Quality of Life Scale

By By Dr. Alice Villalobos | Posted: April 16, 5 p.m. EST

 

The HHHHHMM Scale

Pet caregivers can use this Quality of Life Scale to determine the success of pawspice care. Score patients using a scale of 1 to 10. With 1 being the lowest.


Criterion Score
Hurt Adequate pain control, including breathing ability, is first and foremost on the scale. Is the pet's pain successfully managed? Is oxygen necessary?  
Hunger Is the pet eating enough? Does hand feeding help? Does the patient require a feeding tube?  
Hydration Is the patient dehydrated? For patients not drinking enough, use subcutaneous fluids once or twice daily to supplement fluid intake.  
Hygiene The patient should be brushed and cleaned, particularly after elmination. Avoid pressure sores and keep all wounds clean.  
Happiness Does the pet express joy and interest? Is the pet responsive to things around him or her (family, toys, etc.)? Is the pet depressed, lonely, anxious, bored or afraid? Can the pet's bed be close to the family activities and not be isolated?  
Mobility Can the patient get up without assistance? Does the pet need human or mechanical help (e.g. a cart)? Does the pet feel like going for a walk? Is the pet having seizures or stumbling? (Some caregivers feel euthanasia is preferable to amputation, yet an animal who has limited mobility but is still alert and responsive can have a good quality of life as long as caregivers are committed to helping the pet.)  
More Good Days When bad days outnumber good days, quality of life might be compromised. When a healthy human-animal bond is no longer possible, the caregiver must be made aware the end is near. The decision needs to be made if the pet is suffering. If death comes peacefully and painlessly, that is okay  

 

 Total:

 

     
                                       *TOTAL= *A total >35 points is acceptable for a good pawspice

Download the PDF here.

 



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Ellen   Madison, WI

4/17/2012 5:23:30 AM

I wish I had this when faced with the euthanasia decision before! It will help me when my current dog reaches that stage, though. Thank you!

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