Contents

List of Contributors xiii

Preface xv

Acknowledgments xvii

Part One Communication and Caregiving 1

1 Communication, Caregiving, and Chronic Disease 3

Dani McVety

Introduction 3

Overview 4

Impact of Chronic Disease on Quality of Life for Both the Patient and Caregiver 5 Part 1: Know Yourself—Set the Stage for Collaborative Decision Making, Active Listening, and Caregiving 10

Part 2: Verbal Communication 12

Part 3: Nonverbal Communication 14

References 20

Part Two Syndromes and Clinical Signs of Chronic Disease 23

2 Pruritus, Atopic Dermatitis, and Pyoderma 25 W.

Introduction 25

Diagnosis 26

Management 31 Quality of Life for Patient and Caregiver 37 References 37

3 Managing Mobility: An Integrative Approach (Orthopedic and Neurologic Impairments of Mobility) 39

Justin Shmalberg

Introduction 39

Diagnosis 39

Therapeutics 46

Quality ofLife 60

End-of-Life Decisions 63

References 64

4 Chronic Diseases of the Eye and Adnexa 65

Caryn E. Plummer

Introduction 65

Adnexa 65

Ocular Surface Disorders 67

Corneal Disease 74

Intraocular Disease 78

Conditions oftheUvea 85

Lenticular Changes 88

Posterior Segment Disease 91 Blindness 92

References 93

5 Heart Disease 97

Simon Swift

Introduction 97

Treatment of Acute Heart Failure 98

Management of Chronic Congestive Heart Failure 100 Specific Heart Diseases 101

Further Reading 134

6 Canine Cognitive Dysfunction 135

Sheila Carrera-Justiz

Introduction 135

Diagnosis 135

Therapeutics 137

End ofLife 139

Further Reading 139

7 Vestibular Syndromes 141

Sheila Carrera-Justiz

Introduction 141

Diagnosis 141

Therapy 143

End-of-Life Decisions 144

Further Reading 144

8 Seizure Disorders 145

Sheila Carrera-Justiz

Introduction 145

Diagnosis 145

Therapy 147

Quality ofLife 150

Further Reading 151

9 Feline Hyperthyroidism 153

Sylvie Daminet and Kate Hill

Introduction 153

Diagnosis 153

Management 153

Renal Function and Hyperthyroidism 156

Iatrogenic Hypothyroidism 157

References 157

10 Hypoadrenocorticism in Dogs 159

Sylvie Daminet

Introduction 159

Clinical Presentation and Diagnosis 159

Treatment 160

Quality ofLife 162

References 162

Further Reading 162

11 Canine Hypothyroidism 163

Sylvie Daminet

Introduction 163

Diagnosis 163

Main Influences on Thyroid Function Tests 163

Treatment 165

Quality ofLife 166

References 166

12 Hyperadrenocorticism in Dogs and Cats 169

Eric Zini and Michele Berlanda

Introduction 169

Therapy 169

Quality ofLife 173

References 173

13 Diabetes Mellitus 175

Eric Zini and Michele Berlanda

Introduction 175

Diagnosis 175

Therapy 175

Monitoring 177

Remission 178

QualityofLife 178

References 178

14 Chronic Pancreatitis 181

Penny Watson

Introduction 181

Diagnosis 181

Treatment 183

Quality-of-Life and End-of-Life Assessments 185

References 186

15 Mega-Esophagus and Esophageal Dysmotility 187

Liza S.

Introduction 187

Diagnosis 188

Therapeutics 188

QualityofLife 190

References 191

16 Chronic Gastritis 193

Liza S. Koster

Introduction 193

Diagnosis 194

Therapeutics 195

QualityofLife 197 References 197

17 Ulcerative Colitis 201

Liza S. Koster

Introduction 201

Diagnosis 201

Therapy 202

Quality ofLife 203 References 203

18 Mega-Colon 205

Liza S. Koster

Introduction 205

Diagnosis 206

Therapeutics 206

QualityofLife 209

References 210

19 Inflammatory Bowel Disease 211

Iwan A. Burgener

Introduction 211

Diagnosis 211

Therapeutics 212

Quality of Life for Patient and Caregiver 214 References 214

20 Protein-Losing Enteropathy 217

Iwan A. Burgener

Introduction 217

Diagnosis (see also Chapter 19 on IBD) 217 Therapeutics (see also Chapter 19 on IBD) 219 QualityofLife 219

References 220

21 Cholecystitis 223

Joanne L. McLean

Introduction 223

Clinical and Diagnostic Findings 224 Therapeutic Management 224 References 226

Further Reading 226

22 Biliary Mucocele 227

Joanne L. McLean

Introduction 227

Pathogenesis 227

Diagnostics 228

Therapeutic Management 229 References 231

Further Reading 232

23 Chronic Hepatitis 233

Ninette Keller

Introduction 233

Diagnosis 233

Therapeutics 234

Quality of Life for Patient and Caregiver 236 References 237

Further Reading 237

24 Portosystemic Liver Shunts 239

Ninette Keller

Introduction 239

Diagnosis 239

Therapeutics 240

QualityofLife 241 References 241

Further Reading 241

25 Hepatic Lipidosis 243

Tanya Schoeman Introduction 243 Diagnosis 243 Treatment 244

Quality ofLife 246 References 247

Further Reading 247

26 Feline Cholangitis 249

Tanya Schoeman

Introduction 249

Diagnosis 250

Treatment 251

Quality ofLife 252

References 253

27 Chronic Kidney Disease 255

Gilad Segev

Introduction 255

Diagnosis 255

Management 255

Quality ofLife 258

References 259

28 Chronic Urinary Tract Infection 261

Gilad Segev

Introduction 261

Management 261

Monitoring 262

Treatment Failure and Chronic Management 262

Prophylactic/Preventative Treatment 264

Quality ofLife 264

References 264

29 Feline Interstitial Cystitis 267

Tanya Schoeman

Introduction 267

Diagnosis 268

Treatment 268

Quality ofLife 270

References 270

30 Canine Chronic Bronchitis 273

Richard K.

Introduction 273

Etiology 273

Diagnosis 273

Therapy andMonitoring 274

Quality ofLife 275

References 276

31 Bronchiectasis 277

Richard K. Burchell

Introduction 277

Etiology andClassification 277

Diagnosis 277

Treatment 278

QualityofLife 279

References 279

32 Interstitial Lung Diseases 281

Richard K. Burchell

Introduction 281

EtiologyandClassification 281

Diagnosis 281

Treatment 283

QualityofLife 284

References 284

33 Feline Asthma 285

Frank Kettner

Introduction 285

Diagnosis 285

Comorbid Conditions, Diagnostic Conundrums, and Differential Diagnoses 286

Therapeutics 287

Quality of Life 288

References 289

34 Collapsing Trachea 291

Frank Kettner

Introduction 291

Diagnosis 291

Comorbid Conditions, Diagnostic Conundrums, and Differential Diagnoses 292

Therapeutics 293

QualityofLife 294

References 295

35 Allergic Rhinitis 297

Remo Lobetti

Introduction 297

Diagnosis 297

Therapy 298

QualityofLife 299

References 299

Further Reading 300

Part Three End of Life 301

36 Hospice Care and End of Life 303

Mary Gardner

Hospice Care 303

Client Needs 307

Pet Needs 309

Quality ofLife 311

Cultural Sensitivities 316

DyingNaturally 317

Dying WithAssistance-Euthanasia 318

Dying Well 321

Death and Aftercare of the Body 322 Summary 325

References 325

Index 327