Hospice and Palliative Care for Companion Animals

Principles and Practice
Herausgegeben:Shanan, Amir; Pierce, Jessica; Shearer, Tamara

• Broschiertes Buch

Produktbeschreibung

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.

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Produktdetails

• Verlag: Wiley & Sons / Wiley-Blackwell
• Artikelnr. des Verlages: 1A119808780
• 2. Aufl.
• Seitenzahl: 448
• Erscheinungstermin: 4. April 2023
• Englisch
• Abmessung: 10mm x 10mm x 10mm
• Gewicht: 844g
• ISBN-13: 9781119808787
• ISBN-10: 1119808782
• Artikelnr.: 64079143

Autorenporträt

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.

Inhaltsangabe

List of Contributors xxi

Acknowledgments xxiii

About the Companion Website xxiv

Part I Core Concepts 1

1 Introduction 3
Pierce, BA, MTS, PhD

References 5

Further Reading 5

2 What Is Animal Hospice and Palliative Care? 6
Amir Shanan, DVM and Tamara Shearer, MS, DVM, CCRP, CVPP, CVA, MSTCVM

Introduction 6

History of Animal Hospice 8

Scientific and Philosophical Roots 8

Early Beginnings 9

Organization and Recognition 10

Animal Hospice and Human Hospice 12

Ethical and Legal Differences 12

Economic Differences 13

Summary 14

References 14

3 The Interdisciplinary Team 16
Tammy Wynn, MHA, LISW, RVT, CHPT and Amir Shanan, DVM

Interdisciplinary Teams in Human Hospice and Palliative Care 16

Interdisciplinary Teams (IDT) in Animal Hospice and Palliative Care 17

Operating a Successful Interdisciplinary Team 18

Common Mission and Vision 18

Team members, Their Roles, and Responsibilities 19

Effective Communication and Collaboration 22

Summary 25

References 25

4 Quality of Life Assessments 26
Jessica Pierce, BA, MTS, PhD and Amir Shanan, DVM

What are Quality of Life Assessments and Why are they Important in End- of- Life Care? 26

Definitions of Quality of Life 26

Quality of Life and Well- being 27

Quality of Life Assessments and Euthanasia Decisions 28

The Importance of Context in Quality of Life Assessment 28

Quality of Life and Patient- Centered Care 29

Physical Discomfort, Emotional Distress, Pain, and Suffering 30

Coping and Adaptation 32

Measuring Quality of Life in Animal Patients 33

A Variety of Approaches to QOL 34

McMillan's Affect Balance Model 35

Weighing Positive and Negative Affect at the End of Life 36

Quality of Life Assessment Tools 36

Quality of Life Assessment Over Time 38

Summary 40

References 40

Further Reading 42

5 Recognizing Distress 44
Emma K. Grigg, PhD, CAAB, Suzanne Hetts, PhD, CAAB, and Amir Shanan, DVM

Stress, Distress, Emotions, and Suffering 44

The Stress Response 44

What Is Distress? 45

Behavioral Needs of Dogs and Cats 46

Assessing Quality of Life in Nonhuman Animals 47

Relevance to Animal Hospice and Palliative Care (AHPC) 48

Are Humans Adept at Recognizing Emotional States in Animals? 49

Body Language of Fear, Anxiety, and Pain 49

Fear- and Discomfort- Related Body Postures Commonly Observed in Dogs and Cats 49

Pain- Related Facial Expressions Commonly Observed in Dogs and Cats 51

Relevance to Animal Hospice and Palliative Care (AHPC) 52

Changes in Behavioral Patterns as Indicators of Pain and Distress 53

Do Animals "Hide" their Pain? 53

Decreased Response to and Engagement with their Surroundings 54

Unusual Patterns of Movement or Positioning 55

Focused Attention to One Specific Body Part 56

Displacement Behaviors 56

Can Sick Animals Suffer from Boredom? 56

Relevance to Animal Hospice and Palliative Care (AHPC) 57

End- of- Life Decisions 57

Conclusion 58

References 58

6 Balancing Efficacy of Treatments Against Burdens of Care 62
Kristina August, DVM, GDVWHM, CHPV

Establishing the Goals of Care 63

Assessing Efficacy and Burdens of Medical Treatment 66

Assessment of Treatment Efficacy 6