad.

We recommend reviewing a recent article found on Chewy’s Education Center that covers the HHHHHMM scale.  We have included the link below under Learn More.

close-up of a cat lying on a bed in a cozy bedroom

HHHHHMM Quality of Life Scale

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