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FAQ

General

What is Pet Transitions End-of-Life Care?

Pet Transitions is a mobile veterinary service focusing on providing in-home palliative care and euthanasia services for terminally ill pets. Our commitment is rooted in the belief that every pet deserves the highest standard of end-of-life veterinary care within the comfort of their own home. 

Our team of exceptionally compassionate and skilled veterinarians are devoted to providing individualised guidance and support to families as they navigate the final stages of their pet's life. Our goal is to empower caregivers so that the remaining moments with their beloved pet can be cherished, ensuring care, comfort, and dignity.

What is Pet Transition’s Mission?

To empower pet parents by providing personalised compassionate care for their companions as they transition through their final stage of life, ensuring care, comfort and dignity.

What services does Pet Transitions provide?

Pet Transitions offers a range of services including medical consultations, palliative care, hospice care, compassionate euthanasia, and aftercare, all tailored to meet the individual needs of your pet. 

What is a teleconsultation?

A teleconsultation is a remote veterinary consultation conducted via video or phone call, allowing you to connect with our experienced veterinarians from the comfort of your home. During a teleconsultation, we can discuss your pet's medical history, assess their condition, and provide guidance on various aspects of care, including palliative care and end-of-life decisions. This convenient option enables efficient communication and personalised care planning, offering a valuable alternative for pet parents  seeking professional advice without the need for a physical clinic visit.

What is a home consultation?

A home consultation is similar to an appointment taking place in a veterinary clinic, however the main difference is that it takes place in the familiar surroundings of your home rather than in a clinic setting. Home consultations are designed to minimise stress for pets, while providing the same level of care that would be offered at a veterinary facility.

What can I expect from a consultation?

Whether by phone, video chat, or in person, a veterinarian will conduct a comprehensive health assessment of your pet and will make diagnostic or treatment recommendations based on the combination of your pet’s needs and your goals as caregiver. The consultation includes an open and informative discussion about treatment goals, ensuring that you are actively involved in decision-making of your pet's care at every step. Whether you are seeking routine check-ups, palliative care, or considering end-of-life services such as hospice care or humane euthanasia, our consultations prioritise clear communication and compassionate guidance. Our aim is to provide you with the information and support necessary to make informed decisions about your pet's well-being.

Do you provide 24 hour service?

Our service does not operate on an emergency basis and lacks round-the-clock availability. Understanding the importance of your calls, we commit to promptly responding to both calls and emails to assist you in accessing the necessary care.

Does your mobile service allow you to respond to emergency situations?

Although we offer home visits, please note that we don't operate as an emergency service. For appointment availability, please call us at XXX. In urgent cases, it might be necessary to visit your nearest veterinary emergency clinic. A list of such clinics can be found here.

How much notice is required to schedule an appointment?

24 hours notice for appointments is preferred to ensure availability, but we understand emergencies can arise. If you need urgent service, please contact us; we will do our best to accommodate same-day visits, though this depends on your location.

 

We recognize the difficulty in deciding when it's time for your pet, so we maintain flexibility in scheduling. While last-minute arrangements are possible, advance notice is always appreciated. It's common for pet owners to hesitate in setting a definitive time, but planning ahead can ease the process and prevent rushed decisions.

 

Additionally, our Quality of Life consultations are available to assist you in recognizing when your pet is suffering, allowing you to schedule a timely appointment and prepare your family with minimal stress.

FAQ: Cremation or Burial Expense Coverage

What potential cremation, aqua-cremation or Burial Expense does your pets insurance coverage include?

If your pet passes away due to an insured accident or illness, your pet’s insurance will usually reimburse you for the actual cost of cremation, Aqua-cremation or burial. Additionally, if your pet is cremated or Aqua-cremated, we will cover the cost of one keepsake urn.

What expenses are not usually covered under your pets insurance policy?

They usually will not reimburse for costs associated with a death resulting from a condition not covered within your pet's policy. Additionally, any additional memorial options beyond basic cremation, aqua-cremation and burial fees are not covered. Costs related to euthanasia or other final treatment are also excluded. These costs may be processed separately under the coverage for Veterinary Services.

What are some potential general exclusions under your pets policy?

Your pets policy will generally  not cover expenses related to transportation of you or your pet, or house calls made by your veterinarian instead of an in-practice visit. In such cases, they will only cover the cost of the regular examination fee.

What information is generally required when submitting a claim?

To expedite the claims process, ensure your claim includes your name, address, and signature, as well as your veterinarian's signature. The claim should also include the name or description of the illness or accident, as filled out by your veterinarian, and all applicable receipts with an itemised breakdown of fees incurred.

Illness/Pain Onset

What are the signs that my pet is in pain or discomfort?

Pets experience pain and discomfort, but they don’t communicate it in the same ways as humans. While some dogs can mask pain symptoms, cats are more adept at concealing it. Because many wild animals prey on cats, they’ve evolved to hide any sign of weakness. Unfortunately, this can make it challenging for pet parents to recognize when their furry loved ones need help. 

 

Pain is a spectrum. It can range from mild to extreme, depending on the condition and affected body areas. Pets may display pain in subtle ways, but even small changes can point to potential problems. The International Veterinary Academy of Pain Management lists several signs of pain in dogs and cats. Pain tends to manifest as atypical changes in several key areas:

 

  • Behaviour and activity levels
  • Eating and drinking
  • Facial expressions
  • Grooming and bathroom habits
  • Muscle tension
  • Posture and body language

 

Veterinary practices use pet pain scales to assess the level of pain experienced by an animal. We’ve created a modified graphic [link TBA] using these scales. You can read it at a glance and get a better idea of your pet’s condition.

How can I get a better idea of my pet’s prognosis and life expectancy?

As a pet parent, you’ll want to understand three aspects of your pet’s condition: causes, progression paths, and anticipated outcomes. Don’t be afraid to ask your vet questions: that’s what we’re here for. Ask for details and explanations if you don’t understand something about your pet’s diagnosis. Besides your vet, you can also get more information from reputable sources such as Healthcare for Pets’ Q&A and New Discoveries series. 

How can I evaluate treatment/pain management plans with my vet?

Achieving the best health outcomes for your pet requires a partnership between you and your veterinarian. Our veterinarians will make recommendations based on your pet’s health, comfort levels, and prognosis. As a pet parent, you can ask questions and be proactive about care options. Some beneficial tips can help you consider potential treatment plans:

 

  • Establish treatment goals and expectations. Treatment plans can focus on managing signs, impeding the progression of a disease, partial remission, or complete remission. You and your vet can discuss the most feasible outcomes for your pet.
  • Discuss your concerns with your veterinarian. Be honest about any potential challenges in providing care to your pets. These could include financial, scheduling, and logistic issues. Your vet may be able to suggest more affordable and workable alternatives.   
  • Understand how medications and therapies work. The type of therapies and medications your pet may need can vary. Therapies can be non-invasive, minimally invasive, or significantly invasive. Medications can target any aspect of your pet’s illness and may or may not have associated side effects. 

 

Depending on your pet’s diagnosis, pain management strategies could also be helpful. Classical reactive strategies focus on damage control. The American Animal Hospital Association now recommends a proactive and preemptive pain management approach. It also encourages a tiered approach using primary, secondary, and tertiary therapies. These can involve medication, physical therapy, joint supplements, laser therapy, acupuncture, surgery, and weight management.

How can I decide what approaches to treatment and end-of-life are best for my pet?

Ultimately, our shared goal is choosing what is best for your pet. Overall wellness and comfort are both essential. You’ll want to look at many factors: your pet’s prognosis, life expectancy, pain levels, and quality of life. Each pet’s situation is unique. The outlook for a five-year-old dog with stage 1 lymphoma, for instance, may differ from that of a 12-year-old cat with stage 3 chronic renal disease. You’ll want to consider the possible benefits of any treatment plan. At the same time, it’s also wise to weigh these benefits against the potential suffering your pet may be experiencing.

Ongoing Illness and Treatment

What lifestyle changes can help improve my pet’s quality of life?

You can do several things to maintain or improve your pet’s health. Many recommendations are the same for both healthy and chronically ill dogs and cats:

 

  • Feed a nutritionally balanced diet.
  • Provide an appropriate level of activity.
  • Groom regularly and provide dental care.
  • Attend regular checkups.
  • Minimise stress in the environment.
  • Offer enriching toys and activities. 

 

How you carry out these recommendations may look different for your chronically ill pet. For instance, your pet’s diet might contain protein, fat, and carbohydrate levels that deviate from typical feeding plans. Your dog or cat may also need a unique mix of vitamins and minerals. Food format and consistency can also depend on your pet’s condition — liquid diets for animals undergoing chemotherapy, for example. 

 

Depending on your pet’s condition, pain and weight management are also part of the picture. Following your vet’s recommendations is key. Don’t forget to administer any medications to your pet as directed.

What behavioural changes indicate that my pet’s condition is getting worse?

Frequent observations are vital when monitoring your pet’s health. Keep a daily journal of your pet’s health so you can note any unusual changes. The American Kennel Club and International Cat Care list characteristics of healthy dogs and cats that you can use as general guidelines. When keeping your pet’s health journal, you’ll want to record some key details in each entry:

 

  • Physical appearance (coat, skin, eyes, and ears)
  • Food and water intake
  • Mood and behaviour
  • Activity level
  • Toileting habits
  • Apparent pain levels

 

You should also record unusual symptoms and behavioural changes in your pet’s health journal. Some changes may indicate that your pet’s condition could be getting worse. These can include lethargy (low energy levels), weakness, weight loss, appetite changes, weight loss, increased pain, incontinence, shifts in water intake, or changes in grooming habits. If you notice these changes, contact your vet right away.

How can our family manage the stress of my pet’s illness?

There’s no sure way to predict how much you may spend on your pet’s care. Besides the cost of vet visits, medications, therapies, and other health essentials, you’ll also need to consider the cost of emergency care. Some conditions, such as cancer or diabetes, may cost thousands of dollars to treat. Pet health insurance can make some of these costs more manageable, but most policies will not cover pre-existing conditions. Ultimately, you must evaluate how these costs will affect your household budget.

Hospice and Palliative Care

What is palliative care?

Palliative care is a specialised form of medical treatment aimed at enhancing the quality of life of animal companions facing serious, terminal, or life-limiting disease. Palliative care can span anywhere between days to months, depending on the nature of the pet’s medical condition(s). Pain, discomfort, distress, or malaise are adressed by embracing a holistic approach that considers the unique needs of each pet, with the ultimate goal of ensuring the comfort and well-being of both pets and their caregivers.

What is hospice care?

Hospice care is a specialised form of end-of-life treatment that focuses on enhancing the comfort and dignity of an animal companion nearing the end of their life. In addition to ensuring a pet’s comfort and dignity in their final life stage, hospice care is also aimed at providing emotional support to caregivers with a gentle and individualised approach. Hospice care is implemented in the final stages of life, and typically spans days and in some instances weeks.

What is the difference between palliative and hospice care?

While both palliative care and hospice care are dedicated to enhancing the well-being of pets facing serious illnesses, they differ in their scope and objectives. Palliative care for veterinary patients is designed to alleviate symptoms and reduce the stress associated with a serious illness, irrespective of the curability of the condition. The primary aim of palliative care is to improve the patient’s overall quality of life and assist caregivers in managing the challenges posed by illness. This type of care can be provided at any stage of the illness, ensuring a comprehensive approach to the animal's health and comfort.

 

Hospice care is a specialised form of palliative care that specifically caters to pet patients in the final stages of life. This approach is particularly relevant when aggressive treatments are no longer viable, and is often delivered in the familiar surroundings of a pet’s home.

What services do hospice and palliative care specialists provide?

Palliative care appointments encompass a comprehensive and collaborative approach, including a Quality of Life assessment, diagnostic testing when warranted, tailored treatment recommendations, and open communication - all to provide a personalised care plan for each pet. Care plans may additionally be modified over time to reflect a pet’s dynamic condition, often through follow-up consultations or in-person visits by a member of our veterinary team.

 

Diagnostic recommendations may include monitoring changes in bloodwork, urinalysis, or blood pressure measurements, as well as other relevant tests, which help to provide valuable insights into your pet's overall health, while guiding our treatment recommendations that address their unique medical needs. Based on the pet’s examination and/or diagnostic results, our veterinarians provide an individualised treatment plan which may include continuing long-term medications, implementing analgesics to alleviate pain, as well as exploring additional supportive measures to address specific conditions. Because there is a large breadth of conditions afflicting pets, no matter the circumstance, our palliative care appointments aim to provide comprehensive and compassionate support, emphasising open communication and individualised care.

Euthanasia

What is compassionate euthanasia?

Compassionate euthanasia refers to the humane and empathetic process of ending the life of a beloved pet in a manner that prioritises their comfort and dignity. This service is delivered with a deep understanding of the emotional bond between pets and their human companions. 

 

Compassionate euthanasia recognizes the unique needs of each pet and their family, providing a peaceful and stress-free environment by conducting the procedure in the familiar surroundings of the pet's home. It involves clear communication with caregivers, ensuring they are well-informed and supported throughout the process, and focuses on minimising any distress for the pet so they may transition peacefully, surrounded by the love and familiarity of their family. This approach embodies sensitivity, respect, and a commitment to ensuring the pet's final moments are marked by compassion and care.

Is choosing in-home euthanasia the most suitable choice for my pet and my family?

Opting for in-home euthanasia allows your pet to be in a comfortable, familiar setting – whether that's in their own bed or basking in the sun. This environment, filled with well-known sights, scents, and the presence of family, ensures they remain at ease until their final moments. There are no restrictions on who can be present during an at-home euthanasia; the entire family, including other pets, can be there to bid farewell. The appointment can be tailored to your needs and scheduled at a time that suits you, like evenings or weekends, when the family is more likely to be together.

 

This choice also provides the privacy to mourn at home, surrounded by family and friends, with your pet by your side throughout the process.

How will I know whether or not my pet qualifies for palliative care or compassionate euthanasia?

Determining whether or not a loved one qualifies for either palliative care or compassionate euthanasia is one of the most difficult questions to answer for any pet parent. An initial consultation with our veterinarian will be essential in establishing whether or not your pet qualifies for either of these services.

 

The process begins with a teleconsultation, which includes a thorough review of your pet's medical history, a review of the information provided by the online registration form, and a discussion addressing your goals as caregiver. 

 

The purpose of the initial consultation is to establish your pet's overall quality of life (QOL), which is informed by their present condition, medical and non-medical needs, comfort levels, and access to veterinary care. The consultation provides an opportunity to delve into your questions, concerns, and fears regarding your pet's QOL, including an honest discussion about the potential need for euthanasia as they transition through this delicate stage of life. 

 

If a pet is deemed eligible for palliative care or compassionate euthanasia, you will receive a personalised care plan encompassing all discussed aspects, along with relevant information relating to their condition(s) as well as an action plan to ensure your pet's comfort in their final months, weeks, or days at home. Subsequent follow-up appointments may also be arranged as needed.

What if my pet doesn’t qualify for palliative care or compassionate euthanasia?

While palliative care and compassionate euthanasia are tailored to meet the diverse needs of pets in various situations, there are instances where these options may not be suitable. For example, young, healthy pets, or pets with curable or manageable conditions, are not eligible for palliative care or compassionate euthanasia. If however, a pet displays incurable aggression that poses risks to their safety or that of others, it may impact the feasibility of palliative care. Similarly, if a pet's medical condition is extremely advanced, resulting in severe and unmanageable pain or suffering, compassionate euthanasia may ultimately be considered the most humane option. No matter the circumstance, our veterinarian will provide you appropriate resources and recommendations that may be pursued as alternatives to either service, ensuring that your pet receives the most appropriate and compassionate care tailored to their specific needs.

How do I know when it’s time to consider euthanasia for my pet?

Quality of life is the primary consideration when making such a difficult decision. While there aren’t any hard-and-fast answers, you can look at several factors to determine your pet’s situation:

 

  • Pain management: How much pain and discomfort does my pet experience? Does my pet have chronic pain that cannot be controlled?
  • Eating and drinking: Does my pet have an appetite? Are they able to intake food and water? Do they still enjoy eating and drinking?  
  • Toilet and grooming habits: Can my pet urinate and defecate without assistance? Do mobility issues impact their ability to relieve themselves? Has my pet completely stopped toileting? 
  • Mobility and activity: Does my pet have significant mobility challenges? Do they attempt to engage in normal activities? Are they interested in playtime, toys, or other enriching activities?
  • Behaviour and mood: Does my pet seek their typical levels of social interaction? Has my pet become unresponsive and withdrawn? How does my pet respond when I interact with them?

 

If you keep a daily health journal for your pet, your entries can help you answer these questions. You can find more information about pet health journals in our Ongoing Illness and Treatment FAQ [link TBA]

 

When making your decision, you should also consider how well your pet’s condition is responding to treatment. From your pet’s health journal and consultation with your veterinarian, you can consider whether continuing treatment offers any benefits or may prolong your companion’s suffering. Healthcare for Pets’ video, “How Do You Know When It’s Time to Say Goodbye to a Pet?”, also provides helpful information.

Is opting for a "natural death" for my pet a preferable choice?

While many pet parents wish for their pets to pass away naturally at home, such occurrences are quite rare. Allowing a pet to die naturally may often result in prolonged periods of illness, stress, or pain before their passing. The desire for a pet to pass in their sleep at home is understandable, as it removes the burden of decision-making. However, the most reliable way to ensure a peaceful and pain-free end for your pet is through humane euthanasia. Although it may seem like an incredibly difficult choice, it's crucial to prioritise what is best for your pet above all else.

What is the euthanasia process like?

During the visit, the veterinarian will attentively listen to your concerns and describe the euthanasia process according to your preference for detail. We'll assist in creating a comfortable space for your pet, whether it's in their bed, a sunny spot outdoors, or in your arms.

After your pet is at ease in their chosen spot, we'll administer a mild sedation to ensure their comfort and alleviate any pain. The final step, involving a second medication, will only proceed when you, your family, and your pet are ready, allowing for a peaceful passing within minutes. Afterwards, you and your loved ones are welcome to take as much time as you need for farewells. If we are managing the aftercare, we'll respectfully take their remains into our care.

Can you explain how euthanasia drugs function?

The euthanasia drug we use is a type of gentle anaesthetic, administered slowly into a vein to circulate through the bloodstream. This anaesthetic ceases the brain's ability to send and receive signals, leading to a loss of consciousness. Consequently, the brain cannot perceive pain, nor can it regulate essential functions like heartbeat and breathing. Within a few minutes after administering the medication, your pet's breathing will gradually decrease, and then the heart will stop. This method ensures a peaceful passing, akin to falling asleep, without any sensation of pain for your pet.



Can I be present with my pet during euthanization?

Yes, you will be able to remain present with your pet during the euthanasia process. Whether you choose to do it is entirely up to you. Some pet parents prefer to stay to offer comfort and say goodbye. Others decline out of concern that their own emotions may upset their companions. Ultimately, the decision is yours to make. 

Is there anything I need to arrange or prepare prior to the appointment?

No, we handle all necessary arrangements for you, allowing you to concentrate on cherishing the remaining moments with your pet. It might be helpful to think about how you wish to spend the final days with your pet and the ways you'd like to commemorate their life.

How can I cope with the emotional challenges of euthanizing my pet?

The decision to euthanize a pet can trigger difficult and often conflicted emotions. Sorrow and anger are normal, along with guilt and regret. You may find yourself wishing you had other options, wondering what you could have done differently, hoping for last-minute interventions, or angry that you couldn’t do more. These are all perfectly natural reactions. No matter what your unique circumstances are, you may find solace in knowing that you’ve made the best possible choice for your pet’s well-being. 



How can I prepare myself and my family for my pet’s loss?

Openly discussing the euthanasia of your pet with your family can be challenging. The American Veterinary Medical Association recommends starting the conversation by reviewing your companion’s health issues plus any information you’ve received from your veterinarian. You should also talk about the ramifications of long-term care. While your decision isn’t purely a matter of dollars and cents, it’s vital to consider both emotional and financial hardships. 

Allow everyone, including children, to express their feelings and be involved in this conversation. Considering all family members’ thoughts and feelings is key, ensuring that no one feels left out. Provide straightforward and truthful answers to questions, especially from younger family members.

Finally, keep communication open once you’ve made the final decision. If possible, have a “last evening” in which everyone has the opportunity to spend time with your pet. This includes collective quality time, along with one-on-one time for those who desire to say goodbye in private.

Is it advisable for my children to be present during the procedure?

Deciding whether to include children during the euthanasia process is a deeply personal choice and varies from family to family. Some parents opt to have their children present during the procedure, while others prefer to bring them in afterwards for farewells.

Children around the age of 5-6 often grasp the situation when it's explained to them in a clear and truthful manner, and they may respond with unexpected resilience and empathy. Very young children are typically more influenced by their parents' emotional reactions than the euthanasia itself. Ultimately, parents are the best judges of what's appropriate for their children. If you're unsure about the best approach, we're here to discuss it with you. Our blog post on Children & Pet Loss offers guidance on this matter.

For additional resources, the Veterinary Wisdom Resource Centre's online articles on Kids And Grief provide insights on teaching children to express grief in healthy ways.

Is it recommended to have other pets present during the procedure?

The decision to allow your other pets to be present during the euthanasia or to see their companion afterwards is yours to make. Often, pets seem to benefit from understanding that their friend has passed away peacefully. This can be a part of their grieving process, helping them to comprehend and accept the loss. For more insights on how pets grieve and handle such situations.

Aftercare

What is aftercare?

Aftercare refers to the support and services provided to individuals following the loss of a loved one, often with a focus on helping them cope with the aftermath and make decisions related to next steps. In the context of veterinary services, particularly after euthanasia, aftercare involves the handling and disposition of the pet's remains, as well as providing emotional support to caregivers during the grieving process. Aftercare options include cremation, aquamation, or burial.  At Pet Transitions, we understand the unique bond between you and your pet, and our commitment is to provide compassionate care at every step.

What is Cremation?

Pet cremation is a process where the remains of a deceased pet are incinerated in a specialised cremation chamber. The process is conducted with care and respect, ensuring the remains are handled ethically and compassionately.

What is Aqua Cremation?

Aqua Cremation is a gentle and responsible alternative to flame cremation that allows you to honour the loss of your companion without harming the environment.

 

Aqua Cremation uses a water-based alkaline solution instead of fire and heat.This cutting-edge process mimics the way a body naturally decomposes in the soil. It is nature’s method of decomposition, simply accelerated.

What is bereavement?

Bereavement refers to the state of grieving or the period of mourning following the death of a loved one. It is a natural and complex process that individuals experience as they cope with the emotional, psychological, and sometimes physical impact of loss. Bereavement is a universal experience, and its manifestations can vary widely among individuals and cultures.

 

In the context of pet loss, bereavement refers to the period of mourning and adjustment that caregivers undergo after the death of their animal companion. It involves emotional responses such as sadness, grief, and often a sense of emptiness. Recognizing and allowing oneself to navigate the bereavement process is an essential aspect of healing after the loss of a pet. Pet owners may seek support through various means, including counselling, support groups, or other resources that acknowledge and address the unique challenges of grieving for a beloved animal.

What are some options for memorialising my pet?

Commemorating your pet and reflecting on the joyous moments shared together plays a vital role in the grieving process. Creating keepsakes or browsing through old photographs can be a comforting way for you and your family, especially young children, to cope with the loss. Holding a memorial celebration might also assist children in understanding and processing their feelings.

There are countless methods to cherish the memory of your pet. These can range from transforming fur clippings into unique jewellery pieces, creating artwork with their paw prints, to framing their collar alongside a cherished photo. Pet owners globally have discovered creative and meaningful ways to honour your pet's life and keep their memory alive.

Are there organisations or charities that accept donations in memory of pets?

Many pet owners find solace in memorialising their furry friends by making donations to organisations and charities that work towards the welfare and well-being of animals. These donations not only honour the memory of a cherished pet but also contribute to causes that can help other animals in need.

What additional compassionate ways can I find to deal with the grief of losing my pet?

The loss of a pet is often as heart-wrenching as the loss of any other family member. Should you find it challenging to cope with the passing of your cherished pet, we can recommend a bereavement counsellor who specialises in pet loss. Speaking with a qualified therapist has proven to be beneficial for many during the grieving process. To honour your pet's memory, you might consider options like creating a memory book, planting a tree in their honour, holding a small memorial service, or keeping a special keepsake, such as a framed photo or a custom piece of art.