The importance of quality-of-life assessments for senior patients

This article explores the critical role of quality-of-life (QoL) assessments in the care of senior veterinary patients, particularly during end-of-life care (EoLC) and euthanasia decision-making. As pets are living longer due to advances in veterinary medicine, the profession must adapt to the complex needs of geriatric animals and their owners. The article discusses the emotional and practical challenges faced by owners when making decisions about EoLC, highlighting the phenomenon of anticipatory grief and the importance of early, open communication between veterinary teams and clients. A range of QoL assessment tools are reviewed, including the Ageing Canine Toolkit, Lap of Love assessment, Ohio State University QoL assessment, the HHHHHMM scale, Autumn Animals assessment, and the Grey Muzzle app. These resources help owners and veterinary professionals objectively monitor a pet's wellbeing, track changes over time and make informed decisions about ongoing care or euthanasia. QoL assessments should be tailored to each patient and owner, taking into account medical, behavioural, financial and ethical factors. Veterinary nurses (VNs) are key facilitators in the assessment process, providing education, support and continuity of care. The article advocates for collaborative, client-centred approaches, where VNs support owners with assessments, address concerns and ensure decisions prioritise animal welfare. Ultimately, the use of QoL assessments empowers owners, enhances patient welfare and fosters trust between clients and the veterinary team, ensuring that the final chapter of a pet's life is managed with dignity and compassion.