what if treatment fails?

A good treatment plan for arthritis will be reassessed and adapted regularly.

Arthritis is a fluctuating and progressive disease. Often it is not a case that treatment has failed, but that treatment has not kept up with the change in disease. A good treatment plan for arthritis will be reassessed and adapted regularly. By monitoring your dog’s pain status with chronic pain indicators, you can act quickly to counteract deterioration.

However, sometimes treatments fail because it isn’t arthritis, or the dog has arthritis with another condition. It is very important to get an accurate diagnosis, as well as have routine consultations with your vet to ensure that other geriatric diseases aren’t affecting your dog.

Co-Morbidities and arthritis

Diagnosing one long term condition is a real blow. Managing more than one can be really tough. Sadly a diagnosis of arthritis does not mean they will not succumb to anything else. It is very common for a dog, especially aged, to have more than one condition with differing and conflicting requirements.

A classic example is a dog with kidney disease that also requires pain relief for their musculoskeletal pain. Or a dog with liver compromise that can’t tolerate the normally prescribed medications.

As said before “where there is a will, there will be a way!” and many of these complications can be well managed, however the dog will require a thorough diagnosis, likely regular reassessment and potentially a multidisciplinary team approach where your vet works with colleagues to formulate the best plan.

Remember you can access all our CAM Facebook Lives on our YouTube channel, or check out our CAM Adviser articles in the Member Zone for more information.

CAM HAS A BOOKLET DESIGNED TO HELP!

You can purchase CAM’s ‘Has My Dog Definitely Got Arthritis?‘ booklet from the CAM online shop in print format.

Or why not join our CAM MEMBER ZONE where you will gain access to all our CAM booklets in digital format as well as a wealth of information, videos, downloads, forum and much more...

knowing when it’s time

No-one wants to say goodbye to their loved pet. Research shows us that losing your pet can hurt as much as losing a relative or close friend which emphasises how emotionally difficult it can be for that owner.

Having to say goodbye due to quality of life issues

If you are on this site then you will probably consider your dog as part of the family. This will mean that the grief of losing your dog will be close to the grief of losing a close family member which emphasises how emotionally difficult it can be for that owner.

The fear of making the decision

This is likely the hardest decision ever made by pet owners. The responsibility of deciding that their companion’s quality of life is consistently not adequate is not easy or comfortable. However, when making the decision you have to think outside your own emotions and think only what is best for your pet.

Arthritis and its associated clinical signs naturally will improve and deteriorate which complicates decision making further. CAMs advice is the decision has to be prioritised “when the bad outweighs the good”. We have made a simple tool in the resources section that may help with looking for consistent deterioration and poor quality of life.

Each case is individual as was your relationship, but talking to someone less emotionally involved but who knows your dogs is very useful. This may be your vet, a veterinary nurse, an animal therapist or a friend.

Preparing for “the time” comes with having to make the decision. Your veterinary practice will be well trained in how to advise you of what situation would be best for your dog and yourself, this may mean you have a home visit or you go the practice for the last consult of the day to give you more time.

You will also need to think about where your pet’s resting place will be, and if they’ll be buried or cremated after they’ve passed on.

Dealing with Grief

Grief is recognised as having emotional, physical, cognitive, and behavioural aspects. We understand it is not transient sadness and the huge effect it can have on owners who have lost their companion.

“People react in different ways to loss. Anxiety and helplessness often come first. Anger is also common... Sadness often comes later.“ NHS Choices

Feelings like these are a natural part of the grieving process. Knowing that they are common may help them seem more normal and that they will pass.

Some people may not understand the intense feelings of sadness you may feel after losing a pet, but please remember there are people out there who understand.

Some people take a lot longer than others to recover. Some need help from a counsellor or therapist or their GP.
But you will eventually come to terms with your loss, and the intense feelings will subside.

Please rest assured, there’s pet bereavement support out there to help, from knowing the right time, to grieving after the death of your pet.

How to cope with grief and loss (NHS choices)

There’s no instant fix. You might feel affected every day for about a year to 18 months after a major loss. But after this time the grief is less likely to be at the forefront of your mind.

There are practical things you can do to get through a time of bereavement or loss:

  • Express yourself. Talking is often a good way to soothe painful emotions. Talking to a friend, family member, health professional or counsellor can begin the healing process.
  • Allow yourself to feel sad. It’s a healthy part of the grieving process.
  • Keep your routine up.
  • Sleep. Emotional strain can make you very tired. If you’re having trouble sleeping, see your GP.
  • Eat healthily. A healthy, well-balanced diet will help you cope.
  • Avoid things that “numb” the pain, such as alcohol. It will make you feel worse once the numbness wears off.
  • Go to counselling if it feels right for you – but perhaps not straight away. Counselling may be more useful after a couple of weeks or months. Only you will know when you’re ready.
When to get help

Get help if any of the following apply to you:

  • You don’t feel able to cope with overwhelming emotions or daily life.
  • The intense emotions aren’t subsiding.
  • You’re not sleeping.
  • You have symptoms of depression or anxiety.
  • Your relationships are suffering.
  • You’re becoming accident-prone.
  • You’re caring for someone who isn’t coping well.

CAM HAS A BOOKLET DESIGNED TO HELP!

For help and support purchase CAM’s ‘End of Life Care‘ booklet from the CAM online shop in print format.

Or why not join our CAM MEMBER ZONE where you will gain access to all our CAM booklets in digital format as well as a wealth of information, videos, downloads, forum and much more...