The Azure Holland Quality of Life Guide

The Azure Holland Pet Quality of Life Guide is designed to gently support you in considering whether hospice care or euthanasia may be appropriate for your pet. While this guide can offer helpful insight, it is intended to be one part of your decision-making process.  It should never be the sole factor in determining end-of-life care.
 
Please score your pet in each of the seven following areas where 1=Poor and 10=Best.
1. PAIN
Adequate pain control, including breathing ability. Is your pet's pain successfully managed? Is oxygen necessary?
 
2. HUNGER
Is your pet eating enough? Does hand feeding help? Does your pet require a feeding tube or other assistance to eat?
 
3. HYDRATION
Is your pet dehydrated? Does your pet drink enough water? Does your pet need subcutaneous fluids once or twice daily to supplement fluid intake?
 
4. HYGIENE
Does your pet still groom itself, especially after elimination? Is your pet clean and free of pressure sores, etc? Is your pet's coat greasy, matted, or rough-looking?
 
5. HAPPINESS
Does your pet express joy and interest? is your pet responsive to things around them like family, toys, etc? Is your pet depressed, lonely, anxious, bored, or afraid?
 
6. MOBILITY
Can your pet get up and walk without human or mechanical assistance (e.g. cart, support vest)? Does your pet feel like going for walks? Is your pet having seizures or stumbling? A pet who has limited mobility, or amputation, but is still alert and responsive can have a godo quality of life as long as the owner is committed to helping.
 
7. GOOD DAYS VS. BAD DAYS
Do the good days outnumber the bad days? Are you still able to have a healthy, interactive relationship with your pet?
 
Total Score: 0
The Azure Holland Quality of Life Guide is partially based on the Quality of Life Scale – The HHHHHMM Scale.
Original concept: Oncology Outlook, by Dr. Alice Villalobos, Quality of Life Scale Helps Make Final Call, VPN, 09/2004