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With cats and dogs living longer, veterinarians spend more time on
senior care—and associations are giving advice on how to prolong and
improve pets' golden years.
The American Animal Hospital Association released Senior Care
Guidelines for Dogs and Cats in 2005, and the American Association of
Feline Practitioners has plans to update the Panel Report on Feline
Senior Care in 2007.
The AAHA also offers client brochures on "Aging Pets" and "Senior
Moments: Understanding Behavior Changes in Aging Pets," and the theme
of the AAFP fall 2006 conference in Toronto will be geriatrics and pain
management.
The AAHA guidelines provide advice on the approach for healthy
senior pets, approach for unhealthy senior pets, conditions important
in senior pets, laboratory tests, anesthesia and surgery, pain and
distress, end-is-near issues, and end-of-life issues.
"They are not hard-and-fast rules on what needs to be done in every
circumstance," said Dr. Michael Andrews, AAHA president and owner of
Woodcrest Veterinary Clinic in Riverside, Calif.
He said veterinarians should individualize care for each senior pet.
The guidelines promote frequent examinations as animals age.
"It's been shown from human medicine that promulgation of guidelines
increases compliance with the recommendations that the professionals
make to people," Dr. Andrews said.
He
said pets are living longer for the same reasons as people. Technology
has provided prevention or treatments for many medical conditions. Pet
owners also want animals to live longer, and they're willing to spend
more money to maintain quality of life for aging animals—both for dogs
and for cats.
The 1998 AAFP report on feline senior care includes sections on the
physiology and pharmacology of aging, health care programs for senior
cats, disease considerations, behavior problems, pain management,
anesthesia, nutritional considerations, feeding considerations, dental
care, and euthanasia.
"The most important message that we wanted to provide at the point
that we wrote these guidelines is that age is not a disease," said Dr.
Ilona Rodan, co-chair of the report and owner of the Cat Care Clinic in
Madison, Wis. "We see a lot of cats in the realm of 12 to 18 years of
age where they are apparently healthy or they have chronic conditions
that are well-maintained."
Dr. Rodan said revisions to the report will incorporate new research. The next version also will probably address hospice care.
She said many of her clients will do whatever they can to maintain the quality of life of their senior cats.
"I see a well-bonded relationship," Dr. Rodan said. "People are
connected to these cats. They have lived with them through the good and
the bad. They are willing to do whatever it takes."
She said treating senior cats with multiple medical conditions
requires a balancing act on the part of veterinarians. But
veterinarians also bond with these senior cats that they see more
frequently—and with the cats' owners.
The AAHA guidelines on senior care are available at www.aahanet.org/About_aaha/Senior_Care_final.pdf. The AAFP guidelines on senior care are at www.aafponline.org/resources/guidelines/senior_care.pdf.  |