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Hospice and Palliative Care for Companion Animals: Principles and Practice, 2nd Edition
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Hospice and Palliative Care for Companion Animals: Principles and Practice, 2nd Edition



Amir Shanan (Editor), Jessica Pierce (Editor), Tamara Shearer (Editor)

ISBN: 9781119808787 

March 2023 

Wiley-Blackwell 

448 Pages



DESCRIPTION


Hospice and Palliative Care for Companion Animals

A thoroughly updated and expanded new edition of the only book providing comprehensive treatment of hospice and palliative care in veterinary medicine


Animals with life-limiting illnesses deserve compassionate, thoughtful, end-of-life care. Their caregivers and families, faced with the loss of a beloved companion, deserve empathy, support, and education, to guide them through an emotionally wrenching period and provide their companion animals with the highest possible quality of life. In recent years, the ethics of care and service to sick and dying animals and their caregivers has been the subject of considerable attention.


Hospice and Palliative Care for Companion Animals, 2nd Edition provides a thorough update to the first and only complete guide to this field of service, its foundations, and its applications. It addresses the needs of pets, caregivers, and veterinary professionals alike, including fundamental ethical and emotional principles as well as detailed discussion of specific illnesses and life-limiting conditions. The expanded second edition incorporates cutting-edge research into animal behavior and cognition to enrich the reader¡¯s understanding of companion animals¡¯ emotional needs and their experience of illness and death.


Hospice and Palliative Care for Companion Animals, 2nd Edition readers will also find:


*Existing chapters expanded to incorporate new research and practical experience

*New chapters discussing factors underlying the decision to euthanize, the potential role of ethology in palliative care, and more

*A companion website with educational handouts for use in veterinary practices

Hospice and Palliative Care for Companion Animals is an indispensable resource for caregivers and veterinary professionals alike.



TABLE OF CONTENTS


List of Contributors


Acknowledgments


Part I. Core Concepts


Introduction / Jessica Pierce


Evolution of the Relationship Between Humans and Their Companion Animals


New Scientific Knowledge About Animal Emotion and Cognition


Veterinary End-of-Life Care: Are We Keeping Up with New Science?


 


2 What is ¡°Animal Hospice and Palliative Care¡±? / Tami Shearer and Amir Shanan


History of Animal Hospice 


Animal Hospice and Human Hospice


 


3 The Interdisciplinary Team / Tammy Wynn and Amir Shanan


Interdisciplinary Teams (IDT) in Human Hospice and Palliative Care


The IDT in Animal Hospice and Palliative Care


Operating a Successful IDT


Common Mission and Vision


Team Members, Their Roles and Responsibilities


Effective Communication and Collaboration 


 


4 Quality of Life (QOL) Assessments / Jessica Pierce and Amir Shanan


What are QOL Assessments and Why are They Important? 


QOL and Patient-Centered Care


Physical Discomfort, Emotional Distress, Pain and Suffering


A Variety of Approaches to QOL


McMillan¡¯s Affect Balance Model


QOL Assessment Tools


 


5 Recognizing Distress / Emma Griggs, Suzanne Hetts and Amir Shanan 


Stress, Distress, Emotions and Suffering


Behavioral Needs of Dogs and Cats


Are Humans Adept at Recognizing Emotional States in Animals?


Body Language of Fear, Anxiety and Pain


Changes in Behavioral Patterns as Indicators of Pain and Distress


Distress and End of Life Decisions


 


6 Balancing Efficacy of Treatment Against Burdens of Care / Kris August


Establishing the Goals of Care


Assessing Treatment Efficacy


Burdens of Diagnostics and Treatment


Diagnostic Procedures


Adverse Events and Consequences


Assessing the Burdens of Caregiving


 


7 Ethical Decision-making / Jessica Pierce and Amir Shanan


A Method for Moral Decision-Making     


Clinical Considerations


Patient Consideration


Human Factors Influencing Moral Decision-making


Providing Adequate Information


Guiding Client Decision-making


Societal Ethics and the Role of Cultural Values


Ethical Business Practices


Moral Stress, Decisional Regret, and Mental Health


Finding the Path of Least Regrets


 


8 Supporting Relationships: Providers¡¯ Non-Medical Roles / Amir Shanan and Laurel Lagoni


Bond-centered Client Care: Helping More Than Just Animals


Supporting, Educating, Facilitating and Guiding to Resources


Setting Boundaries When Providing Support


 


9 Management and Administration -- Business Models / Kathy Cooney


Guidelines for Animal Hospice and Palliative Care Practice


Service Delivery Models


Model 1: Hospice in the Veterinary Hospital Setting


Model 2: Hospice with Specialized Mobile Veterinarians


Model 3: Animal Hospice Case Managers


Model 4: Animal Hospice Sanctuaries/Rescues


Practicalities of Starting an Animal Hospice Service


Telehealth as a Bridging Component for All Models


 


 


Part II. Patient Care


 


10 Cancers in Dogs and Cats / Betsy Hershey and Alice Villalobos


Approach to End-of-Life Cancer Patients


Tumors of the Skin and Soft Tissues


Canine Lymphoma


Head and Neck Cancer


Cancer of the Skeletal System


Abdominal Tumors


Chest cavity Tumors


Palliative Cancer Medicine


Advances in Non-Invasive Technology for Diagnosis of Cancer


 


11 Integrative Therapies for the Palliative Care of the Veterinary Cancer Patient / Betsy Hershey


Nutrition and Food Therapy


Herbs and Supplements


Acupuncture


Manual Massage Therapies


Energy Therapy


Ozone Therapy


Hyperbaric oxygen therapy


Cannabis and CBD oil


Essential Oils


Homeopathy and Homotoxicology


Chiropractic


Photobiomodulation Therapy


 


12 Chronic Kidney Disease (CKD) / Shea Cox and Christie Cornelius


Clinical Manifestations


Management of Factors that Accelerate CKD Progression


Symptomatic, Supportive and Palliative Therapies


  


13 Congestive Heart Failure (CHF) / Shea Cox and Christie Cornelius


Clinical Manifestations


Palliative Management


 


14 Respiratory Distress / Cheryl Braswell


Airway Collapse


Brachycephalic Airway Obstruction Syndrome


Airway Inflammation


Pneumonia


Palliating the Suffering of Dyspnea


 


15 Gastrointestinal Conditions / Shea Cox and Christie Cornelius


Inflammatory Bowel Disease


Pancreatitis


Cholangitis/Cholangiohepatitis Syndrome


 


16 Musculoskeletal Disorders / Tami Shearer


Osteoarthritis


Cranial Cruciate Ligament Pathology


Strains, Sprains and Myofascial Pain


Coxofemoral Luxation


Fractures


 


17 Nervous System Disease / Tami Shearer


Intervertebral Disc Disease


Cervical Spondylomyelopathy


Fibrocartilaginous Embolic Myelopathy


Vestibular Disorders


Laryngeal Paralysis/Geriatric Onset Polyneuropathy


Degenerative Myelopathy


Disorders of Micturition


 


18 Cognitive Dysfunction / Tami Shearer


Clinical Manifestations


Management


 


19 Pharmacology Interventions for Symptom Management / Shea Cox


Pain


Anxiety


Dysphoria


Weakness and Fatigue


Respiratory Symptoms


Nausea and Vomiting


Anorexia and Cachexia


Dehydration


Constipation


Oral Health and Dry Mouth


 


20 Physical Medicine and Rehabilitation / Tami Shearer


Considerations for Physical Medicine


Assistive Devices


The Role of Acupuncture 


Innovative and Non-Invasive Techniques


LASER and Other Therapeutic Modalities 


Manual Therapies and Therapeutic Exercises


 


21 Integrative Medicine in Animal Hospice and Palliative Care / Kris August


Going Mainstream: Complementary and Integrative Medicine Terminology


Safety and Adverse Reactions


Healing Philosophies


Nutritional Supplements


Herbal Medicine and Essential Oils


Reliable Choices and Client Education


22 Nursing Care for Seriously Ill Animals - Art and Techniques / MaryEllen Goldberg and Shea Cox


Nurses¡¯ Medical Roles


Assessment for Pain and Other Signs of Discomfort


Delivery of Care: Nursing Care Considerations


Nursing Care for Recumbent Patients


Nurses as Advocates and Educators


Death and Dying


 


23 Comfort Care During Active Dying / Gail Pope and Amir Shanan


Natural Death and Euthanasia


Goals of Caring for the Dying Patient


Changes During Early and Late Stages of Active Dying


At the Time of Death 


Managing Clinical Signs During Active Dying


Administration of Medications, Fluids and Food


24 Euthanasia in Animal End-of-Life Care / Kathy Cooney


Decision-Making for the Animal Hospice Patient


Advance Preparation and Education of the Professional Team


Advance Preparation and Education of Caregivers and Family


Euthanasia Setting: Desirable Environment of Care


Euthanasia Techniques and Criteria


Variability and Unpredictability


 


 


 


 


Part III. Caregiver Needs: Providing Support  


 


25 Caregivers¡¯ Emotional Burden: Recognizing, Acknowledging and Addressing Human Distress / Amir Shanan


The Caregiving Experience


The Mental Health Impact of Caregiving


Supporting Caregivers¡¯ Emotional Needs


The Role of a Licensed Mental Health Professional


 


26 Pet Caregiving Burden / MaryBeth Spitznagel and Mark Carlson


What Is Caregiver Burden? 


How Does Caregiver Burden Affect the Veterinary Client?


Research-Based Suggestions for Interacting with the Burdened Owner


When Client Burden Transfers to the Clinician


 


27 Addressing Spiritual Needs of Caregivers / Carol Rowehl


Spiritual Needs of Caregivers - Peace, Hope, Justice, Growth


Spiritual Distress


Taking a Spiritual History


Spiritual Questions Unique to Veterinary Practice and Hospice and Palliative Care


Including a Chaplain on the Interdisciplinary Veterinary/Hospice Team


 


28 Factors Contributing to the Decision to Euthanize Pet Dogs and Cats / Beth Marchitelli and Nathaniel Cook


Pet Factors: Symptoms and Clinical Signs that Affect Quality of Life


Pet Factors: Severe Illness Diagnosis


Pet Owner Factors: Psychosocial Factors of Caregiving


29 Supporting Other Needs / MaryEllen Goldberg and Shea Cox


Maintaining Self Care


Understanding the Physical Labor of Care


Time and Space Considerations


Financial Considerations


 


30 Aftercare / Coleen Ellis


Etiquette of Respect and Dignity


Body Care Options


Memorialization: Creating a Tribute


The Role of Pet Loss Professionals 


Index



ABOUT THE AUTHOR


The editors


Amir Shanan, DVM, is the Founding President of the International Association for Animal Hospice and Palliative Care and a Founding Partner of the Animal Hospice Group. He owns Compassionate Veterinary Hospice, a veterinary practice dedicated to end-of-life care, in Chicago, Illinois, USA.


Jessica Pierce, BA, MDiv, PhD, is a bioethicist and Faculty Affiliate at the Center for Bioethics and Humanities, University of Colorado, Anschutz Medical Campus, in Aurora, Colorado, USA.


Tamara Shearer, DVM, CCRP, CVPP, CVA, MSTCVM, owns Shearer Pet Health Services and Smoky Mountain Integrative Veterinary Clinic in Sylva, North Carolina, USA, and serves on the faculty of Chi University.



 
 
 
 
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