Compassion Pet HospiceMobile Veterinary Care · East Bay, CA
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Dr. Ma will be out-of-office until Oct 25. We will not be able to respond to any inquiry during our absence. Please see our referral list of local house-call veterinarians for urgent needs.

Compassion Pet Hospice logoCompassion Pet HospiceEnd-of-life Veterinary Care · SF East Bay, CA
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Helpful information for families navigating hospice care and end-of-life decisions. Click an article to read it in full.

Quote from Dr. Tamara Shearer (author of Palliative Medicine and Hospice Care, an issue of Veterinary Clinics of North America: Small Animal Practice; Preface “The role of the veterinarian in hospice and palliative care” xi):

“Introducing palliative and hospice care as a recognized field of veterinary medicine will help to better serve pets with serious illness. The term hospice comes from the Latin word hospitium, which means to host. Hospice is defined as a facility or program designed to provide a caring environment for supplying the physical and emotional needs of the terminally ill. The term palliate comes from the Latin word palliare, which means to cloak or conceal. Palliate refers to alleviating symptoms without curing the underlying medical condition. Palliative care in veterinary medicine addresses the treatment of pain and other symptoms to achieve the best quality of life regardless of disease outcome. It helps families to understand the disease process and to make decisions. Palliative care also helps support the families emotionally. Hospice is a specialized form of palliative care. It focuses on caring for patients that are in the end stages of terminal illness. Hospice care is an extension of palliative care that tends to patients that are nearing death. The foundation of both disciplines relies upon a philosophy of care.”
— Dr. Tamara Shearer

It is very difficult to make end-of-life decisions (hospice care, euthanasia, hospice-assisted natural death). There is no absolute right or wrong in the decision-making process as it is extremely personal — no one knows about your pet and your limitation in caring for your pet as well as you do. Therefore, it is important that you trust yourself in determining the best timing. All owners want to minimize their pets’ suffering. Because animals have high tolerance of pain and the signs of pain can be very subtle, the perception of whether an animal is in pain or is suffering is highly subjective. If you feel you need guidance in making decisions, here are some online resources that I find very helpful:

  1. How do I know when it’s time? From OSU
  2. Quality of life scoring tools From Lap of Love
  3. Understanding pet pain From Dr. Annie Forslund
  4. Making Decisions From Argus Institute (I provide the hard copy of “Making Decisions” to all my hospice care clients as I find it covers the end-of-life topics the best)
  5. End-of-Life Decisions: Telling Your Vet No From Dr. Jessica Vogelsang
  6. The Biggest Mistake Pet Owners Make at the End From Dr. Jessica Vogelsang

If you still have a hard time in making the decision, you don’t have to make it on your own. I offer complimentary phone consultation and online quality of life assessment to provide guidance. Fill out our in-take form to begin the inquiry process. It’s truly my honor to provide the help and support that you need during this difficult time.

Group times and locations are subject to change; be sure to call, email or check website.

East Bay

  • Berkeley – Berkeley Humane Pet Loss Support Group. Meets virtually (Zoom) on the second Wednesday of each month, 7–8:30 pm. Free, with donations to Berkeley Humane appreciated. To receive the Zoom link, email Jill Goodfriend, RN, LCSW at jill.goodfriend@gmail.com or call (510) 393-1359. www.berkeleyhumane.org
  • Walnut Creek – Joybound People & Pets (formerly Animal Rescue Foundation) Pet Loss Support. Pet loss support meetings are offered at 2890 Mitchell Drive, Walnut Creek. Call (925) 256-1273 or check www.joybound.org for the current meeting schedule.

The Greater Bay Area

  • Milpitas – Humane Society Silicon Valley Companion Animal Loss Support Group. First Tuesday of each month, 6:30–7:30 pm. Held by video conference (not on-site). Free. Facilitated by Vicki Oliverio, MFT — RSVP at vickioliveriomft@gmail.com. www.hssv.org
  • Burlingame – Peninsula Humane Society & SPCA Pet Loss Support Group. Second Thursday of each month, 7–8 pm. Held virtually on Zoom; free, no RSVP needed. Contact Brian Probst (650) 340-7022, ext 328, bprobst@phs-spca.org. https://phs-spca.org/grief/
  • San Francisco – SF SPCA Pet Loss Support Group. First Tuesday of each month, 7:30–9:00 pm. SF SPCA Adoption Center, Geraldi Building, 250 Florida St. (enter on 16th St.), San Francisco. Free, drop-in; no registration required — please arrive by 7:25 pm as late entry is not possible. Contact petloss@sfspca.org. Supervised by Dr. Cori Bussolari. www.sfspca.org
  • San Rafael – Pet Emergency & Specialty Center of Marin (PESCM) Pet Loss Support Group. Free in-person group led by a licensed therapist, third Wednesday of each month, 7:00 pm. PESCM Admin Building, 863 Francisco Blvd E, Suite A, San Rafael (ring the doorbell for entrance; masks required). Info: (415) 456-7372 ext 122. www.pescm.com

Other Resources

  • Moderated chat rooms for Pet Loss and Anticipatory Grief — www.aplb.org
  • Monday Evening Virtual Candle Lighting Ceremony 7 pm — www.petloss.com
  • Nikki Hospice Foundation for Pets Help Line (707) 557-8595 — www.pethospice.org
  • Pet-loss.net Grief support & info, memorial items, tributes — www.pet-loss.net
  • Tufts Pet Loss Hotline (508) 839-7966 — www.tufts.edu

Hospice care for pets is still a new concept for a lot of people and even for some veterinarians. The bulk of the veterinary training is devoted to the goal of saving an animal’s life. When all treatment options are exhausted, often the only humane option left is euthanasia to minimize prolonged suffering. However, this needs not be the case. Hospice care provides an alternative to the traditional approach of aggressively treating terminally ill patients.

Hospice care does not try to cure the incurable. Instead it focuses on caring and meeting the holistic needs of pets and their families during the final stages of life. It emphasizes managing pain and preserving the dignity of life using different palliative modalities. For many who revere modern medicine, it requires a paradigm shift to acknowledge that within reasonable human efforts to cure the disease, death is still a part of life and can be anticipated in comfort and with dignity.

Goal of animal hospice:

  1. Focus on giving pets a safe, caring, intimate end-of-life experience in their familiar home environment
  2. Focus on providing pain control and physical comfort to the pets, as well as educational support and emotional comfort for their families until natural death occurs or euthanasia is chosen
  3. Educate and guide families to care for their pets’ medical and emotional needs at home
  4. Families are given time to adjust to their pets’ progressive disease and say goodbye in their own ways in the comfort of being at home

Animal hospice should be considered if your pet faces the following situations:

  1. Cancer with metastasis (spread to lungs or lymph nodes or other organs)
  2. Treatment has been attempted but failed
  3. Geriatric patient with multiple degenerative diseases
  4. Trauma/disease that severely impairs pet’s mobility or excretion control
  5. Chronic illness that affects pet’s routine
  6. Owner decided not to pursue further diagnostic/treatment

You may want to consider these questions before committing to hospice care:

  1. Do you have time and energy to care for your pet that may need multiple medications, wound care, and treatment that keep your pet comfortable?
  2. Do you feel comfortable of administrating medication via injection or learning how to perform it? Most of the pets at their end stages would not want to eat or drink, and we will need to supplement them with fluid therapy by giving fluid under their skin.
  3. Do you have time and resource to monitor your pet closely and report any changes to Dr. Ma as soon as possible?
  4. Is your family on the same page about hospice care by knowing that this is not for prolonging suffering or out of guilt of avoiding euthanasia?

Compassion Pet Hospice

In-home hospice, palliative care, and euthanasia for dogs, cats, and small mammals across the SF East Bay Area since 2015.

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  • (510) 513-6613
  • info@compassionpethospice.com
  • Phone hours: Mon - Fri, 9am–5pm
  • Appointments: Mon - Fri, 10am–4pm

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