Tuesday 29 May 2012

Euthanasia and Grieving

Anyone who has shared their life with a pet knows that eventually the time comes when your paths must part. Sometimes events happen that take this decision out of our hands although sometimes we, as compassionate pet owners, have to decide what is best for our pet. No matter whether it is expected, anticipated or out-of-the-blue, the decision to euthanase your pet is never an easy one.

The most frequently asked question we hear when people are considering euthanasia is 'how do we know when it is time?'

Owners faced with this decision often suffer a high level of anxiety, caused by not wanting to end their pet's life prematurely but also being concerned that leaving the decision too long may cause undue pain and discomfort to their animal. Depending on your pet's individual situation, timelines and specific prognoses may be discussed with the veterinarian. However, sometimes there is no clear-cut answer. I have found the best advice is to assure each owner that they know their pet the best. Once you notice your pet's behaviour starting to change, whether their appetite is diminishing or perhaps they don't find enjoyment in the things they used to, then the time may be approaching to discuss options with the veterinarian.

It has been my experience that owners can be 'frightened' to come in for a consultation and discussion about their pets quality of life, for fear that they will be 'forced' into euthanasia, or chastised for 'letting their pet deteriorate'. Do not assume your pet's condition is untreatable - call us first and discuss the situation before you are too far into this emotional process to turn back. Be assured that our vets and nurses are here for your support and that we will sensitively discuss your concerns. Remember that we are pet owners too, and as such we have all faced this and other difficult decisions with our own animals.

Once the decision to euthanase has been made, owners have the choice whether or not to stay with their pet during the euthanasia. This is a very personal decision, and there is no 'right or wrong' choice. The procedure is fast, painless and is the most humane option when euthanasia is required. It is most commonly performed by injecting a drug directly into the bloodstream, although sometimes alternative routes may be used.

Some owners feel strongly that they want to stay with their pet through the whole procedure, whereas others prefer not to be present for this final moment. If you would like to discuss your options before making this decision, please let us know before your appointment time and we will answer your questions sensitively. In addition, generally we recommend against children being present at the euthanasia, and can provide information about grief management in children where required.  

Once the pet has been euthanased, you need to decide how you would like to care for the remains. There are several options - home burial (check council regulations first), general burial with other animals through the hospital or individual cremation with return of ashes. We find it easiest for clients to make these decisions before the time of euthanasia, when possible - please discuss your concerns with the hospital staff.

Grief is a very normal process after the loss of a pet. Each person in the family will grieve in a different way, and will feel the effects of grief for a different length of time. It is important to surround yourself with people who are supportive, and empathetic to your loss. Make sure you are kind to yourself and give yourself permission to grieve. Feel free to contact our staff if you want to talk about things during your time of grieving. We also have information about websites for self-help in grief and may be able to give you information about suitable counseling, if desired.
Any remaining pets in the household may also show signs of grief. Generally these are transient, but please discuss any concerns you have with our staff. We also have a handout about pet grief if you require information.

Sometimes, the depth of grief felt after the loss of an animal results in wanting to 'fill the void' immediately with another pet. To welcome another animal into your family is a big decision, and must be done only when all are ready to receive it - the new pet cannot be seen as a 'replacement' for the lost one. It is always best to wait until all the family members are ready to discuss bringing a new life into the household before getting a new pet.

Physiotherapy & Canine Osteoarthritis

Did you know that 1 in 5 dogs will develop osteoarthritis? Even worse, many owners don't know how to recognise the early signs of osteoarthritis. If your dog has become less active, is stiff early in the morning or following exercise, has limited movement or trouble jumping or getting up and down stairs, chances are, they're not just "getting old" but have the beginnings of degenerative joint disease.

Osteoarthritis primarily occurs in dogs over 7 years. Overuse, obesity, conformational problems or old injuries can all cause degeneration of cartilage within joints, the build of fluid and growth of abnormal bony spurs. All these signs of osteoarthritis lead to a loss of mobility and pain in our doggy friends.

So What Can You Do?
Traditionally, treatment for osteoarthritis has revolved around anti-inflammatory medications to relieve pain. Dietary supplements, weight control and Synovan (anti-arthritic) injections can also aid in supporting joint function and give your dog some relief. For many years, research in humans has demonstrated the importance of exercise in maintaining strength and joint movement to decrease pain, often known as "Move it or Lose It".   More and more, veterinarians are discovering the importance of applying these same principles to our canine companions and at Casula and Elizabeth Drive hospitals, we now offer a physiotherapy service.

Physiotherapy
Physiotherapy starts off with a complete assessment, often some hands on therapy such as massage and all animals leave with 'homework', a program of fun, treat-rewarded exercises aimed at developing strength, mobility and ultimately improving your dog's quality of life. Since we teach owners how to do the exercises themselves and provide ongoing support via email, physiotherapy is a very cost effective way to help manage your dogs arthritis throughout their autumn years. If your best friend has slowed down in the last few years, please look out for our upcoming Arthritis evening on June 14th or have a chat with one of our veterinarians about what you can do to manage this debilitating disease.

The Facts About Feline AIDS: Is Your Cat at Risk?

The Feline Immunodeficiency Virus is a major cause of disease world wide. Unfortunately, here in Australia we have a higher incidence of the disease than anywhere else in the world. In fact, the research of one of our veterinarians here at Casula, Dr Betty Liem, found that 1 in 6 cats are infected with FIV in Sydney's western suburbs.

FIV causes disease similar to that of the human immunodeficiency virus and eventually develops into an AIDS-like disease.  However, FIV can not spread to humans or vice versa.  The virus replicates within the immune system, killing white cells and leaving our feline friends vulnerable to opportunistic diseases.   Early signs of FIV will vary depending on what other infections are present but you may see a loss of appetite, vomiting or diarrhoea, weight loss or anaemia. Affected cats usually die of opportunistic infections.

As there is currently no cure for FIV, prevention is very important. Also, signs of FIV are rarely present immediately after infection and many cats can live years before their immune system has been affected enough to cause disease. Unfortunately, during this time they are still able to infect other cats and you may not realise how often your cat is at risk of catching FIV. For this reason, here at Casula and Elizabeth Drive hospitals we recommend that all cats, (unless exclusively indoors) are vaccinated for FIV as part of their kitten vaccinations.

If you have an adult cat that has not been vaccinated for FIV or if you are not sure, a quick test can be done in the clinic which will tell us if your new cat has ever been infected or vaccinated for FIV previously. A DNA test can also be performed which allows us to differentiate between vaccinated and infected cats. As FIV is most commonly spread by biting during cat fights, it is important to keep your cat indoors until we have the results of these tests.
         
Although there is no cure for FIV, the good news is that we can help to prevent infection and avoid the spread of this deadly disease in our feline companions. If you have any questions on vaccination or FIV tests, the staff at Casula and Elizabeth Drive Animal Hospitals are happy to answer them.