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Handhold needed: Am I being fair to my elderly cat?

5 replies

QuantumWeatherButterfly · 31/10/2019 14:10

QuantumCat is an old lady now (she’s approaching 17), and I need a sense-check and handhold on whether I am being fair to her. I am realistic that she is nearing the end of her life, but while I don’t think I should intervene at present, I want to know if it seems that way to an outsider. I’ve seen other owners unable to see what is blatantly staring them in the face, and I don’t want to cause my beautiful girl any unnecessary suffering – but neither do I want to call time if (as I think at the moment) her quality of life is reasonable given her age.

I know that people can have very strong opinions about things like this, but please be gentle with me. I’ve had her since she was a kitten and I love her very much. I just want the best for her. And apologies for the length of this post – but I didn’t want to drip feed.

The good:
She eats very well, and drinks well too – not to much, not too little. Because of this, she is maintaining weight very well.
She toilets regularly, normally and appropriately – the right amount, in the right place, of normal appearance, at a consistent and normal frequency.
She is still affectionate – she seeks us out, both for fuss (which she enjoys) and company. And okay, yes – also to demand more food.
She is not, and never has been, at all aggressive. Her personality hasn’t really changed.

The bad:
She has arthritis, which is being medicated with an anti-inflammatory. When we first started medicating her, the difference in her was incredible. She went from withdrawn and sedentary to active and engaged overnight. Now though – she has slowed down again. She isn’t nearly as withdrawn or subdued as she was pre-medication, but she is definitely a lot less mobile. But it’s hard to know how much of this is due to the arthritis, and how much is due to the fact that…
She has age-related neurological degeneration – basically, her back half doesn’t work properly anymore and has very little strength. She walks well enough, and has a decent turn of speed when there is tuna in the offing, but she is very wobbly. She can’t jump up anymore at all – she can’t get up onto any furniture (sofa, beds, anything at all) without someone lifting her, though she can jump down fine. And she often loses balance when she doesn’t have all 4 paws on the ground – she might topple over while she’s trying to clean herself, or slide off someone’s lap because she seems to have lost track of where all her legs are. She is also very, very slow going up and downstairs, although she can manage.

The ugly:
She has at least some degree of dementia. She sometimes walks into a room and just stops and gazes into space, like she has no idea where she is (a definite behavioural change). She begs food that she doesn’t eat because she’s only just eaten, but seems to have forgotten (I’m pretty sure of this as again, it is a behavioural change). But the biggest problem is that she’ll randomly just start wailing at completely unpredictable times of the day and night – really loud, horrible, distressed yowls. Sometimes it’s fixed with some food or a cuddle, but sometimes not. And even when it does seem fixed, I’m left with the feeling that the intervention only worked because it distracted her/snapped her out of her distress. I’ve classed this as ugly, because 1) it’s horrible for her, and distressing for all of her to hear how upset she is and 2) it is incredibly disruptive, because she does it several times a night as well as during the day – my DD somehow sleeps through it, but it wakes me and DH up every time. It’s like having a new born baby again, and we’re both shattered and irritable due to the lost sleep. But resenting her for it makes me feel terrible.

Until now, the fact that she eats and drinks, wants fuss and company, and is mobile around the house has left me thinking that her quality of life is good enough. But in the last few weeks the dementia has got worse and I'm doubting myself - perhaps I just can't see what's staring me in the face?

If you were me – what would you do?

OP posts:
viccat · 31/10/2019 14:34

Sorry to hear you're in this situation.

Ok, so first things first, has she had a recent blood and urine test to actually rule out a physical cause for some of the issues? For example hyperthyroidism and renal disease could contribute if not cause some of what you describe and are easy to medicate for if that's an issue.

My old girl who was PTS in March also had feline dementia (along with renal disease, hyperthyroidism, arthritis and potentially something else we didn't pick up in blood tests but caused her weight loss). I really understand how horrible the wailing and yowling is. It was suspected my girl was also going deaf hence the high volume of the yowling. My vet recommended a supplement called Aktivait; it's available OTC and I think it helped a little.

I think you are right to consider the quality of life question. When I faced this dilemma I had a chat with our trusted vet and we had one more blood/urine test panel done. My vet's view was basically that once everything reasonable has been tried (medication etc.), then it comes down to the owner knowing when it's time. I think for me the night time wailing was also really affecting my relationship with my girl - sleep deprivation takes its toll... and the other cats were stressed about it. I saw my grandmother decline with dementia over many, many years and knew from a human perspective how horrible it is. For me and my cat, I paid a lot of attention to how much she was enjoying the things she loved in her younger years. So for her one of the big things was food - she was very food oriented all her life and just lost interest in food in her final months really; she ate but where she would have previously cleaned her bowl and asked for more, now it was more like she was picking at her food and didn't really enjoy it. She also lost lots of weight quite quickly.

There are some quality of life questionnaires online if you google.
For me with my pets, I think it depends hugely on the individual pet's personality when it's "time" but on the whole I came to think it's ok to say goodbye on a high note when there are still some good days - better two weeks too early than two days too late. And I did also think what would I want if humans had the same options as our pets have when it comes to euthanasia.

Sorry about the essay, I think it's a very long way of saying you'll know what's right for you...

ifonly4 · 31/10/2019 15:01

As mentioned above, howling can be a sign of hyperthyroidism or kidney disease, so if she hasn't had a blood test recently please get one done, as symptons of both of these conditions can be treated/reduced.

It's hard to know when the time is right. My boy had kidney disease, I knew he wasn't great and one day I just looked at him and couldn't think of one thing he'd got out of his day. My girl was a lot harder, within six months dementia seemed apparent, and her earing and sight went. She stopped needing attention, chose to go out but had to feel her way back to the catflap with her nose. From this I could deduce she had the mentality still to go out and come home, and she wanted to toilet outside, but the final straw was when she clearly wanted her food but couldn't find it. I had a lot of times of doubt in Lottie's last two months. Now I wish I hadn't left her so late, but at the same time it's hard when you know they're getting certain things out of life.

For now, get the blood tests done even if the vet doesn't think they're necessary. The consultation can included a general check and chat, which may help.

BikeRunSki · 31/10/2019 15:19

OP, it’s hard. A few years ago we were in a very similar position with our old boy. His sight was failing, he had arthritis but the medication was no longer as effective as it had been. Probably a bit of dementia. No longer the lean, mean outdoorsy cat he’d once been.When he became incontinent we started thinking about what might be best for him. A few days later he had a stroke and became paralysed from the neck down. He was PTS that day, his remaining quality of life was taken away once he couldn’t walk.

RIP Ted.

I hope you can be led by your cat’s health and personality OP, and are able to come to a decision you are comfortable with as time passes.

QuantumWeatherButterfly · 31/10/2019 16:39

Thank you everyone - for your empathy as well as your advice.

Thyroid and kidney issues have already been ruled out. I'm sorry I missed this from my OP. QuantumCat actually had thyroid issues a few years ago and had one of her thyroid glands removed then so I'm hyper vigilant on this and know the symptoms well. She was last tested only a couple of months ago. Her kidney function was checked then too (because of the regular use of anti-inflammatories) and was fine. So the yowling really does just come down to dementia - coupled with (as a PP suggested) some degree of hearing loss affecting the volume.

I've looked at a couple of quality of life questionnaires. They all suggested her quality of life was currently sufficient. However, I think considering carefully what she got out of her day is a good way to think about it.

Thank you again xx

OP posts:
ifonly4 · 31/10/2019 19:34

Just a thought re howling, there could be a reduction in hearing or sight causing stress when left on own at night.

It's so hard to watch them and make the decision on quality of life. Again talk issues over with vet, even phone call might help

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