Caregiver perceptions of veterinary hospice and palliative care consultations for companion animals

Abstract Veterinary palliative care encompasses not only the animal but also its caregivers, addressing both medical and emotional needs. Understanding caregivers’ perceptions of veterinary hospice and palliative care (VHPC) consultations is essential for improving these services. This study aimed to assess the impact of specialized VHPC consultations on caregivers and companion animals. A retrospective survey was conducted using an anonymous online questionnaire sent to primary caregivers of dogs and cats that received VHPC consultation at a veterinary teaching hospital, between January 2023 and January 2025. These consultations offered a unique opportunity for students at the university to observe VHPC in practice, helping to address the lack of formal undergraduate training in this field. Of the 92 surveys distributed, 56 were received (60.9% response rate). Notably, 83.3% of the respondents reported a positive impact on their pets’ quality of life (QOL). Regarding the timing of the consultation in relation to the course of the disease, 21.4% considered it too late. Support in end-of-life (EOL) decision making, emotional support for the caregivers, and improvement in the animal’s QOL were the most valued benefits. Additionally, 98.2% of the respondents would recommend VHPC consultations, and 98.2% recognize VHPC as a relevant area of veterinary medicine. Regarding dissemination, 50.9% considered the consultation insufficiently publicized. Communication and the provision of written support materials – such as QOL assessment tools, pain scales, and grief support resources – were highly valued by caregivers, with 96.4% rating them as useful. The findings highlight the crucial role of hospice and palliative care in veterinary medicine, not only in improving animal welfare but also in supporting caregivers through EOL decision making. The overwhelmingly positive feedback suggests the need for greater awareness and accessibility of these services, which could enhance the possibility of starting hospice and palliative care earlier.