Dealing with Euthanasia
Dealing with Euthanasia-
The Most Difficult Decision You Will Face with Your Pet!
The Doctor and Nurse Feel the Pain!
VeterinaryGenessInitiative.blogspot.com
DH DeForge, VMDi
From the American Veterinary Medical Association
Euthanasia
It’s never an easy decision to make, but perhaps the kindest thing you can do for a pet that is extremely ill or so severely injured that it will never be able to resume a life of good quality is to have your veterinarian provide a humane death by euthanasia.
A decision concerning euthanasia may be one of the most difficult decisions you will ever make for your pet. Although it is a personal decision, it doesn’t need to be a solitary one. Your veterinarian, family and close friends can help you make the right decision and can support you as you grieve the loss of your pet.
What should I do?
Eventually, many owners are faced with making life-or-death decisions for their pets. Such a decision may become necessary for the welfare of the pet and your family. Consider not only what’s best for your pet, but also what is best for you and your family. For example, if your pet’s quality of life is seriously impaired by an injury or disease that cannot be treated or requires more care than you and your family can provide, euthanasia may be the right decision. Quality of life is important for pets and people alike.
When a decision for euthanasia has been made, you should decide what you want done with your pet’s remains. It may seem strange to make these arrangements prior to euthanasia, but it can bring some degree of comfort to know what will happen next, and you will not have to focus on these decisions while you are grieving the recent loss of your beloved pet. Your veterinarian can provide information about burial, cre¬mation, and other alternatives.
How will I know when?
If your pet can no longer experience the things he/she once enjoyed, cannot respond to you in his or her usual ways, or appears to be experiencing more pain than pleasure, you may need to consider euthanasia. Likewise, if your pet is terminally ill or critically injured, or if the financial or emotional cost of treatment is beyond your means, euthanasia may be a valid option. Sometimes asking yourself the question, “Does my pet have more bad days than good days?” can help you make the decision.
Your veterinarian understands your bond with your pet and can examine and evaluate your pet’s condition, estimate the chances for recovery, and discuss any potential disabilities, special needs and long-term problems. He or she can explain medical and surgical options as well as risks and possible outcomes. Because your veterinarian cannot make the euthanasia decision for you, it is important that you fully understand your pet’s condition. If there is any part of the diagnosis or the possible effects on your pet’s future that you don’t understand, ask questions that will help you understand. Although there are times when the decision needs to be made immediately, you usually will have some time to review the facts and discuss it with your family and friends before making the decision.
What if the animal is healthy?
Euthanasia might be necessary if a pet has become vicious, dangerous, or unmanageable. Some undesirable and abnormal behaviors can be changed, so it is important to discuss these situations with your veterinarian. Your and your family’s safety should always be taken into consideration.
Economic, emotional, and space limitations or changes in lifestyle also may cause an owner to consider euthanasia for their pet. However, in these cases, opportunities to rehome the pet or place them with a rehoming agency should be pursued prior to opting for euthanasia. Euthanasia of healthy pets should be considered only when alternatives are not available.
How do I tell my family?
While you may not have openly discussed the issue of euthanasia with your family, they may already be aware of a pet’s problems. You should review with them the information you have received from your veterinarian. Long-term medical care can be a burden that you and your family may be unable to bear emotionally or finan¬cially, and this should be discussed openly and honestly. Encourage family members to express their thoughts and feelings. Even if you have reached a decision, it is important that family members, especially children, have their thoughts and feelings considered.
Children have special relationships with their pets and should not be excluded from the decision-making process because they might seem too young to understand. Preventing children from participating in the discussion may only complicate and prolong their grief process. Children respect straightforward, truthful, and simple answers. If they are prepared adequately, children usually are able to accept a pet’s death.
Will it be painless?
Euthanasia is most often accomplished for pets by injection of a death-inducing drug. Your veterinarian may administer a tranquilizer first to relax your pet. Following injection of the euthanasia drug, your pet will immediately become deeply and irreversibly unconscious as the drug stops brain function. Death is quick and painless. Your pet may move his/her legs or head or breathe deeply several times after the drug is given, but these are reflexes and don’t mean that your pet is in pain or is suffering.
How can I say goodbye?
The act of saying goodbye is an important step in managing the natural and healthy feelings of grief and sorrow following the loss of a beloved friend and companion.
Once the euthanasia decision has been made, you and other family members may want to say goodbye to your pet. A last evening with your pet at home or a visit to the pet at the hospital may be appropriate. Family members who want to be alone with the pet should be allowed to do so. Some pet owners choose to be present during their pet’s euthanasia, but others choose to say goodbye beforehand and not be present during euthanasia. This is a very personal decision and you should do what feels right for you. Do not let others pressure you into making a choice that makes you uncomfortable.
How can I face the loss?
After your pet has died, it is natural and normal to feel grief and sorrow. For some people, spending some time with their pet after euthanasia is helpful. The grieving process includes accepting the reality of your loss, accepting that the loss and accompanying feelings are painful, and adjusting to your new life that no longer includes your pet. By understanding the grieving process, you will be better prepared to manage your grief and to help others in the family who share this loss.
Grief for a pet, or pets of particular species, may not be fully respected by some members of your community. Even well-meaning family and friends may not realize how important your pet was to you or the intensity of your grief. Comments they make may seem cruel and uncaring, although they were not meant to be taken that way. Be honest with yourself and others about how you feel. If you feel despair, talk to someone who is receptive and nonjudgmental when listening to your feelings about the loss of your pet. Seeking out social support can help you work through your grief. If immediate family and friends are not able to provide this support, seek out an emotionally safe and accepting environment such as a pet loss support group. Talk about your sorrow, but also about the fun times you and your pet spent together, the activities you enjoyed, and the memories that are meaningful to you.
The grieving process
The loss of a pet can be a very stressful life event. Everyone experiences grief differently and may go through periods of feeling different emotions such as denial, sadness, anger, anxiety, numbness, and guilt. The grief can be delayed and may be brought on more intensely by the related loss of a human family member.The grief may seem overwhelming at times.
Some of these feelings may relate to how your pet died. For example, you may feel guilty or blame others for not recognizing the illness earlier, for not doing something sooner, for not being able to afford other types of or further treatment, for making the decision for euthanasia too soon or too late, or for being careless and allowing your pet to be injured. It is common for owners to feel doubt over whether they have made the best decision for their pet regardless of whether their pet was euthanized or died from its disease or injury. Depression is also a common experience after the death of a special pet. Day-to-day tasks can seem impossible to perform and you may feel isolated and alone. Many depressed people will avoid the company of friends and family. It might be hard to get out of bed in the morning, especially if your morning routine involved caring for your pet’s needs. Sometimes you may even wonder if you can go on without your pet. The answer is yes, but there are times when special assistance may be helpful in dealing with your loss. If you are suffering from profound or prolonged depression, seek professional assistance.
Eventually, you will come to terms with your feelings. You can begin to accept your pet's death. You will be able to remember your pet and your time with them without feeling the intense grief and emotional pain you previously felt. Acceptance and resolution do not mean that you no longer feel a sense of loss, just that you have come to terms with the fact that your pet has died, and appreciate the time you had together and the personal growth you gained from the relationship with your pet.
Even when you have reached resolution and acceptance, however, negative feelings and depression may reappear. If this does happen, these feelings will usually be less intense, and with time they will be replaced with fond memories.
Although everyone who shared a bond with their pet experiences some kind of grief, grieving is always a very personal process. Some people take longer than others and express their grief in different ways; just as each relationship with a pet is unique, each experience of loss is different. If you understand that these are normal reactions, you will be better prepared to cope with your feelings and to help others face theirs. Family and friends should be reassured that sorrow and grief are normal and natural responses to death.
If you or a family member have great difficulty in accepting your pet's death and cannot resolve feelings of grief and sorrow, you may want to discuss these feelings with a person who is trained to understand the grieving process and can support and help you as you mourn your loss. Your veterinarian certainly understands the relationship you have lost and may be able to suggest support groups and hot lines, grief counselors, clergymen, social workers, or psychologists who can help.
Remembering your pet
The period from birth to old age is much shorter for most domestic animals than for people, and death is a normal part of the lifecycle. It cannot be avoided, but understanding and compassion can help you, your family, and your friends manage the grief associated with it.
Taking steps to memorialize your pet can be therapeutic, for example scattering ashes or placing them in a garden or a decorative urn. You may wish to hold a funeral, to make a memorial contribution to a charity, or take other steps to appropriately honor your pet and share your memories with others who knew him or her. You may choose to display reminders of your beloved pet, such as photos or mementos or anything that helps you recall and treasure the good times you spent with your beloved pet. Just as the grieving process varies from person to person, so does the method of remembering the pet that shared your life.
Should I get another pet?
The death of a beloved pet can upset you emotionally, especially when euthanasia is involved. Some people may feel they would never want another pet. For some, the thought of having – and eventually losing – another pet may seem unbearable. These feelings may pass with time. For others, a new pet may help them recover from their loss more quickly. Just as grief is a personal experience, the decision of when, if ever, to bring a new pet into your life is a personal one.
Some authorities suggest getting a second pet when the older one reaches the age where their end of life can be expected within a few years. This can be a very helpful way to ease into a new, but different, pet. However, this is also a personal decision, and any new pets should be introduced into the family in a deliberate manner that is considerate of existing family members and pets.
If a family member is having difficulty accepting the pet’s death, getting a new pet before that person has resolved his or her grief may make them feel that you think the life of the deceased pet was unworthy of the grief that is still being felt. Family members should agree on the appropriate time to bring a new pet into their lives. Although you can never replace the pet you lost, you can find another to share your life.
A list of some pet loss support hotlines and services is below. This is not a complete list – your veterinarian may be able to recommend one for you.
Argus Institute (at Colorado State University)
970-297-1242
Chicago VMA
630-325-1600
Cornell University
607-253-3932
University of Illinois
217-244-CARE (2273) or 877-394-CARE (2273)
Michigan State University
517-432-2696
P&G Pet Care, Pet Loss Support Hotline
888-332-7738
The Ohio State University
614-292-1823
Tufts University
508-839-7966
Virginia-Maryland Regional College of Veterinary Medicine
540-231-8038
Reflections from Dr. DeForge:
The Pet Health Care team's multiple roles are THE most important links in comfort when the End Stage of a pet's life is reached.
Many nurses have bonded with the aged pet that has been part of the practice family from pup to 15 or more years of age. These dedicated nurses feel the pain and the separation that is within the pet owners home as the need for euthanasia is reached.
The nurses have known the pet owner for a long time...... and the pet owner senses the REAL feelings of loss they are experiencing.
This is the moment when empathy is not a word but is a feeling shared by the family and the health care professionals. The veterinary nurse with just a few words can help the pet owner with their struggle of soon to occur separation. The words by the nurse will be remembered forever.
The young doctor, in most instances, has not experienced the End of Life Euthanasia experience while studying in veterinary medical school. That young doctor should seek out a mentor to allow them to grow and understand the importance of the doctor's role before, during, and after the Euthanasia experience.
There are so many verses of love written by those who have lost their pet and best friend. Here is one verse from the pet to the owner.
“You will be sad, I understand.
Don’t let your grief then stay your hand.
For this day, more than all the rest,
Your love for me must stand the test.
I know in time that you will see
The kindness that you did for me.
Although my tail its last has waved,
From pain and suffering I’ve been saved.”
"Don't cry because it is over; smile because of what happened!"
---Author Dr. Seuss
The triad of pet owner; veterinary nurse; and doctor have their most important interaction during the period of euthanasia.
Each member of the triad is affected in a different way when saying good-bye to a special friend.
Take the time to allow the pet owner to grieve at the time of euthanasia. Professionals should meet and review the feelings and pain that they share about the euthanasia experience.
For the new nurse or the new doctor this is an opportunity to challenge the MOST difficult procedure they will face in their practice careers.
Lastly, develop a nursing staff Hospice Committee. With telemedicine, it is very easy to visit with all of your hospital's Hospice patients with Video Conferencing.
Once this is set up, you can view the patient at home and discuss with the pet owner what you are seeing and how to proceed at home.
Have the Pet Owner fill out a daily treatment sheet at home [provided by your hospital]: that not only describes what medicine and diets are recommended but also, and most importantly, allows you to enter the home of the pet that is approaching the End of Life stage and monitor treatments being performed at home.
Discuss with the owner the type of treatments they are comfortable with at home. Will they use an Esophagostomy Tube if the doctor elects this system for delivering medicines and for alimentation?
Is the client able to give subcutaneous fluids in cases of advanced Chronic Kidney Disease?
Can the client bring their Hospice pet to the hospital for physical therapy and Low Level Laser Rehab in the advanced osteoarthritis patient?
Set up a hospital APP and Chat Room so that clients can talk easily and without interruption each day. Have the clients upload video of their pet at home and transmit it through the APP to the hospital nurses and doctors.
There is no answer that will help each client get through the stages of pet loss. It is also true........ that being a good listener and a compassionate professional is many times more important than giving the owner instructions on how to deal with pet loss.
A Swiss psychiatrist, Kübler-Ross first introduced her five stage grief model in her book On Death and Dying. Kübler-Ross’ model was based on her work with terminally ill patients and has been the subject of debate and criticism in the years since. Mainly, because people studying her model mistakenly believed this is the specific order in which people grieve and that all people go through all stages.
Kübler-Ross now notes that these stages are not linear and some people may not experience any of them. Others might only undergo a few stages rather than all five. It is now more readily known that these five stages of grief are the most commonly observed in the grieving population.
The five stages of Loss and Grief are:
- Denial
- Anger
- Bargaining
- Depression
- Acceptance
DeniaDenial is the sta
.
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