Feline Old Age Through to Bereavement - Knowing When to Let Go
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Eventually his condition deteriorates, whether due to illness or to the physical and/or mental effects of sheer old age. Gradual deterioration goes unnoticed unless you are very observant or physically examine him regularly. Certain symptoms mean he has reached the final stages. He has no more enthusiasm for life, maybe no interest in life. He may be unable to rest comfortably, stand or even control his bodily functions. He may not know where he is, recognize you or be fully aware of his surroundings. Even if he is alert, I have known cats to simply sit there, in no apparent pain but not interested in food or water, awaiting their end in a what appears (to humans) a calm, dignified, accepting manner.
Right towards the end, a cat is often unable to hold his head up. He may rest with his head drooped and his nose touching the surface in front of him. I have always considered this a warning sign. I have also noted that the digestive system closes 48 hours before death, even if the cat continues to drink small amounts.
This shutdown may hasten the end through dehydration. Other organs may also close down and, if you are lucky, the cat will fall into a coma and be unaware of anything more. If this is the case, place the comatose cat somewhere warm, quiet and dark at floor level if it has not already chosen its final place (often under a bed or in a cupboard/closet). Every few hours check to see whether breathing has stopped. Breaths may come in gasps at long intervals, but as long as the cat is unconscious it is not suffering. You may choose to take your unconscious cat to the vet to hasten its journey. This will usually be done with a gaseous anesthetic, or possibly by injection directly into the kidney or heart rather than trying to find a leg vein.
Facing The Inevitable
Finally, you might not be able to defer the decision any longer. Modern drugs are extremely fast-acting and the end is very peaceful. The final stages of a terminal illness, however, can mean a painful, prolonged end. If, during its life, your cat has been well-cared-for, you owe it this last duty - a gentle death and not a slow one. Previous sections will have given you an idea of warning signs.
In making the decision it is helpful for owners to understand how euthanasia is performed. Euthanasia in domestic pet clinics is by anesthetic overdose, usually by injection into a vein or kidney, sometimes by gas if the animal is distressed by handling. Unlike the horror stories about human executions, it is very swift because of the animals low bodyweight. The knowledge that euthanasia lives up to its literal translation of 'easy death' and is painless and fast while a 'natural death' may involve convulsions, hemorrhaging, starvation/dehydration and, in the terminal stages of many illnesses, pain, may be the decisive factor.
Sometimes it is possible to delay euthanasia for a day without causing suffering for example where he has a terminal illness or is extremely old and the euthanasia is planned in advance. You may wish to give him a last night of pampering, his favorite foods or foods which were normally forbidden. This is a time in which to say goodbye and reassure him that he is very much loved. However, if he is suffering, or is already under anesthetic, he will not enjoy having his misery prolonged.
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- Feline Old Age Through to Bereavement - Knowing When to Let Go
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