Dr Alice Villalobos, a renowned veterinary oncologist, published a scoring system for life quality called the HHHHHMM Scale. HURT – Adequate pain control, including breathing ability, is first and foremost on the scale.
MORE GOOD DAYS THAN BAD – When bad days outnumber good days, quality of life might be compromised.

For patients not drinking enough, use subcutaneous fluids once or twice daily to supplement fluid intake. When a healthy human-animal bond is no longer possible, the caregiver must be made aware the end is near.

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