End of Life Care Database: CAB Abstracts Search Strategy: -------------------------------------------------------------------------------1 (pet or pets or "small animal*" or "companion animal*" or cat or cats or dog or dogs or feline or canine).mp. [mp=abstract, title, original title, broad terms, heading words, identifiers, cabicodes] (243578) 2 (compassion* and (therap* or care or treat*)).mp. [mp=abstract, title, original title, broad terms, heading words, identifiers, cabicodes] (228) 3 ((palliative or hospice) and (therap* or care or treat*)).mp. [mp=abstract, title, original title, broad terms, heading words, identifiers, cabicodes] (1007) 4 "end of life".mp. [mp=abstract, title, original title, broad terms, heading words, identifiers, cabicodes] (373) 5 1 and (2 or 3 or 4) (410) 6 from 5 keep 2-3,9,11,14,23,26,28,44,50,56-57,73,79,84,88-91,105,111,114,119-120,125138,143,160,176,178,201-202,212,217-218,243,270,328,378 (51) *************************** Selected references Accession Number 20153007724 Author Corti, L. Title Massage therapy for dogs and cats. (Special Issue: Approaches to pain management.) Source Topics in Companion Animal Medicine; 2014. 29(2):54-57. Publisher Elsevier Inc Location of Publisher Orlando Country of Publication USA Abstract Massage is gaining recognition as a beneficial modality for the treatment of many ailments due to recent scientific research in humans. We can infer that these benefits apply to dogs and cats due to their similar physiology and anatomy. Defined as the therapeutic manipulation of soft tissues, massage has many effects on muscle, the circulatory system, the autonomic nervous system, and the mind. Various techniques are employed to achieve a desired effect in the treatment of many conditions, including but not limited to, swelling and edema, critical illness and prolonged recumbency, osteoarthritis and chronic pain, and palliative and hospice care. This article reviews the above topics and encourages the practitioner to seek out expert advice on massage in the care of companion animals. Publication Type Journal article.
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Accession Number 20143391151 Author Pastor, M. Title The end of life and euthanasia of dogs and cats. [French] Source Point Veterinaire; 2014. 45(Special):44-48. 3 ref. Publisher Newsmed Location of Publisher Paris Country of Publication France Abstract The management of a pet at the end of the animal's life and euthanasia is often difficult. It requires good communication and trust between the owners and the veterinarian. This, along with provision of all the facts about the case (prognosis, cost of testing and treatment, state of suffering of the animal) helps owners to take these decisions that carry serious consequences. Once the decision for euthanasia is made, it is best to sort out the administration and paperwork in advance. At the time of the euthanasia, the veterinarian explains the different stages, from prior anaesthesia to the heart stopping. The role of the veterinarian may continue beyond this euthanasia, identifying owners for whom the grief is long and arduous. Publication Type Journal article.
Accession Number 20143281920 Author Jones, K. Title Pain management in hospice and palliative care. Source Pain management in veterinary practice; 2014. :431-436. Publisher Wiley-Blackwell Location of Publisher Ames Country of Publication USA Publication Type Book chapter.
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20143277429 Author Hewson, C. Title Grief for pets Part 2: Realistic client care so that you 'do no harm'. Source Veterinary Ireland Journal; 2014. 4(8):431-436. 33 ref. Publisher Veterinary Ireland Location of Publisher Dublin Country of Publication Irish Republic Abstract Research indicates that many clients think about their animal companions' deaths while the animals are still well, and would like their veterinarians to lead discussions about end-of-life issues. However, most veterinarians are unaware of this. Moreover, they have not been trained in how pet loss affects clients, and how best to communicate with them. Because of this, personnel necessarily depend on their intuition and experience and, lacking the evidence-based communication skills that can assist clients optimally, they can inadvertently make some clients' grief more painful. This article critiques some popular veterinary assumptions about clients' grief in light of current knowledge. It also outlines the practical features of client care during animals' end-of-life phase, emphasising the pre-euthanasia consultation. At a minimum and, in accordance with guidelines to medical personnel, veterinarians should offer every client information about grief and further support resources, when the animal's death is imminent or earlier, if the client desires. Publication Type Journal article.
Accession Number 20143185126 Author McVety, D.; Gardner, M. Title Veterinary hospice. Source Proceedings of the NAVC Conference, 18-22 January 2014, Orlando, Florida, USA. Volume 28, Small Animal & Exotics; 2014. :unpaginated. Publisher North American Veterinary Conference Location of Publisher Gainesville Country of Publication USA Publication Type Conference paper.
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Accession Number 20143159901 Author Cosgrove, S. B.; Cleaver, D. M.; King, V. L.; Gilmer, A. R.; Daniels, A. E.; Wren, J. A.; Stegemann, M. R. Title Efficacy and safety of APOQUELReg. (oclacitinib) administered to client-owned dogs enrolled in a long term compassionate care program. Source BSAVA Congress 2014, Birmingham, UK, 3-6 April, 2014. Scientific Proceedings Veterinary Programme; 2014. :530. Publisher British Small Animal Veterinary Association Location of Publisher Quedgeley Country of Publication UK Publication Type Conference paper.
Accession Number 20143171311 Author Kerrigan, L. Title In-home hospice provision - a viable option for veterinary palliative care? Source The Veterinary Nurse; 2014. 5(3):146-151. 10 ref. Publisher MA Healthcare Limited Location of Publisher London Country of Publication UK Abstract Veterinary hospice care has developed significantly in the US as a practice involving a multidisciplinary team and a variety of settings. A dedicated veterinary practice hospice facility, while possible, will place huge demands on most practices, therefore in-home hospice care may be a more viable option for a veterinary practice wishing to extend its range of services, and a more appealing option for a pet owner facing the impending loss of their treasured companion. Publication Type Journal article.
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Accession Number 20133407892 Author Lavan, R. P. Title Development and validation of a survey for quality of life assessment by owners of healthy dogs. Source Veterinary Journal; 2013. 197(3):578-582. 23 ref. Publisher Elsevier Ltd Location of Publisher Oxford Country of Publication UK Abstract Assessing and maintaining quality of life (QOL) is a growing concern in companion animal practice, as improved nutrition and healthcare have extended canine longevity. The objective of this study was to develop a validated survey for evaluating QOL in healthy dogs for use in clinical and research settings. A total of 174 dog owners completed an initial QOL survey containing 21 items grouped into seven domains (CHQLS-21). After factor analysis of the responses, a final survey was constructed containing 15 items grouped into four domains (happiness, physical functioning, hygiene and mental status), plus two questions on general health and an item asking for a direct QOL assessment (CHQLS-15). Psychometric analysis indicated that the CHQLS-15 had good validity, reliability, and internal consistency and was able to detect QOL changes affecting several domains across age groups in healthy dogs. The CHQLS-15 therefore provides a basis for dialog between clinicians and dog owners regarding the health of their pets, particularly in tracking changes in health status, evaluating response to treatment, and guiding end-of-life decisions. A validated QOL survey could be particularly useful in recognizing and managing functional decline as the healthy canine patient ages. Publication Type Journal article.
Accession Number 20133259801 Author Kerrigan, L. Title Veterinary palliative and hospice care - making the transition from 'cure' to 'care'. Source The Veterinary Nurse; 2013. 4(6):316-321. 14 ref. Publisher MA Healthcare Limited Location of Publisher London Country of Publication UK Topic in focus: end of life are | 24 February 2015
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Abstract The term 'palliative care' has become almost synonymous with human medicine, most notably cancer care, however veterinary practices have a pivotal role to play in palliative and end-of-life care for companion animals. Until recently, very little information was available on how to apply the principles of palliative and hospice care into the veterinary profession despite the fact that patients with chronic and life-limiting disease are seen on a daily basis. Consider the cat with chronic renal failure or the dog with congestive heart failure or osteoarthritis. Dietary and therapeutic management can make a real difference to such patients' quality of life and also their life expectancy, and as such these patients are often treated 'palliatively' for months to years without any expectation of a real 'cure'. Many veterinary personnel do not recognise such treatment as palliative care however it is exactly this. This article aims to introduce the reader to the concepts of veterinary palliative and hospice care and ask them to consciously consider making the difficult transition from the 'cure' to 'care' approach. Publication Type Journal article.
Accession Number 20133235048 Author Gagnon, A. C. Title Cats for life: the companion to the accompaniment. [French] Source Ethnozootechnie; 2012. (93):47-56. 25 ref. Publisher Societe d'Ethnozootechnie Location of Publisher Clermont-Ferrand Country of Publication France Abstract With life expectancies reaching two-digits, more cats share our company, a real slice of our lives. The advent of palliative care is now possible, and is a real expectation of practitioners as owners who entrust them their cat. The evaluation of quality of life can be achieved with grids but also by observation and monitoring of patients in an ongoing dialogue with their families. When carrying out euthanasia that is inevitable, all options should be considered, such as the possibility of home. The death of the cat family, and mourning that followed, is always a painful but ripening stage, for which the support of the veterinary team is essential. Publication Type Journal article Conference paper.
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Author Bedossa, T. Title What for life today for dogs? End of life of animals, learning a life. [French] Source Ethnozootechnie; 2012. (93):41-46. Publisher Societe d'Ethnozootechnie Location of Publisher Clermont-Ferrand Country of Publication France Abstract A veterinary practitioner, the author is the founder and head of the Association of Old Animals, a centre that welcomes in the countryside, animals at the end of life stage. Requests for euthanasia of dogs may be in despair, for lack of performance, danger, harm, or to shorten the suffering from an incurable disease. Support requires accompanying couple dog/owner to decide the moment of realization of euthanasia or propose altenative (placement in a third party or in a hospital, amenities of home and time to adapt to the needs and behaviour of the old dog). Publication Type Journal article Conference paper.
Accession Number 20133017537 Author McVety, D. Title A case study in hospice care. Source NAVC Clinician's Brief; 2012. (December):11-15. Publisher Educational Concepts LLC Location of Publisher Tulsa Country of Publication USA Abstract A case of transitional cell carcinoma in an 11-year-old male castrated Maltese was described as well as the customized treatment and end-of-life care given to the animal based on hospice services availed by its owners [USA, date not given]. The dog presented with slight haematuria. Complete blood count and biochemistry test results were normal, but ultrasonography of the bladder revealed a mass. Biopsy confirmed transitional cell carcinoma (TCC). Surgery could be unhelpful in most TCC cases, but chemotherapy with mitoxantrone at 5 mg/m2 IV q3wk could be helpful in combination with piroxicam. However, these options were declined by the dog's owners because of its age, history of difficult anaesthetic recoveries and severe dislike of veterinary clinics. Thus, piroxicam was prescribed at 0.3 mg/kg PO q24h. However, the dog also had a history of pancreatitis and a sensitive digestive system and began to have NSAID-related haematemesis 3 weeks later. Piroxicam was ceased and Topic in focus: end of life are | 24 February 2015
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tramadol was started at 2.5 mg/kg PO up to q6h, in addition to famotidine at one mg/kg q1212h and sucralfate at 500 mg PO q812h. Although the dog had a good quality of life on this regimen for over a year, the owners requested in-home hospice care to maintain his comfort until he passed naturally or euthanasia was elected. Due to the dog's NSAID intolerance, gabapentin was added to the regimen and tramadol dose was increased. The habits of the dog on a daily or weekly basis were documented by the owners using an interactive quality of life scale. The use of gabapentin was ceased after no improvement was observed 4 weeks after initiation of treatment. Seizures and acute cough episodes were presented on the 6th and 8th months and treated with phenobarbital and butorphanol, respectively. The dog also showed haematochezia and was given lomotil, morphine and metronidazole. Humane euthanasia was performed after the dog's condition deteriorated (decreased appetite, movement and interest in toys). Publication Type Journal article.
Accession Number 20123379716 Author McVety, D. Title Veterinary hospice: medicate, meditate, mitigate. Source NAVC Clinician's Brief; 2012. (February):33-36. Publisher Educational Concepts LLC Location of Publisher Tulsa Country of Publication USA Abstract This article describes the characteristics of hospice as a part of veterinary services for pets. Publication Type Journal article.
Accession Number 20123280869 Author Villalobos, A. E. Title End-of-life care. Source NAVC Clinician's Brief; 2011. (December):21-23. 18 ref. Publisher Educational Concepts LLC Topic in focus: end of life are | 24 February 2015
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Location of Publisher Tulsa Country of Publication USA Abstract This article describes the veterinary care for old cats and dogs up to the point of euthanasia. Publication Type Journal article.
Accession Number 20123231185 Author McVety, D.; Gardner, M. Title Pet hospice care: the answer to "there's nothing more we can do". Source Veterinary Technician Proceedings. North American Veterinary Conference, Orlando, Florida, USA, 14-18 January 2012. Volume 26; 2012. :unpaginated. Publisher The North American Veterinary Conference Location of Publisher Gainesville Country of Publication USA Publication Type Conference paper.
Accession Number 20123231133 Author McVety, D.; Gardner, M. Title Pet hospice - a new idea and a new service in veterinary practice. Source Veterinary Technician Proceedings. North American Veterinary Conference, Orlando, Florida, USA, 14-18 January 2012. Volume 26; 2012. :unpaginated. Publisher The North American Veterinary Conference Location of Publisher Gainesville Country of Publication USA Publication Type Topic in focus: end of life are | 24 February 2015
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Conference paper.
Accession Number 20123231104 Author McVety, D.; Gardner, M. Title Pet hospice - the last step: Euthanasia in the home. Source Veterinary Technician Proceedings. North American Veterinary Conference, Orlando, Florida, USA, 14-18 January 2012. Volume 26; 2012. :unpaginated. Publisher The North American Veterinary Conference Location of Publisher Gainesville Country of Publication USA Publication Type Conference paper.
Accession Number 20123229379 Author Villalobos, A. E. Title Hospice: a way to care for terminal pets. Source NAVC Clinician's Brief; 2009. (May):39-42. Publisher Educational Concepts LLC Location of Publisher Tulsa Country of Publication USA Publication Type Journal article.
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20123011069 Author Villalobos, A. Title Let's regard end of life as a distinct stage. Source Veterinary Practice News; 2012. 24(1):42-43. Publisher BowTie News Location of Publisher Irvine Country of Publication USA Publication Type Journal article.
Accession Number 20113322787 Author Moore, A. S. Title Managing cats with cancer: an examination of ethical perspectives. Source Journal of Feline Medicine and Surgery; 2011. 13(9):661-671. 12 ref. Publisher Elsevier Ltd Location of Publisher Oxford Country of Publication UK Abstract Ethical issues: Caring for cancer patients presents many ethical issues for veterinarians and other veterinary health workers. The issues that most veterinarians think of relate to management of the patient when the owners' preferences for treatment do not appear to be in the animal's best interest, as well as concerns about toxicities and about costs of veterinary services (advanced imaging, surgery, radiation therapy and chemotherapy). While not limited to the veterinary profession, we are more often faced with dilemmas about the appropriateness of palliative care and decisions about euthanasia than our medical colleagues. Equally important are the ethics of not treating patients, and the integration of unproven and alternative strategies into conventional care. A separate ethical issue arises from investigational therapies and research. Less often considered, but nonetheless relevant, are the ethics of suboptimal evaluation (staging) of patients prior to treatment, or of not informing owners about all the options available. Client communication: Ethical veterinary care is intertwined with good client communication. Without good communication, it is impossible, for example, to gain informed consent; and without informed consent, the ethics of cancer treatment are uncertain. Goal: This article, which draws in part on published research, where stated, and otherwise on the author's personal experiences/opinions and those of veterinary colleagues, is intended to provoke further thought and discussion on the ethics of caring for our cancer patients. Publication Type Topic in focus: end of life are | 24 February 2015
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Journal article.
Accession Number 20113267693 Author Jessup, D. A.; Scott, C. A. Title Hospice in a zoologic medicine setting. Source Journal of Zoo and Wildlife Medicine; 2011. 42(2):197-204. 40 ref. Publisher American Association of Zoo Veterinarians Location of Publisher Lawrence Country of Publication USA Abstract Forty years ago, Dr. Elizabeth Kubler-Ross in her landmark book On Death and Dying observed "maybe at the end of our days, when we have worked and given, enjoyed ourselves and suffered, we are going back to the stage that we started out with and the circle of life is closed." Just as human life expectancy has steadily increased over the last 4 or 5 decades, animal life expectancy has increased, including that of zoologic species. With this has come a need for humans to openly and frankly deal with end-of-life issues for themselves and for their animals, including those in zoos. By necessity, zoos have been dealing with problems such as aggressive pain management and triage, and efforts to incorporate end-of-life care into zoologic medicine. But these efforts have yet to include formal acknowledgment that they are a basic form of hospice. Hospice for humans, and now for companion animals, includes much more than pain relief and geriatric care. This article reviews the concepts and basic practices of hospice and the closely related field of palliative care, their relatively recent application to companion animal care, potential applications to zoologic medicine, and the ways this could provide opportunities for personal growth of zoo visitors and staff, including veterinary staff. Publication Type Journal article.
Accession Number 20113203145 Author Dickinson, G. E.; Roof, P. D.; Roof, K. W. Title A survey of veterinarians in the US: euthanasia and other end-of-life issues. Source Anthrozoos; 2011. 24(2):167-174. 30 ref. Publisher Berg Publisher Topic in focus: end of life are | 24 February 2015
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Location of Publisher Oxford Country of Publication UK Abstract A stressful aspect of veterinary medicine is the euthanasia of animals, especially companion animals. The veterinarian must relate to both the suffering animal and the grieving client. An objective of this project was to assess veterinarians' need for training on how to help themselves and their clients with animal euthanasia considerations. Additionally, we sought to determine if practitioners felt well prepared from veterinary school. A survey of 463 veterinarians in the southeastern United States (return rate=75%) found that they average euthanizing 7.53 animals per month. The majority of clients were present during the process, and most left the animal for the veterinarian to make the final disposal of the remains, typically cremation. Most veterinary practices did not have a trained grief counselor on staff, however, referrals to a grief support group and or a hotline were often made. The majority of veterinarians did not think that their veterinary school training prepared them to relate to owners of terminally-ill animals, though more recent graduates were more favorable toward their training than earlier graduates. The overwhelming majority of veterinarians felt that veterinary schools should place more emphasis on communication skills for dealing with owners of terminally-ill animals. Publication Type Journal article.
Accession Number 20113203141 Author Parry, J. Title Sentimentality and the enemies of animal protection. Source Anthrozoos; 2011. 24(2):117-133. many ref. Publisher Berg Publisher Location of Publisher Oxford Country of Publication UK Abstract Ethical arguments promoting a higher moral status for nonhuman animals have developed a pace since the 1960s. These developments, however, have not been matched by a radical transformation in the way we treat nonhuman animals. In the 1990s, an alternative discourse emerged-the morality of care. Sympathy, empathy, compassion and pity form a family of sentiments that constitute the caring ethic. Sentimentality, the term associated with sentiment, is invariably invoked in our relationships to nonhuman animals. Although carrying positive connotations in the eighteenth century, sentimentality has since become a word of contempt and has been used to discredit our natural sympathy for nonhumans and to disparage animal protection reforms, both past and present. Here I argue for the rehabilitation of the term sentimentality and support Rorty's view that we need to create a moral sentimental education if we are to improve the world, and in particular the world as experienced by nonhuman animals. I believe that this educational enterprise should be directed at the pet-owning
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group, who are generally speaking already committed animal-lovers and who could be powerful agents for change in securing more justice for nonhuman animals. Publication Type Journal article.
Accession Number 20113194109 Author Shanan, A.; Balasubramanian, V. Title Legal concerns with providing hospice and palliative care. (Special Issue: Palliative medicine and hospice care.) Source Veterinary Clinics of North America, Small Animal Practice; 2011. 41(3):661-675. Publisher W.B. Saunders Location of Publisher Philadelphia Country of Publication USA Abstract Most veterinary hospice services are provided in the pet owner's home. Recognized standards of care have not yet been established in this emerging field. This article explores the legal implications surrounding the provision of veterinary hospice care in the United States; and provides veterinarians with the legal information necessary to determine whether and how to prepare for offering palliative and hospice care services. The legal issues that may arise in the context of veterinary hospice are largely duplicative of those that arise in the course of other types of small animal veterinary practice. Publication Type Journal article.
Accession Number 20113194108 Author Rollin, B. E. Title Euthanasia, moral stress, and chronic illness in veterinary medicine. (Special Issue: Palliative medicine and hospice care.) Source Veterinary Clinics of North America, Small Animal Practice; 2011. 41(3):651-659. Publisher W.B. Saunders Location of Publisher Philadelphia Topic in focus: end of life are | 24 February 2015
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Country of Publication USA Abstract Euthanasia is a double-edged sword in veterinary medicine. It is a powerful and ultimately the most powerful tool for ending the pain and suffering. Demand for its use for client convenience is morally reprehensible and creates major moral stress for ethically conscious practitioners. But equally reprehensible and stressful to veterinarians is the failure to use it when an animal faces only misery, pain, distress, and suffering. Finding the correct path through this minefield may well be the most important ethical task facing the conscientious veterinarian. Publication Type Journal article.
Accession Number 20113194107 Author Akashi, A. Title Ten tips for veterinarians dealing with terminally ill patients. (Special Issue: Palliative medicine and hospice care.) Source Veterinary Clinics of North America, Small Animal Practice; 2011. 41(3):647-649. Publisher W.B. Saunders Location of Publisher Philadelphia Country of Publication USA Abstract This article discusses tips for veterinarians dealing with terminally ill patients. These tips include veterinarians taking care of themselves physically, mentally, and spiritually and exploring beliefs about pets dying. This article also addresses veterinarians' relationships to pets and owners and their role as facilitator; studying the ethics of end-of-life-treatment; referring owners to other specialists; and taking care of staff. Publication Type Journal article.
Accession Number 20113194106 Author Shanan, A. Title A veterinarian's role in helping pet owners with decision making. (Special Issue: Palliative medicine and hospice care.) Topic in focus: end of life are | 24 February 2015
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Source Veterinary Clinics of North America, Small Animal Practice; 2011. 41(3):635-646. Publisher W.B. Saunders Location of Publisher Philadelphia Country of Publication USA Abstract End-of-life care frequently requires owners and veterinarians to make decisions of monumental consequences while feeling they sorely lack essential information. This feeling can be distressing to owners and veterinarians and lead to strains in their relationship. This article illustrates an approach to end-of-life decision making that offers the greatest benefit to the animal, the owner, the veterinarian, the veterinary practice, and, ultimately, the veterinary profession. The article introduces issues and concepts that underlie all companion animal end-of-life decision making - the human-animal bond, quality of life, and veterinarians' nonmedical helping roles - and discusses major end-of-life decisions. Publication Type Journal article.
Accession Number 20113194105 Author Downing, R.; Adams, V. H.; McClenaghan, A. P. Title Comfort, hygiene, and safety in veterinary palliative care and hospice. (Special Issue: Palliative medicine and hospice care.) Source Veterinary Clinics of North America, Small Animal Practice; 2011. 41(3):619-634. Publisher W.B. Saunders Location of Publisher Philadelphia Country of Publication USA Abstract Hygiene, comfort, and safety during pet palliative care and hospice are usually straightforward. The veterinary health care team must coordinate care to ensure that the pet and the family are fully informed and engaged in the process. End-of-life issues, euthanasia, and death are typically not everyday concerns for the pet owner. Pet owners and veterinary patients rely on the veterinary health care team to help create the structure within which the pet will die. The veterinary team can give the family-pet unit the gift of structure and multifaceted comfort. The veterinary profession must take seriously this unique niche of care. Publication Type Journal article.
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Accession Number 20113194104 Author Shearer, T. S. Title Managing mobility challenges in palliative and hospice care patients. (Special Issue: Palliative medicine and hospice care.) Source Veterinary Clinics of North America, Small Animal Practice; 2011. 41(3):609-617. Publisher W.B. Saunders Location of Publisher Philadelphia Country of Publication USA Abstract Some pet owners may have more difficulty managing a pet's mobility challenges than any other disorder. This problem is especially frustrating because the pet is often otherwise healthy. The decline in mobility is also connected to many disease processes, such as the neuropathies seen in poorly regulated diabetes and the weakness associated with degenerative myelopathy. As death nears, a decline in mobility toward becoming recumbent or moribund is expected. The progression of the mobility disorder will vary according to the disease process. As the pet's mobility declines, the burden of care will increase. This article addresses how to care for pets with mobility changes. Publication Type Journal article.
Accession Number 20113194103 Author Downing, R. Title The role of physical medicine and rehabilitation for patients in palliative and hospice care. (Special Issue: Palliative medicine and hospice care.) Source Veterinary Clinics of North America, Small Animal Practice; 2011. 41(3):591-608. Publisher W.B. Saunders Location of Publisher Philadelphia Country of Publication USA Abstract Veterinary patients in palliative and hospice care have progressive and often degenerative diseases that can cause pain as well as loss of function and decreased quality of life. These patients can often benefit from the application of physical medicine and rehabilitation techniques to maximize comfort and function. Physical medicine and rehabilitation are most effective as adjuncts to pharmacologic Topic in focus: end of life are | 24 February 2015
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pain management. Physical medicine and rehabilitation can decrease the doses of analgesics required to keep these patients comfortable. The blend of physical and pharmacologic medicine allows an optimum balance between maximum comfort and maximum mentation. Publication Type Journal article.
Accession Number 20113194102 Author Landsberg, G. M.; DePorter, T.; Araujo, J. A. Title Clinical signs and management of anxiety, sleeplessness, and cognitive dysfunction in the senior pet. (Special Issue: Palliative medicine and hospice care.) Source Veterinary Clinics of North America, Small Animal Practice; 2011. 41(3):565-590. Publisher W.B. Saunders Location of Publisher Philadelphia Country of Publication USA Abstract Physical signs of old age may be obvious, but mental and cognitive changes require more careful observation. Changes in behavior may represent the earliest indications of medical problems, or disorders of the central nervous system, and these may be bidirectional. Cognitive dysfunction syndrome is underdiagnosed and affects a substantial portion of aged companion animals. This article describes potential treatment regimens to address age-related behavioral problems, as well as a framework for investigating differential diagnoses. Early identification of changes in behavior is essential for the adequate treatment and management of medical and behavioral problems, and for monitoring outcomes. Publication Type Journal article.
Accession Number 20113194101 Author Villalobos, A. E. Title Assessment and treatment of nonpain conditions in life-limiting disease. (Special Issue: Palliative medicine and hospice care.) Source Veterinary Clinics of North America, Small Animal Practice; 2011. 41(3):551-563. Publisher Topic in focus: end of life are | 24 February 2015
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W.B. Saunders Location of Publisher Philadelphia Country of Publication USA Abstract The "Pawspice" philosophy, which the author introduced at the 2000 American Veterinary Medical Association meeting, focuses on symptom management along with a kinder, gentler, or modified approach to standard therapy. Many veterinarians have preconceived bias or ingrained beliefs about aging, serious illness, multiple comorbidities, and cancer, which may cause a negative or dismissive approach toward palliative treatment, especially in geriatric pets. Veterinarians and their v-teams must overcome this insensitive attitude about life-limiting disease. This article describes assessment, treatment, and home management of some nonpainful life-limiting diseases, including cancer and agerelated decline of vital functions in the Pawspice setting. Publication Type Journal article.
Accession Number 20113194100 Author Downing, R. Title Pain management for veterinary palliative care and hospice patients. (Special Issue: Palliative medicine and hospice care.) Source Veterinary Clinics of North America, Small Animal Practice; 2011. 41(3):531-550. Publisher W.B. Saunders Location of Publisher Philadelphia Country of Publication USA Abstract When negotiating the challenges of end-of-life care for animal patients with clients, veterinary health care providers must continually engage in ongoing evaluation of the pet's quality of life, as well as assessing the client's quality of life to ensure that the best decisions possible are made. By combining regular physical evaluations, including careful palpation to unmask pain, with open and honest dialog with the client about the pet's day-to-day reality, the partnership of pet owner and veterinary health care team can accept the challenge of anticipating, preventing, finding, and relieving pain in the veterinary palliative care and hospice patient. Publication Type Journal article.
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Accession Number 20113194099 Author Villalobos, A. E. Title Quality-of-life assessment techniques for veterinarians. (Special Issue: Palliative medicine and hospice care.) Source Veterinary Clinics of North America, Small Animal Practice; 2011. 41(3):519-529. Publisher W.B. Saunders Location of Publisher Philadelphia Country of Publication USA Abstract The revised veterinary oath commits the profession to the prevention and relief of animal suffering. There is a professional obligation to properly assess quality of life (QoL) and confront the issues that ruin it, such as undiagnosed suffering. There are no clinical studies in the arena of QoL assessment at the end of life for pets. This author developed a user-friendly QoL scale to help make proper assessments and decisions along the way to the conclusion of a terminal patient's life. This article discusses decision aids and establishes commonsense techniques to assess a pet's QoL. Publication Type Journal article.
Accession Number 20113194098 Author Shearer, T. S. Title Pet hospice and palliative care protocols. (Special Issue: Palliative medicine and hospice care.) Source Veterinary Clinics of North America, Small Animal Practice; 2011. 41(3):507-518. Publisher W.B. Saunders Location of Publisher Philadelphia Country of Publication USA Abstract Starting a palliative or hospice care plan as soon as possible after a pet qualifies allows for better care of the pet and the family. The process is made more efficient by applying the 5-step strategy for comprehensive palliative and hospice care. The veterinarian and staff can immediately begin applying the philosophy of palliative and hospice care by following this protocol and be sure that no area of care is being neglected. Publication Type Journal article.
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Accession Number 20113194097 Author Shearer, T. S. Title Delivery systems of veterinary hospice and palliative care. (Special Issue: Palliative medicine and hospice care.) Source Veterinary Clinics of North America, Small Animal Practice; 2011. 41(3):499-505. Publisher W.B. Saunders Location of Publisher Philadelphia Country of Publication USA Abstract There is great flexibility in how palliative medicine and hospice care can be delivered to pet owners. The veterinarian needs to develop a plan based on the professional's individual preferences. Variations in the services that are offered, the location of where the services are delivered, and the composition of the professional team will vary with the veterinarians preferences. Marketing and legal issues must be addressed when considering to offer palliative and hospice care. An organizational worksheet is provided at the end of this article to help with planning. Publication Type Journal article.
Accession Number 20113194096 Author Marocchino, K. D. Title In the shadow of a rainbow: the history of animal hospice. (Special Issue: Palliative medicine and hospice care.) Source Veterinary Clinics of North America, Small Animal Practice; 2011. 41(3):477-498. Publisher W.B. Saunders Location of Publisher Philadelphia Country of Publication USA Abstract This article outlines the young history of animal hospice by first focusing on the history of human hospice, with special emphasis on the last 200 years. It then examines similarities between the two, Topic in focus: end of life are | 24 February 2015
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showing how human hospice has informed its animal counterpart and defined it as specialized comfort care benefiting terminally ill companion animals in their home setting as well as a unique journey wherein the caregiver understands that quality of death is as important as quality of life. The article includes a bibliography and two specialized reading lists - on human hospice and on the growing field of animal hospice. Publication Type Journal article.
Accession Number 20113161845 Author Villalobos, A. Title Decision making dilemmas for end-of-life care. Source Small animal and exotics. Proceedings of the North American Veterinary Conference, Orlando, Florida, USA, 15-19 January 2011; 2011. :734-737. 12 ref. Publisher The North American Veterinary Conference Location of Publisher Gainesville Country of Publication USA Publication Type Conference paper.
Accession Number 20113050638 Author Lindley, S.; Watson, P. Title BSAVA manual of canine and feline rehabilitation, supportive and palliative care: case studies in patient management. Source BSAVA manual of canine and feline rehabilitation, supportive and palliative care: case studies in patient management; 2010. :viii + 403 pp. many ref. Publisher British Small Animal Veterinary Association Location of Publisher Quedgeley Country of Publication UK Abstract Topic in focus: end of life are | 24 February 2015
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This book is a compilation of articles on small animal rehabilitation, supportive and palliative care which are evidence-based veterinary medicine. The book brings together the principles of pain management, nutrition and physical therapies, rehabilitation and acupuncture in increasing the quality and quantity of life of pets. The health and function of dogs and cats are optimized by providing comprehensive approach to rehabilitation, supportive and palliative care. These articles are intended for veterinarians, veterinary nurses, and small animal practitioners. Publication Type Book.
Accession Number 20103153471 Author Gordon, S. G.; Roland, R. Title Managing end stage canine heart failure: canine hospice care. Source Proceedings ACVIM Forum, San Antonio, Texas, USA, 4-7 June, 2008. Veterinary Proceedings; 2008. :141-143. 2 ref. Publisher American College of Veterinary Internal Medicine Location of Publisher Lakewood Country of Publication USA Publication Type Conference paper.
Accession Number 20103139747 Author Scherk, M. Title Homecare and end of life issues. Source BSAVA 53rd Annual Congress 2010, Scientific Proceedings, Veterinary Programme, Birmingham, UK, 8-11 April 2010; 2010. :220-222. Publisher British Small Animal Veterinary Association Location of Publisher Quedgeley Country of Publication UK Publication Type Topic in focus: end of life are | 24 February 2015
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Conference paper.
Accession Number 20093117832 Author Bishop, G. A.; Long, C. C.; Carlsten, K. S.; Kennedy, K. C.; Shaw, J. R. Title The Colorado State University Pet Hospice program: end-of-life care for pets and their families. Source Journal of Veterinary Medical Education; 2008. 35(4):525-531. 14 ref. Publisher University of Toronto Press Inc. Location of Publisher Toronto Country of Publication Canada Abstract While the concept of hospice care for humans has existed for decades and is an integral part of the dying process, providing hospice care for companion animals is a new and growing service. Veterinarians and pet-owners have recently recognized that there is a need and a demand to care for pets with terminal illnesses. The Colorado State University Pet Hospice program meets those needs through supporting pets, their owners, and veterinarians, and educating professional veterinary students in end-of-life care. Developed in 2003, Pet Hospice is a student-run program that trains veterinary students in animal hospice care, and matches them with the family and veterinarian of a terminally ill pet in the community. Since its inception, 101 veterinary student volunteers have been trained and provided support to 68 families. Continued expansion of the client base, enlargement of the network of veterinarians and volunteers, and positive program evaluations reflect the strong impact of Pet Hospice and its support from veterinary students, veterinarians, and the community. Publication Type Journal article.
Accession Number 20093115227 Author Shearer, T. Title Setting up a hospice and palliative care service in a small animal practice. Source Small animal and exotics. Proceedings of the North American Veterinary Conference, Orlando, Florida, USA, 17-21 January, 2009; 2009. :604. Publisher The North American Veterinary Conference Location of Publisher Topic in focus: end of life are | 24 February 2015
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Gainesville Country of Publication USA Publication Type Conference paper.
Accession Number 20093017745 Author Scherk, M. Title Home care and end of life issues: gentle diligence, grace and compassion. Source 33rd World Small Animal Veterinary Association Congress, Dublin, Ireland, 20-24 August 2008; 2008. :97-99. Publisher Australian Small Animal Veterinary Association Location of Publisher Bondi Country of Publication Australia Publication Type Book chapter Conference paper.
Accession Number 20083239128 Author Villalobos, A. Title "Pawspice" a formal pet hospice program. Source Exploring the art and science of healing: Conference proceedings, Ontario Veterinary Medical Association (OVMA), January 31 - February 2, 2008; 2008. :87-95. Publisher Ontario Veterinary Medical Association Location of Publisher Milton Country of Publication Canada Publication Type Conference paper.
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Accession Number 20083239126 Author Villalobos, A. Title End of life issues: preventing over & under-treatment. Source Exploring the art and science of healing: Conference proceedings, Ontario Veterinary Medical Association (OVMA), January 31 - February 2, 2008; 2008. :75-81. Publisher Ontario Veterinary Medical Association Location of Publisher Milton Country of Publication Canada Publication Type Conference paper.
Accession Number 20073138733 Author Heiblum Frid, M.; Tejeda Perea, A. Title Euthanasia & thanatology in small animals. Source Journal of Veterinary Behavior: Clinical Applications and Research; 2007. 2(2):35-39. 8 ref. Publisher Elsevier Location of Publisher Oxford Country of Publication UK Abstract The study of thanatology has recently taken on increased importance in the field of veterinary medicine. Today, the roles of companion animals have expanded to include beloved pet and family member, provider of social and emotion support, and in the case of service dogs, provider of assistance to owners with special needs. For these reasons, companion animals have taken on greater significance within their human families. Their deaths can be as painful and difficult for their families as the death of human family members. Veterinarians are tasked with working in concert with the pet owner, throughout the lifetime of the pet, to promote the pet's health and well-being. In critical and or terminal situations, it is the veterinarian's role to educate the owner so that informed decisions regarding treatment options or a decision to euthanize the pet can take place. In veterinary medicine, euthanasia means to end life painlessly. Veterinarians and owners, working in partnership to make Topic in focus: end of life are | 24 February 2015
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subjective and objective assessments on the pets quality of life, produce the best results. For the veterinarian, the medical approach (including: clinical history, physical exam, laboratory tests, diagnosis, prognosis and treatment) can assist in assessing the pet's physical health status, any potential treatments, and the likely short and long term outcomes. The owner's role in the partnership is to subjectively assess overall behavioral changes and the pet's quality of life. Once owners have decided to euthanize their pet, there are still more factors to consider: where to perform the procedure, which family members will be present, and how the remains will be handled. The veterinarian can do everything possible to minimize any anxiety for the pet during the euthanasia, including administration of a tranquilizer prior to the procedure. The veterinarian will allow the pet's family time to say goodbye and educate them on what to expect when their pet dies. There is a possibility that other pets that lived in the same household may also experience distress at the loss of their animal family member. The veterinarian can let the owners know what signs may be signaling depression or anxiety in that pet. The grieving process is extremely personal and people must be allowed to grieve in the way that helps them deal with their loss. Veterinarians need to be careful not to minimize the owner's loss or grief. The owner will count on the veterinarian's guidance and expertise when making decisions affecting their pet's well-being. Making an informed decision can help assuage any guilt about opting for euthanasia when done in the best interest of the pet. Publication Type Journal article.
Accession Number 20053131409 Author Mujeeb-ur-Rehman Fazili Title Essentials of companion bird anaesthesia. (Special issue: Care, comfort compassion for companion animals) Source Intas Polivet; 2002. 3(2):383-385. 11 ref. Publisher Intas Pharmaceuticals Ltd Location of Publisher Ahmedabad Country of Publication India Publication Type Journal article.
Accession Number 20053058173 Author Epstein, M.; Kuehn, N. F.; Landsberg, G.; Lascelles, B. D. X.; Marks, S. L.; Schaedler, J. M.; Tuzio, H. Topic in focus: end of life are | 24 February 2015
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Title AAHA senior care guidelines for dogs and cats. Source Journal of the American Animal Hospital Association; 2005. 41(2):81-91. Publisher American Animal Hospital Association Location of Publisher Denver Country of Publication USA Abstract This paper provides a working framework for enhancing the wellbeing of senior pet dogs and cats. Approaches to screening the medical status of senior pets are described in detail, with particular emphasis on establishing baseline data in healthy animals, the testing of clinically ill animals, and assessing senior pets prior to anaesthesia and surgery. The management of pain and distress and the application of hospice and palliative care are addressed. Advice on ways to approach euthanasia and dealing with end-of-life issues is also provided. Publication Type Journal article.
Accession Number 19972205201 Author Siegel, S.; Cronin, K. L. Title Palliative radiotherapy. Source Veterinary Clinics of North America, Small Animal Practice; 1997. 27(1):149-155. 25 ref. Publication Type Journal article.
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