Showing posts with label pet hospice. Show all posts
Showing posts with label pet hospice. Show all posts

Tuesday, May 1, 2018

Pet’s Death Hurts More Than Human Death.?!



A pet’s death can hurt more than losing a fellow human

Social norms are wrecking your grief experience.




beagle lying on carpet
Deciding when to take a suffering pet to be put down can leave owner's with a lot of guilt.
The perfect coffin for a gerbil is a Celestial Seasonings tea box. With the tea bags removed, the white wax-paper bag inside is the ideal size funeral shroud for a tiny body. This unfortunate factoid, like much of the information about how to dispose of a beloved pet’s body, comes from personal experience. I buried four gerbils in my backyard as a child, complete with incense on their graves and a few words.
As an adult with a puppy well on his way to being over 60 pounds, I hadn’t given much consideration to how I’d deal with other pet deaths until a friend asked me, “this is a terrible question, but what do you do when he dies?”
I dug into the question, and as I did I found that I wasn’t alone in wondering—but that there isn’t a great answer.
The experts I talked to emphasized that our relationship to pet loss has changed over the last century. “It’s not surprising to me that we feel such grief over the loss of a pet, because in this country at least they are increasingly considered family members,” says Leslie Irvine, a sociologist at the University of Colorado-Boulder. Sixty-eight percent of Americans own a pet, an increase of twelve percent since surveys of pet ownership started in the 1988, when it was already booming. Losing a beloved animal friend is made harder by the relative novelty of the experience, often being a person’s first experience with a close death, and by it being one of the few times most people chose euthanasia to end a life. And depending on the relationship, the loss of a pet can be more traumatic than the grief we feel after the death of family and friends. In part, this is because pets share some of our most intimate relationships—we see them every day, they depend on us, we adjust our lives around their needs—and yet publically grieving their loss is not socially acceptable.
We haven’t always felt this way, though. As a society, Irvine says, we’ve moved from thinking of pets as accessories or mindless pieces of furniture to thinking, feeling beings.
Pets become family members because they actively shape how we live. “A lot of people who have pets wake up at a certain time, not because of any alarm clock or any need of their own but because their dog needs a walk,” says Irvine. “Just as other humans participate in becoming family by doing these practices—getting up together, eating together, navigating the bathroom times, and all that—so do animals become part of the rituals that make family.”
And it isn’t just a daily ritual that makes pets familial. We form attachments to animals in the same way that we form attachments to people, says Cori Bussolari, a psychologist at the University of San Francisco. She points to a study in Science from 2015 that found when people gazed into a dog’s eyes, both the person and the dog had increased levels of oxytocin. Oxytocin, sometimes called the love hormone, regulates social interactions. It’s released when humans stare into each other’s eyes, and when parents look at their newborn children. “I’m sure if you did the study with other animals it would be the same,” Bussolari says.
I already imagine losing my puppy will be harder than burying my gerbils, but I also didn’t stare into my gerbils’ eyes quite as much. No matter the species, our bonds with our pets are unlike our other relationships. For one, Bussolari says, they’re entirely dependent on us. For another, Irvine says, “we idealize animals, especially dogs. We create them as these almost angelic characters, so we have this idea of unconditional love for us.” When they die, she explains, it almost seems like a violation of this mythos we’ve built around them.
On a personal level, the death of a pet is often a person’s first exposure to the loss of a close relationship, says Thomas Wrobel, a psychologist at the University of Michigan-Flint. Human death has been relatively sanitized, he explains. We have an industry for funerals and cremations, and you don’t typically have to deal with a dead body yourself. “With pets it’s a lot more in your face,” says Wrobel. “Unless you do the cremation option, you’ve got this dead dog you have to deal with, which is a lot more intimate experience of the death.”
ajax puppy
The author's dog, Ajax, pictured here snoozin'
Dyani Sabin
With pets, you also have to decide if you are going to euthanize, and when. In a study of 305 pet owners, Bussolari found that almost seventy percent chose to euthanize their pet. It’s often medically necessary—the kindest thing to do for a dying animal—but the decision can wrack the owner with guilt. In 2005, Wrobel did a study of the relationship between symptoms of grief and attachment to pets. “In our results we saw that guilt was way up there [on the list of emotional responses], because a lot of people are carrying the animal to where it would be euthanized,” says Wrobel.Years ago, my cat, who I had rescued as a kitten, developed a urinary tract infection that lingered due to a weakened immune system from his feline HIV. I’d tried everything to help him get over it. One day, I came home and saw from his tepid movement that he was clearly in incredible pain—he was dying. Driving to the vet was excruciating, and my mom had to be the one in the room when he was euthanized because I was too upset.
“After the passing of a pet ninety-nine percent of people say to me in some shape or form, this was harder for me than the loss of my mom, or my grandma,” says Dani McVety, veterinarian and CEO of Lap of Love, a veterinary hospice network. She has found that the option to have in-home euthanasia and pet hospice makes death easier for families.
In-home euthanasia helps remove the negative experience of knowing that you’re driving your pet to their death in a place that you know causes them stress. In her practice, she sees the same kind of anxiety over deciding the right time for euthanasia at the end of a pet’s life. “I’ll tell them, I know you don’t want to hear this right now, but when this is done, you will feel relief,” McVety says. “And people do this thing after it’s done. . .they stand up and put their hands on their head and say, ‘Oh my gosh, I feel so relieved.’”
But despite the fact that 68 percent of Americans own a pet, and have grown to treasure them like members of the family, taking care of a dead animal’s body isn’t the same as dealing with a human corpse. In New York City, if you look up what to do with a deceased pet on the 311 page, you come to this statement:
You can bring the remains of a dead pet to an Animal Care Centers of NYC drop-off location to be cremated for a fee.
You can also put a dead animal out for pickup by the Department of Sanitation on your garbage day. The remains must be placed in a heavy-duty black plastic bag or double plastic bag and a note should be taped to the bag stating its contents (for example, "dead dog" or "dead cat").
If you think that’s appalling, you’re not alone.
“Wow. Wow, you end up just treating it like a raccoon. Wow, that’s crazy,” says McVety. The New York Department of Sanitation doesn’t keep data on how many pets are left on the curb so it’s unclear how often this happens. Other major cities, like Houston and Los Angeles, will pick up pets curbside, and in other cities you can call for pickup.
These guidelines are written so that the city has some response available, but they don’t take the emotional element into consideration, says Bonnie Beaver, professor of veterinary medicine at Texas A&M.
City services aren’t the only ones to fail to see how emotional a pet death can be.
“You feel often isolated, socially,” says Beaver, “because people don’t understand what you’re going through, because they might say, ‘get over it, it’s just a dog’—which is exactly the wrong thing to say.”
When you lose a person, there are rituals—the funeral, the memorial—and it’s acceptable to take time off work and talk about your loss. “What people grieving the loss of a pet don’t realize the first time they lose a pet is the strength of the grief and how long it lasts,” says Wendy Packman, a psychologist at Palo Alto University. “So it surprises the griever, and it really surprises the people who aren’t sympathetic to pet loss.” Although Packman has found that the depth and length of grief is similar to how we grieve people, this social stigma causes it to feel more painful.
“With disenfranchised grief is there is less support, and the grief can be even worse than for a person because there are no rituals,” says Packman, “and when people do go out and do a ritual, when they feel brave enough, they can be ostracized.”
As I was researching this story, friends told me about the lengths they went to in order to bury their pets properly, despite regulations about where and how you may dispose of animal remains. One snuck into their community garden at midnight to bury a pet rat under a rose bush. Another drove out in the middle of the night to bury their cat underneath a beautiful oak tree they pass on their daily commute. Even my gerbil burials, and the funeral I held for my cat were private affairs, in the backyard with my family—our secret, quiet grief shared together.
Packman believes this social acceptability of grieving for pets is changing, noting that she’s seen a rise in memorials for pets and pet cemeteries. But in the meantime, says Bussolari, we grieve our pets so deeply because we feel like we’re not supposed to. “We worry a lot about making people uncomfortable, because then they don’t want to be around us—and if they don’t want to be around us then we’re by ourselves,” she says. “But the reality is that the more we talk about grief, the more we normalize grief.”
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Thursday, November 19, 2015

Coping With the Death of a Pet



Wall Street Journal, PERSONAL JOURNAL, Home & Digital, Wednesday, November 18, 2015, Page D3:











Embedded image permalink

Coping With the Death of a Pet

Several recent books offer emotional support and practical advice for those dealing with the loss of a beloved pet

Q:I read with great interest your article on coping with the death of a pet. Can you recommend books and other resources? 
A:Several recent books offer emotional support and practical advice. “The Loss of a Pet” by psychologist Wallace Sife provides guidance and resources on the stages of the grieving process; look for the fourth edition, published in 2014. Gary Kowalski, a Unitarian Universalist minister, offers spiritual comfort in “Goodbye, Friend.” Educator and grief counselor Alan Wolfelt explains why some pet owners’ feelings are so strong in “When Your Pet Dies.” And “Saying Goodbye to Your Angel Animals” by Allen and Linda Anderson, speakers and authors of many books on the animal-human bond, includes personal stories, exercises, meditations and memorial services. 
Pet owners who are grieving intensely often benefit from talking with a pet-loss counselor who is trained to understand their bonds with their animals, says Joy Davy, a Hinsdale, Ill., pet-loss counselor and author of “Healing Circles,” a book about pet loss. Many counselors also offer support groups; pet-loss.net posts a state-by-state directory of counselors and support groups. 
Telephone support is available from university veterinary-medicine programs and nonprofits via 22 pet-loss support hotlines listed at aplb.org, the website of the Association for Pet Loss and Bereavement. The site also offers chat rooms, a reading list and memorial products.
If you’re planning ahead for end-of-life care for a pet, a directory of animal hospice-care providers can be found on the website of a 400-member professional group, IAAHPC.org, including veterinarians, vet technicians, counselors, chaplains and social workers. Visits may cost about $100 to $250 an hour, but fees vary by region and type of care.

Monday, December 2, 2013

All Dogs Go To Heaven. Some Go To Hospice, These Days.

New York Times, Sunday, December 1, 2013, Front Page, Page 1:

All Dogs May Go To Heaven.  These Days, Some Go To Hospice

BY Matt Richtel



By MATT RICHTEL      November 30, 2013 
More and more, cats and dogs get the human treatment. There are pet spas, pet therapists, pet clothes. And as it goes in life, so it now goes in the twilight. The latest phenomenon: pet hospice.
Around the country, a growing number of veterinarians are offering hospice care, and marketing it as a way to give cats and dogs — and their owners — a less anxious, more comfortable passing.
The approach, in the spirit of the human variety, entails ceasing aggressive medical treatment and giving pain and even anti-anxiety drugs. Unlike in hospice care for humans, euthanasia is an option — and in fact, is a big part of this end-of-life turn. When it’s time, the vet performs it in the living room, bedroom or wherever the family feels comfortable.
That’s a big part of the job, the vets say, relieving pet owner guilt, giving them an emotional bridge to a pet’s death, and letting them grieve at home — rather than in a clinic or animal shelter. The intimacy carries a premium, sometimes costing 25 percent or more than euthanasia in a clinic. Vets, and their customers, say it can be worth it.
“They’re in their own environment, not only the pet but the owners,” said Dr. Mary Gardner, co-founder of Lap of Love, a Florida-based company that is one of the leaders in a small but growing market. “They’re allowed to have other animals present, other cats or dogs present, other children,” added Dr. Gardner, who refers to a pet’s owner as its “mom” or “dad,” and has since relocated her own practice to Los Angeles. “I’ve been to some homes where they had barbecues for that dog, and invited me and the neighbors, and the dog was the man of the hour.”
Lap of Love’s business has blossomed since 2010 from two providers to more than 68 vet partners in 18 states. The International Association for Animal Hospice and Palliative Care, a group started in 2009, now has 200 members, mostly vets, but also several family therapists, lawyers and an animal sanctuary in Northern California that takes in and provides holistic healing and hospice for terminally ill and elderly pets.
“There is a formal end-of-life movement, a formal hospice movement,” said Dr. Eden Myers, a veterinarian in Kentucky who runs JustVetData.com, which tracks industry trends. Of the providers who do this, she said: “They’re everywhere.”
Dr. Amir Shanan, a vet in Chicago who started the International Association for Animal Hospice, described the movement as growing, but still not mainstream; veterinary schools are only now embracing the idea. “There are skeptics out there,” he said. “But 20 years ago, there was almost no one other than skeptics, and that’s changing rapidly.”
There are no formal standards for this hospice care, and Dr. Shanan said there was a debate about what those standards should look like. “The core of the debate is who is to decide when is the right time to euthanize, if at all,” he said, noting that some hospice supporters advocate giving pets palliative care until they die naturally, as in human hospice.
Hospice and in-home euthanasia are different things. Their growth is owing to similar factors, says Dr. Myers, including a growing acceptance of hospice for humans, as well as cellphones, laptops and online marketing that make mobile vet services easier to operate. Plus, she said, more vets offer the services as a business alternative to the high cost of starting and maintaining a traditional clinic.
“And,” she added, “you’ve got people willing to spend scads of money on their pets.”
For pet owners, the financial implications of this end-of-life movement cut two ways. In one light, hospice can be seen as reducing the cost of aggressive medical care, or it can be seen as its own version of aggressive comfort care, at least when compared to euthanizing a pet sooner.
A hospice or euthanasia visit from Lap of Love generally costs $200 or $250, including drugs. Euthanasia at a clinic typically runs less, though prices vary widely, and is even less at a nonprofit shelter, like a local animal shelter. Some pet owners say costs are irrelevant given the peace of mind — their own.
“It was more for me than him,” said Jan Dorr, a bookkeeper in Boca Raton, Fla., who was an early Lap of Love customer in 2010. She’d spent $5,000 on chemotherapy for her chocolate lab, Darby, but the dog’s health continued to fail. When she heard about the idea of pet hospice, her reaction was positive; a year earlier, her own father died after a positive hospice experience. She called Dr. Gardner, who helped make Darby comfortable by increasing his pain medications, and giving Ms. Dorr a checklist of ways to recognize when it was time to let go, such as when Darby stopped eating, walking or interacting.
When Darby’s condition worsened just days later, the vet returned to perform euthanasia. Ms. Dorr lay down on her bed with Darby, hugging him. “She let me say when,” Ms. Dorr said, referring to the vet’s final injection. It was far preferable, she said, to the alternative: “I just couldn’t get it into my head to put him on a steel table in a cold room and let him go.”
Kathryn D. Marocchino, a professor of death and dying at California State University in Vallejo, who in 1996 founded the Nikki Hospice Foundation for Pets, said the end-of-life movement for pets addressed what she described as a “sense of coercion” faced by owners of sick pets forced to decide between aggressive treatment or euthanasia. She said that her group got calls from people thanking them, and saying things like: “Where were you 30 years ago? They made me kill my dog.”
Dr. Michele Price, a veterinarian in Northern Virginia whose in-home end-of-care business has doubled since 2009 to 20 percent of her practice, got a call recently about an ailing Labrador named Champ. She’d first seen the dog in August when his owners thought it was time to euthanize. But when Dr. Price got to the house, Champ was doing O.K., and she and the family decided on hospice treatment and pain meds. Later, Champ took a sharp downward turn and couldn’t walk. Dr. Price returned and they set up for the euthanasia.
Champ was on a quilt next to the fireplace when Dr. Price administered the initial sedation. “They hugged him, and told him what a good dog he was. They said, ‘We love you’ and ‘We’ll miss you,’ ” Ms. Price said of the dog’s owners. As for Champ, “He fell asleep. That’s the last thing he remembered.”