Quality of Life scale


  • Not a particularly fun topic, but if you are in the unpleasant situation where you are trying to decide whether to help a very sick or elderly dog cross the Rainbow Bridge, a Quality of Life scale (HHHHHMM Scale) may be of some help, particularly if you are very conflicted about what to do. This is the one that our veterinary internist gave us. We're using it now with Nemo, and I would say it has at minimum helped foster the discussion of what is important to each member of the family.

    http://virtuavet.wordpress.com/petqualityoflife/qualityoflifescale/

    Clay


  • Interesting scale,. Number one IMO should be whether or not the animal is interested in eating, so I would tend to put the "hunger" criteria at the top of the scale and give it more weight than for instance pain. This past year I went through a very difficult time with a horse, and I know she endured quite a bit of discomfort…..yeah, pain.....but she never lost her appetite, her eyes were bright, and she was interested in her surroundings, so I supported her as well as I could and she is currently pain free without meds. I didn't feel I should give up on her before she gave up, and in this case I have a good outcome. Some animals are more stoic than others, and will hang on through difficult times. Others give up, and I think they should be allowed a painless end if there is no way to revive their will to live. Age is obviously a factor, as is prognosis. Enduring a difficult time when you know there is light at the end of the tunnel is a lot different from eking out a few weeks or months when the outcome is certain. Knowing whether you are doing it for them or whether you are doing it for you can be difficult to determine.


  • It just goes by total score. A score of 35 is considered decent quality of life. You could certainly weight or modify the different components as you mentioned.


  • Thanks for posting Nemo. I have a 16 1/2 year old border collie mix and she is on the cusp of the criteria. Having something concrete to see really helps to sdetermone how she is faring. Thank you so much for posting this. I wish it were more concrete, but this certainly provides a guide to help see when it's time to help out old friends over the bridge.


  • If you have a dog in pain, I highly recommend Tramadol. A vet will have to give you a prescription and you will need to make sure it does not cause a problem with other medication. It helped tremendously with my elderly BRAT foster Annie who had back problems. Sometimes if a dog is in pain, it will not want to eat.

    Jennifer

Suggested Topics

  • 0 Votes
    3 Posts
    300 Views
    N
    @Saving Thanks so much for the information! I am researching further and continuing with her rehab exercises as best I can. Glad you recovered from your spinal injuries.
  • 0 Votes
    8 Posts
    1k Views
    SavingS
    @elbrant said in Bordatella and Canine Influenza Vaccines: @Saving said in Bordatella and Canine Influenza Vaccines: divisive I guess I'm a dreamer.... but I believe that adults can have discussions and opinions without resorting to name calling and rude remarks. Your input is valuable. Thanks, because it's become a religion as soon as you speak against it people get so offended. The last 3 years has shown that quite clearly @Saving said in Bordatella and Canine Influenza Vaccines: Another friend's dog has a swollen leg at the vaccination site of his booster which is not resolving I"m sorry to hear about your friend's loss and understand the concern about the other friend's swollen leg. I had a similar experience, one of my dog's (not doodle) had a grossly swollen leg following a vet visit. The Vet told me it was cancer and I opted to let her go. Month's later I read online that it could have been the result of an allergic reaction. Please advise your friend to research possible answers before she makes a decision. Will do, a lot of the medication/vaccines cause inflammatory responses so it could just be that, it's still not nice for the dog to have that experience @Saving said in Bordatella and Canine Influenza Vaccines: dry food ... suffering from malnutrition omgosh! That is so scary!! I doubt the big manufacturers would ever allow a real study to see the light of day, but I would love to see one done. Just the thought makes me want to keep feeding my girl human grade foods. Yeah the same here, her research indicated that raw chicken wings were the optimal food and contain pretty much everything needed. I guess if you think of some of the processed crap they have in supermarkets trading as food for humans you can imagine how low the bar can go for pet food.
  • Weight issue

    Basenji Health Issues & Questions
    3
    0 Votes
    3 Posts
    518 Views
    tanzaT
    @Rebel - Full blood workup including full Thyroid panel (full panel no just what the normal vet workup that is not a full thyroid panel)... as they say make sure that he is in good health. Also what are you feeding him? How much total are you feeding a day? Also with reducing food, add veggies to his food to fill his belly... green beans are good to use... I use Cauliflower and Broccoli... Note also that low normal is typically too low for Basenjis.
  • Cough not going away

    Basenji Health Issues & Questions
    19
    0 Votes
    19 Posts
    1k Views
    eeeefarmE
    To give you an idea of the contrast between Basenjis and Border Collies, my BC once spit out a pill, I said "Blackie" in a disapproving tone, and he picked it up from the floor and swallowed it!
  • 1 Votes
    13 Posts
    1k Views
    B
    Longtime member, not active. Had a basenji with the same diagnosis back in 2004. He took a tremendous amount of bicarb each day, his Fanconi was being well managed, but he started having seizures at night. Our vet gave us something to stop the seizure that we'd administer rectally. We kept track of the number of seizures and they started becoming more frequent, to about twice a week, if I recall. The final seizure he had he went temporarily blind and howled and howled and we knew that was it was time. I just sat on the floor with him and cried. A couple months later we looked at photos we had taken of him right before and he looked very, very tired. Very much the hardest thing we had ever done was to let him go across the Bridge, but after looking at those photos, we had done the right thing. Our vet had told us that it was possible he would have a seizure and not come out of it, and we certainly didn't want that.
  • Spay Early or Spay Later

    Basenji Health Issues & Questions
    15
    0 Votes
    15 Posts
    7k Views
    senjisillyS
    @mryltis Read this comment from @morgansc within this post dated May 30, 2019, 7:49 AM. It answers your question. Ideally it is best to wait until age 24 months but no early than 18 months. https://basenjiforums.com/post/177284