hospice care

Ruby’s Last Journey: The Long Goodbye

Ruby

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Today marks exactly three months since Ruby passed away. This is the last part in a four-part series about my experience during the last four months of Ruby’s life, from diagnosis to caring for her through her illness, to having to let her go. Click here to read part one, Ruby’s Last Journey: The Moment That Changed Everything, part two, Ruby’s Last Journey: Practical Considerations of Hospice Care,and part three, Water, Water Everywhere! Hydration for Cats with Kidney Disease.

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Ruby’s Last Journey: Water, Water, Everywhere! Hydration for Cats with Kidney Disease

Ruby’s Last Journey: The Moment That Changed Everything

Ruby-meowfia-cat-cave

When I announced Ruby’s passing in December, I promised you that I would eventually write about my experience during the last four months of her life, from diagnosis to caring for her through her illness, to having to let her go.

I decided to title this four-part series “Ruby’s Last Journey.” My own journey through grief, which is, of course, a large part of all of this, is ongoing. I suspect I will inhabit planet grief for quite some time as I try to move forward without my little girl. Life goes on, but the pain of missing her hasn’t really softened all that much over the last two months.

Writing this series was hard. In the past, writing about losses helped me heal. That doesn’t seem to be the case this time. I know in time, I’ll come to terms with this loss, like I have with all my other losses. The reality is that we never get “over” a loss, nor should we want to. Loss changes us. The best we can hope for is that in the end, it changes us for the better. Continue Reading

Yochabel’s Wisdom: Emotional Turmoil

woman-cat-sleeping

Guest post by Casey Hersch

This is the sixth in a series of posts by Casey Hersch. Casey discusses the many lessons she learned about caring for Yochabel during her illness, including her quest to stop Yochabel’s cancer from growing/spreading, barriers present with senior cats, variations in diet including supplements and herbs, and how to focus on the individual cat’s needs. Yochabel was not only Casey’s feline companion. She left Casey with ways to cope with her own illness, and with a greater sense of acceptance and gratitude.Continue Reading

Yochabel’s Wisdom: Hospice at Home

cat-woman-office

Guest post by Casey Hersch

This is the fifth in a series of posts by Casey Hersch. Casey discusses the many lessons she learned about caring for Yochabel during her illness, including her quest to stop Yochabel’s cancer from growing/spreading, barriers present with senior cats, variations in diet including supplements and herbs, and how to focus on the individual cat’s needs. Yochabel was not only Casey’s feline companion. She left Casey with ways to cope with her own illness, and with a greater sense of acceptance and gratitude.Continue Reading

Hospice Care for Cats

hospice-cats

In the past, euthanasia was often the only option for cats with terminal illnesses. Today, hospice or palliative care is a very real alternative.

Hospice involves providing supportive care to cats in the final stages of their lives so that when the time comes, they can pass naturally and peacefully. The primary goal is to keep the cat comfortable and free of pain, with a focus on quality of life.

Palliative care should not be considered a last resort. It is not about dying, but rather, about finding ways to help the cat live comfortably with a terminal illness.Continue Reading

Hospice Care: An Alternative to Premature Euthanasia

hospice-care-cat

With cat guardians understanding the importance of regular preventive care, and with veterinary medicine becoming more and more advanced, cats live longer lives than ever before. However, despite all the advanced treatment options, some illnesses are considered terminal. In the past, euthanasia was often the only option pet owners would consider at that stage. An alternative to premature euthanasia that is garnering more attention in the world of pet care is hospice care.

What is hospice care?

The definition of a terminal illness is an illness for which there is no cure. It is an active, progressive, irreversible illness with a fatal prognosis. Hospice care provides an alternative to prolonged suffering and is designed to give supportive care to cats in the final phase of a terminal illness. The goal is to keep the cat comfortable and free of pain, with a focus on quality of life.

Hospice care is not about giving up, or even about dying. It may actually involve providing more care for a terminally ill cat than pursuing aggressive medical treatment, not less. The decision to provide hospice care should be made in conjunction with your veterinarian, who will become an integral partner in the process.

What does hospice care involve?

Hospice care focuses on keeping the patient comfortable. This may mean providing additional soft bedding with easy access to food, litter boxes, and favorite sleeping spots. Depending on the cat’s condition, gentle handling may be required because many terminal medical conditions create discomfort and pain.

Pain management, also known as palliative care, is one of the cornerstones of hospice care. Cats are masters at hiding pain, so it is up to the cat’s guardian to watch for even subtle signs of pain, such as hiding or avoiding contact with family members or changes in sleeping position. Work with your cat’s veterinarian to develop an appropriate pain control program for your cat.

Provide easy access to food and water at all times. You may need to experiment with special foods to get an ill cat to eat.

Sick cats may not be able to groom themselves normally. You may have to assist your cat with grooming by gently brushing, and keeping eyes, ears, the area around the mouth and around the rectum and genitalia clean.

There are many non-invasive, gentle holistic therapies that can provide relief to terminally ill cats. Energy therapies such as Reiki, Healing Touch, Tellington Touch and others are particularly effective.

A time of peace

Hospice care can present logistic and emotional challenges for cats and their guardians, but this can also be a time of peace and increased bonding with your beloved feline companion. Additionally, hospice care allows cat guardians to gently prepare themselves for the impending loss.
Diagnosis of a terminal illness does not have to be the end. Hospice care can provide a compassionate and loving final phase of life for both cat and human.

This article was previously published on Answers.com and is republished with permission.

Palliative Care for the Feline Cancer Patient

Buckley_November_2008

While cancer in cats is not as common as it in dogs, it is still one of the leading causes of death in older cats. According to the Animal Cancer Foundation, 6 million cats will be diagnosed with cancer in the United States along. And because cats are masters at masking illness, it is often harder to detect.

Cancer used to be a death sentence for cats, but recent advances in feline cancer research have made treatment possible in many cases. Just like with human cancers, early detection is key to successful treatment. Depending on the type of cancer, treatment options may include sugery, radiation, and chemotherapy.

How and whether to treat cancer can be a big decision for cat parents, and factors such as the cat’s age, general health status, temperament all come into play. So do finances: cancer therapies can be expensive.

Sometimes, the right answer may be no treatment, and keeping the cat comfortable with good quality of life for as long as possible may be an appropriate choice.Continue Reading

Providing Hospice Care for Cats

hospice_care_for_cats

As veterinary care for cats is becoming more and more sophisticated and as more cat guardians understand the importance of  a lifetime of preventive care, cats live longer lives.  But despite all of that, cats still get sick, and when they do, there are often numerous treatment options.   However, some illnesses are considered terminal, and in the past, euthanasia was often the only option pet guardians would consider at that stage.  An alternative to premature euthanasia that is garnering more attention in the world of pet care is hospice care.

Hospice care is about providing good quality of life

The definition of a terminal illness is an illness for which there is no cure.  It is an active, progressive, irreversible illness with a fatal prognosis.  Hospice care provides a loving alternative to prolonged suffering and is designed to give supportive care to cats in the final phase of a terminal illness.  The goal is to keep the cat comfortable and free of pain, with a focus on quality of life and living each day as fully as possible.

The decision to stop treatment and begin hospice care can be made at any point in the progression of a terminal illness.   Decisions may range from choosing to forego aggressive surgery after receiving a cancer diagnosis because of a poor prognosis, discontinuing chemotherapy or radiation because the cat is either not responding or is dealing with side-effects that are rapidly diminishing his quality of life, or discontinuing medications because medicating the cat is difficult or impossible for the cat owner.  Rather than opting for euthanasia, cat owners may choose to provide hospice care for their cat.

Hospice care is not about giving up

Hospice care is not a last resort, and is not about giving up, or about dying.  It’s about finding ways to live with a terminal illness, and it may actually involve providing more care and not less.  The decision to provide hospice care should be made in conjunction with your veterinarian, who will become an integral partner in the process.

What does hospice care involve?

Hospice care involves the following:

  • Comfort:  Provide clean, soft bedding with easy access to food, litter boxes, favorite sleeping spots and interaction with family members.  Handle cats gently because many terminal medical conditions create discomfort and pain.
  • Nutrition and Hydration:  Provide easy access to food and water.  You may need to experiment with special foods to tempt ill cats.  In addition to feeding a high quality, grain-free canned or raw (if you cat is immunocompromised, raw food is not recommended) diet, you may need to offer foods such as meat-based baby food (make sure that there is no onion powder in the brand you buy), tuna juice or flakes of tuna spread on top of the cat’s regular food, and slightly warming the food to increase palatability. Make sure the cat always has fresh water available.
  • Cleanliness:  Sick cats may not be able to groom themselves.  Assist your cat with this by gently brushing, and keeping eyes, ears, the area around the mouth and around the rectum and genetalia clean if she can’t do it by herself anymore.
  • Pain Management:  Cats are good at hiding pain.  Watch your cat for signs of pain – subtle signs may involve hiding, avoiding contact with family members, or changes in sleeping positions.  Rarely will cats vocalize when they’re in pain.  Work with your veterinarian to develop an appropriate pain control program for your cat.
  • Holistic Therapies:  There are many non-invasive, gentle holistic therapies that can provide relief to terminally ill cats.  Energy therapies such as Reiki, Healing Touch, Tellington Touch and others are particularly effective.

A time of peace for cat and human

Despite the logistic and emotional challenges hospice care presents for cats and their humans, it can also be a time of great peace and increased bonding with your beloved feline companion.  It also allows for a gentle preparation  for the impending loss for both cat and human.   Diagnosis of a terminal illness does not have to be the end – it can be the beginning of a deepening, peaceful, final phase of life for both cat and human.