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2016 AAHA/IAAHPC End-of-Life Care Guidelines.
Gail Bishop1, Kathleen Cooney, Shea Cox
1From Colorado State University Flint Animal Cancer Center, Argus Institute, and Colorado State University Pet Hospice, Colorado State University, Fort Collins, Colorado (G.B.); Home to Heaven, Loveland, Colorado (K.C.); Bridge Veterinary Services, Berkeley, California (S.C.); The Downing Center for Animal Pain Management, Windsor, Colorado (R.D.); Angel Care Cancer Center for Animals, Memphis, Tennessee (K.M.); Compassionate Veterinary Hospice, Chicago, Illinois (A.S.); Macungie Animal Hospital, Macungie, Pennsylvania (N.S.); North Carolina State University College of Veterinary Medicine, Raleigh, North Carolina (B.S.); and Angel's Paws, Cincinnati, Ohio (T.W.).
End-of-life (EOL) care is crucial for pets, focusing on comfort and minimizing suffering. Veterinarians should offer euthanasia options and implement palliative care plans, supporting both pet and owner through this difficult stage.
Area of Science:
- Veterinary Medicine
- Animal Welfare
- Palliative Care
Background:
- End-of-life (EOL) care is a critical and meaningful final stage in a pet's life.
- EOL care requires maximizing patient comfort and minimizing suffering.
- Effective client support hinges on timely, empathetic, and nonjudgmental communication.
Purpose of the Study:
- To emphasize the importance of comprehensive EOL care and decision-making in veterinary practice.
- To highlight the integration of animal hospice care addressing emotional, social, and physical needs.
- To outline essential components of a collaborative EOL treatment plan.
Main Methods:
- Focus on palliative and hospice care principles for EOL patients.
- Development of a collaborative, personalized, written EOL treatment plan.
- Client education and evaluation of caregiver needs and goals.
Main Results:
- EOL care should prioritize patient comfort and minimize suffering.
- Veterinarians must consider euthanasia and palliative measures for EOL patients.
- Animal hospice care addresses holistic patient needs.
Conclusions:
- A dedicated team for palliative and hospice care is essential in primary care practices.
- Client support and grief management are key factors in client loyalty.
- Referral to professional grief counseling can be beneficial for grieving clients.
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Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...