Index

a

ABCB4 gene 228

abdominal lavage 230

acepromazine 137, 143-4

see also phenothiazines

acetaminophen 184, 233

acetazolamide 83-5

acetycysteine 70

acetylcholine 188, 208-9 acetylcholinesterase inhibition 208-9 achalasia 187-90

acromegaly 128-30

ACTH stimulation 159-62, 169, 170, 171-2, 212, 267

see also adrenal cortical system

active listening 3, 10-12, 18, 19

see also empathy background 10-12, 18, 19 nodding 18

self-control 11

acupuncture 9, 46, 55-6, 59

acute heart failure

see also heart disease

treatments 98-100, 107-9

acute infectious tracheobronchitis 292

acute pulmonary edema 97-100, 105, 110

Addison's disease see hypoadrenocorticism adenosine triphosphate (ATP) 54 adenovirus 233, 283

adipocytes 57-8

adipokine balance 45 adnexa 65-7, 75 see also eyes adrenal cortical system 27-31, 44-5, 83, 128-30, 135-7, 159-62, 169-74, 175, 181, 184-5, 188, 194-5, 202, 211, 262, 268, 273-5

see also hyper...; hypo...

adrenal dependent hyperadrenocorticism (ADH)

see also hyperadrenocorticism definition 169

advice-seeking, verbal communication 14 Aelurostrongylus abtrusus 285 aftercare 305, 317, 318, 322-5 aganglionosis 205-9 agar disk-diffusion 261-2 aging processes 3 agonal breath 322 alanine aminotransferase (ALT) 148-51, 169, 175, 228, 244, 250

alanine transminases 188 Alaskan racing sled dogs 193 albumin 202, 214, 217-20, 237, 239-41 aldosterone 98, 101, 129-30, 160 alfatoxins 233 alkaline phosphate levels (ALP) 147-8, 169, 175, 228, 236, 244, 250 alkalinization therapy 257 allergen specific immunotherapy (ASIT) 25, 33-7

allergic rhinitis 297-300

background 297-9

definition 297

diagnosis 297-8

etiology 297

medications 298-9

quality of life (QoL) 299

symptoms 297

therapies 298-9

allergies 25-37, 65-7, 72-4, 193, 212, 273, 278-9, 287-8, 297-300

see also pruritus

‘PAIN 4 ME' mnemonic 26-7

allodynia 55-6

alopecia 65-7, 164, 169-74

ALP activity 147-8, 170, 175, 228, 244, 250 alpha 1-proteinase inhibitor 218 alpha-acid glycoprotein (AGP) 214 alpha-blockage 130 alpha-casozepine 269 alpha-lipoic acid 51-2 alprazolam 137-9

see also anxiolytics; benzodiazepines

ALT activity 148-51, 169, 175, 228, 244, 250

aluminium 256-8

amantadine 47

ambulatory abilities 6, 8, 39-64, 141-4 see also mobility impairments

ambulatory paresis 40-1, 42-3, 46

American Cocker Spaniel 69, 105, 233

American College of Veterinary Dermatology (ACVD) 32-3

American College of Veterinary Internal Medicine 214

American Heartworm Association 132

American National Institutes of Health 196

American Veterinary Medical Association (AVMA) 9, 12, 303, 307

amino acids 51-2, 79-85, 246 aminoglutethimide 172 amiodarone 125-8, 233 amitriptyline 47, 184, 269 see also antidepressants

amlodipine 83-5, 129-30, 256 ammonia 236, 240-1 ammonium 211-12, 218, 239-41, 264 amoxicillin 196, 201, 234, 236, 240-1, 251, 278-9 amputations 59 analgesics 46-8, 55-6, 59-63, 75, 133,

182-6, 225, 230-1, 252, 270, 293, 305-6

see also non-steroidal anti-inflammatory drugs; opioids; pain management Ancylostoma 283 anemia 154, 159-60, 245-6, 256, 257

see also iron treatments 257 anesthesia 48, 100, 154, 165, 190, 206-9, 225, 244-5, 247, 274, 319-21 Angiostrongylus vasorum 283 angiotensin II receptor blockers (ARBs) 101,

129-30, 256-7

see also telmisartan angiotensin-converting enzyme inhibitors (ACEi) 98, 99-100, 101, 102-5, 106-9, 110-12, 119, 129-30, 131-2, 256-7 Animals in Translation (Temple and

Johnson) 310

anorexia 79, 100, 112, 126, 130-1, 144, 157,

159-62, 181-2, 184-5, 205-6, 218,

224-5, 228, 234, 237, 243-7, 249-53 see also nausea chronic pancreatitis (CP) 181-2, 184-5 antacid therapy 196, 197 anthelminthics 202, 233, 287

see also antiparasitics anti-emetics 143-4, 185, 225, 230-1, 256

see also maropitant; meclizine;

metoclopramide; ondansetron anti-fibrotic therapy 234, 235, 236 see also colchine; losartan...; penicillamine;

steroids; zinc anti-inflammatory medications 9, 32-7,

46-64, 66-7, 68-71, 76-7, 85-8, 89-93,

144, 183-4, 213, 234-5, 236, 263

see also non-steroidal.; steroids anti-nausea drugs 235-6 anti-thrombin 219 anti-thyroglobulin test 164 antibiotic-responsive diarrhea

(ARD) 212-14

see also intestinal dysbiosis antibiotics 3, 27-8, 32-7, 66-7, 68-9, 72-4,

118, 196, 201, 202-3, 211-14, 225, 230, 233-4, 236, 240-1, 251, 261-2, 274, 277, 278-9, 283, 286, 287, 293, 298-9 see also amoxicillin; carbapenems; cephalosporins; doxycycline; famotidine; metronidazole; vancomycin

misuse problems 37, 262

resistance problems 37, 203, 261-3, 283 side-effects 143, 262

antibodies 27, 31, 188, 201-3 anticonvulsants 147-51, 233, 240-1

see also bromide; diazepam; levetiracetam...; midazolam; phenobarbitone; seizure disorders; zonisamide

background 147-51 antidepressants 47, 137, 184, 269-70

see also amitriptyline; tricyclic.

see also cetirizine antimicrobial resistance 37, 203, 261-3, 283 antimicrobial therapy 3, 27-8, 32-7, 75, 144, 201, 202-3, 213, 274-5

see also enrofloxacin; metronidazole; tylosin antioxidant therapy 50-2, 54, 137-9, 234-6, 246

see also N-acetylcysteine; nutraceuticals; S-adenosylmethionine; silymarin; vitamin C; vitamin E

canine cognitive dysfunction (CCD) 137-9

chronic hepatitis 234-6

hepatic lipidosis 246 antiparasitics 283, 287

see also anthelminthics; febendazole; macrocyclic lactone antiseptics

see also chlorhexidine

urinary tract infections (UTIs) 263-4 antitussives 273, 275, 288

see also coughing antivirals 73-4 anxieties 4, 6, 8, 9, 25, 36-7, 92-3, 135-9, 209, 268-9, 287-9, 293, 295, 305-9, 310-11, 315-16

see also stresses

clients 4, 9, 25, 36-7, 60-1, 92-3, 209, 288-9, 295, 305-9, 310-11, 315-16

medications 137-9, 306

patients 6, 8, 92-3, 135-9, 268-9, 306, 310-11, 315

treatments 137-9, 306, 310-11

anxiolytics 137-9, 143-4, 287-8

see also alprazolam; benzodiazepines; phenothiazines; trazodone

canine cognitive dysfunction (CCD) 137-9 vestibular syndromes 143-4

aortic stenosis 113-20 appetite 6, 8, 63-4, 105, 235-7, 241, 245-6, 275, 289, 306, 313-15

see also food

appetite stimulants 235-6, 245-6, 256, 306 see also cyproheptadine; mirtazapine aqueocentesis 83-5 aqueous humor 79-85, 89-90 arrhythmias 101-2, 103-12, 116-17, 119-28, 130, 155

see also bradycardias; heart disease; tachycardias

background 120-8 definitions 120 diagnosis 120-4

euthanasia 128

quality of life (QoL) 127-8 symptoms 120

treatments 122-7 arrhythmogenic right ventricular cardiomyopathy (ARVC) 105-6, 127-8 arthritis 8-9, 39-64, 311, 312

see also mobility impairments

definition 43

diagnosis 43-4, 61-3

end stage 311 medications 9, 46-8 scoring systems 61-3 surgery 59 symptoms 8, 40, 43, 61-3, 311, 312 treatments 8-9, 45, 46-54, 59-60 artificial tears 68-72

ascites 109, 130-1, 133-4, 214, 217-18, 219, 233, 236-7, 249

treatments 133-4, 236 asparaginase 181 aspartate aminotransferase (AST) 244, 250 aspiration pneumonia 188-91, 275, 279, 292 aspirin 110-12, 165 assistive devices, mobility impairments

58-9, 313

AST activity 244, 250 asthma 285-9

see also feline.; lungs asymptomatic bacteriuria, definition 263 ataxia 40-1, 141-4, 149 atenolol 125, 155 atopic dermatitis 25-37, 40 see also dermatitis; pruritus definitions 27-8

Favrot’s 2010 criteria 29

atrial fibrillation (AF) 101-2, 103-5, 106-12, 120-8

see also tachycardias

atrial flutter 120-8

atrial natriuretic peptide (ANP) 101-2,

106-12

atrial tachycardia 120-8 atrophic gastritis 194-7 atropine 86, 124 attractive people, nonverbal

communication 16-17

Australian Cattle Dog 69 auto-immune diseases 65-71, 76-93, 164,

193-7, 278-9, 281

avocados 50 azathioprine 181, 196, 213, 234 azithromycin 73 azotemia 156-7, 159-62, 182

b

‘baby’ terminology 12 bacteremia 224

bacteria 26-31, 32, 65-7, 73-4, 193, 195-6,

201-3, 207-8, 211-12, 223-5, 230,

233, 240-1, 249-53, 261-4, 274, 277-8, 283, 287

see also antibiotics; individual bacteria bacterial cystitis 135, 268 Bacteroides 225, 250 ‘Bailey chair’ 190-1 balance, vestibular syndromes 141-4 balloon dilation 116-18

Baptists 317 barbiturates 322

Bartonella 233 baselines, nonverbal communication 15-16 Basenji 194, 217

Basset Hound 69, 78

Beagle 69

Bedlington Terrier 233 belly-button rule, nonverbal

communication 18 benazepril 101, 129-30 benzodiazepines 137-9, 143-4, 147-51 see also alprazolam; anxiolytics; diazepam;

midazolam

beta-blockers 83-5, 110-12, 116-18, 125-8, 130, 155

bethanecol 190, 208 bFGF 57

bicarbonate concentration 257 biceps 41-2

Bichon Frise 69, 78 Biko braces 58-9 bile acids 183, 193, 195-7, 211-12, 218,

223-5, 227-31, 252-3 bile ducts 223-5, 227-31, 243-7,

249-53

see also feline cholangitis bile tract 183, 193, 195-7, 211-12, 218, 223-5

biliary MC see biliary mucocele biliary mucocele 227-32 see also gallbladder definition 227 diagnosis 228-9 etiology 227 euthanasia 231 medications 230-1 pathogenesis 227-8 surgery 229-31 symptoms 227 therapeutic management 229-31 biliary tract obstructions 183, 223-5, 243,

250, 252

see also cholecystitis bilious vomiting syndrome 193, 195-7, 211 bilirubin 233-7, 244-7 bilirubinuria 244-7 bimatoprost 83-4 biochemical analysis 85, 101-2, 113, 120-4,

153, 159-60, 163-6, 170, 211-12, 218,

243-4, 268, 274, 286

biofilms 264

biopsies 65-6, 188, 244-5, 250, 282-3 bismuth subsalicylate 196 bladder 56, 92-3, 206, 261-4, 267-70 see also urin...

blepharitis 65-7, 71

see also eyes blepharospasm 79-80, 85-8 blindness 8, 78-9, 84-5, 92-3, 130

see also eyes

needs 92-3

quality of life (QoL) 92-3

blood glucose 173, 175-8, 239-41,

244-6, 253

Blood Hound 69

blood pressure 97-134, 135, 146, 230, 256-7

see also hypertension; hypotension acute heart failure treatments 99-100, 107-9

congestive heart failure treatments 100-1, 103-5

normal range 128

blood tests 85, 101-2, 106, 109-10, 113-14, 126, 135, 146, 153, 163-6, 169, 182, 211-12, 218, 243-4, 250, 262, 274, 285-7

blood transfusions 236, 245 blood-urea-nitrogen (BUN) 156-7 body language 6, 7, 8, 10-11, 14-20 see also nonverbal communication background 14-20 basics 16

emotions 16-17

pets 6, 7, 8

regions 17-19

tips 14-20

Bogey case, hospice care 314

bone diets 206

Border Collie 69

Bordetella 274, 283, 292

Bordetella brochiseptica 292

Boston Terrier 69, 77, 79

boswelic acid 50

botulinum toxin injections 190

Bouvier des Flandres 69, 187

bowel movements 6, 63, 92-3, 135-8, 145, 146, 205-10, 306, 315, 318-20

see also fecal...; inflammatory bowel disease Boxer 105-6, 124, 127, 132, 181, 201-2 brachiocephalicus examinations 42 bradycardias 120-8, 159-60, 224

see also arrhythmias background 120-8 definition 120 diagnosis 120-4 treatments 122-7 brain 9, 40-1, 135-9, 141-4, 145-51

see also canine cognitive dysfunction; seizure disorders

damage 9, 137

vestibular syndromes 141-4 brain natriuretic peptide (BNP) 101-2, 106, 109

brain tumors 137, 144, 150 brainstem 141-4 breathing/respiration 6, 98-101, 104-5,

111-12, 169, 273-5, 283-4, 285-9,

291- 5, 310-11, 315

see also lungs

brimonidine 84-5 brinzolamide 83-4

British Medical Journal Open website 20 Brittany Spaniel 69 bromide 148, 149, 165, 181 bromocriptine 172 bronchial collapse 286-7, 291-5 see also tracheal collapse

bronchiectasis 292 bronchiectasis (BE) 277-9, 286-7

definition 277

diagnosis 277-8, 286 etiology 277 euthanasia 279 quality of life (QoL) 279 treatments 278-9 bronchioalveolar lavage (BAL) 274, 292 bronchitis 40, 131, 273-6, 277, 279, 282, 286,

292- 3, 310-11

see also canine chronic.; lungs background 273-5 bronchodilators 275, 287-9, 293-4

see also inhalers

bronchomalacia see bronchial collapse bronchoscopies 273-4, 277-8, 279, 285, 286, 287-8, 291-2

Buddhists 317 budesonide 213, 275, 279 bulla osteotomies 141-4 buphthalmos 79-85 see also glaucoma buprenorphine 47, 100, 184, 230-1, 252, 270 Burmese cats 175

‘burn itself out' destruction occurrences, chronic pancreatitis (CP) 183 butorphanol 100, 184, 252, 270

C

C-reactive protein (CRP) 214, 218, 239-41 cage rest, heart disease treatments 98-100,

103- 5, 110-12

Cairn Terrier 69

calcaneal tendon complex 42 calcium 218, 256-8

calcium channel blockers 83-5, 125-8,

129-30, 131-2, 190, 256

see also amlodipine calcium inodilator

see also pimobendan

heart disease treatments 100-1, 102-3,

104- 5, 119-20, 132

Cali case, hospice care 308

cancer 5, 9, 87-8, 128, 137, 144, 153-4, 173, 197, 211, 303-4, 310-11, 321

diagnosis 5, 303

treatments 5, 303-4

CandS tests 262

canine chronic bronchitis (CCB) 40, 131, 273-6, 277, 279, 282, 286, 292-3, 310-11

background 40, 273-5 cough diaries 275 definition 273 diagnosis 40, 273-4 etiology 273-4, 275 euthanasia 275

glucocorticoids (GC) 274-5 monitoring needs 274-5 pollutants 273, 275 quality of life (QoL) 275 treatments 273, 274-5 weight-loss goals 275 canine chronic enteropathy clinical activity index (CCECAI) 218, 219 canine cognitive dysfunction (CCD) 40, 51-2, 135-40

antioxidant therapy 137-9

anxiolytics 137-9 background 51-2, 135-9

Canine Cognitive Dysfunction Rating Scale (CCDR) 137-9

Canine Dementia Scale (CADES)

135-6, 139

definition 135

diagnosis 135-7, 138-9 dietary therapy 137-9 differential diagnosis 135, 137 euthanasia 139

medications 137-9

quality of life (QoL) 139

symptoms 135-6 therapeutics 137-9

Canine Cognitive Dysfunction Rating Scale (CCDR) 137-9

canine dementia see canine cognitive dysfunction

Canine Dementia Scale (CADES)

135-6, 139

canine hypothyroidism see hypothyroidism canine IBD activity index (CIBDAI) 214, 218, 219

cannabinoids 55

canned food, benefits 269

canned pumpkin 207

canned sweet potatoes 207 carbapenems 262 carbimazole 154-5, 233 carbohydrates 49-52, 176-7, 245-6 carbonic anhydrase 79, 83-5 carcinoma 132, 197

cardiac arrest 97-8, 322

see also heart disease

cardiac cachexia 109

cardiac syncope 127, 146 cardiac tamponade 132-4 cardiogenic lung edema 281 cardiomegaly 273-4 cardiomyopathies 97, 105-12,

124, 127

see also heart disease

background 105-12, 127 definitions 105-6

diagnosis 106, 108, 109-11, 124 etiology 105

euthanasia 108-9, 112

quality of life (QoL) 108-9

treatments 106-9, 110-12 cardiovascular disease 40, 83-4, 97-134,

146, 155, 156, 159-60, 239, 268, 273, 279, 283, 286, 311, 322

see also heart disease

‘caregiver burden, definition 9 caregiving 3-21, 36-7, 39, 92-3, 197, 209,

246-7, 252-3, 288-9, 294-5, 303-6, 307-9, 310-11, 312, 315-16, 325

see also clients

‘The 4 Family Budgets' 308-9, 312-13 background 3-20, 25, 36-7, 303-6, 307-9, 312, 325

challenges 4, 9-10, 36-7, 39, 92-3, 197, 209, 246-7, 252-3, 288-9, 294-5, 303-6, 307-9, 312, 325

stresses 4, 9, 36-7, 92-3, 197, 209, 246-7, 252-3, 288-9, 295, 303-6, 307-9, 310-11, 315-16, 325

carnitine 51-2, 105, 137-8, 246 carprofen 47, 165 carts, mobility impairments 59, 313 CAST study 126

cataracts 81-2, 85, 86, 88-91 see also eyes; lens background 86, 88-91 definition 89 diagnosis 89 etiologies 89 surgery 86, 89 treatments 86, 89 uveitis 86, 89

Caucasian Shepherd 205 caudal fossa 141-4 caudal vena cava 160, 240 Cavalier King Charles Spaniels (CKCSs) 69,

97, 101, 115, 181, 185 cecum, ulcerative colitis 201-3 cefadroxil 251 cephalexin 251 cephalosporins 234, 240-1, 278-9 cerebellum, vestibular syndromes 141-4 cerebral death 322 cerebrospinal fluid analysis 206 cerebrum, seizure disorders 145-51 cervical spondylomyelopathy 41, 43 cetirizine 287

see also antihistamines chemodectomas 133-4 chemosis 72-4 chemotherapy 5, 134, 303-4

see also cancer chicory pulp 207-8 Chihuahua 69, 77-8 children, pets 9, 12 Chinese Crested Dog 69, 71, 90 Chlamydia 202-3 Chlamydophilafelis 73 chlorambucil 196, 213, 234, 251-2 chloramphenicol 203 chlorhexidine 264 chlorpromazine 143-4 cholangiohepatitis 229, 230, 233, 243, 249-53

see also feline cholangitis; hepatitis cholangitis see feline cholangitis cholecystectomies 225, 229-31 cholecystitis 223-6, 228, 250

see also gallbladder definition 223 diagnosis 224 etiology 223 euthanasia 225 medications 225 quality of life (QoL) 225 surgery 225 symptoms 223-4, 228 therapeutic management 224-5 cholecystocentesis 224 cholecystoenterostomies 229 cholecystotomies 229 choledochitis 223 cholestasis 234, 243-7 cholesterol 77-8, 169, 227-31 cholinesterases 188 cholinomimetics 208-9 cholretic drugs 234 chondrocytes 48, 54, 58 chondroitin 49-52 chordae tendinae ruptures 102-3, 105 choroid 85-8, 91-2

see also eyes; retinal...

Chow Chow 114 chronic colitis 202-3 see also ulcerative colitis

chronic dermatologic diseases 25-38, 148-9, 157, 164

chronic disease, background 3-20, 303-25 chronic gastritis 193-9, 218

definition 193-4 diagnosis 193, 194-5, 196 etiology 193-4 euthanasia 197 immunosuppressing drugs 196-7 quality of life (QoL) 197 symptoms 193-4 therapeutics 194, 195-7 chronic hepatitis 143, 233-7, 239

definition 233

diagnosis 233 etiology 233 euthanasia 237 medications 234-7 quality of life (QoL) 236-7 symptomatic therapy 235-6 symptoms 233, 235 therapeutics 234-6 chronic kidney disease (CKD) 128-30, 156-7, 166, 177, 255-9, 262, 264, 279, 312 see also feline hyperthyroidism advanced CKD patients 257-8 background 128-30, 156-7, 255-8 definition 255

diagnosis 156, 255, 258 dialysis 257-8 dietary therapy 255-8 euthanasia 258 irreversible aspects 255 management 255-8 medications 256-7 quality of life (QoL) 255-6, 258 surgery 258 symptoms 256, 312 transplants 258 weight loss 156, 256, 258 chronic nasal disease 297-9

see also allergic rhinitis chronic pancreatitis (CP) 148, 173, 181-6, 211, 229, 230, 243, 246, 250-1, 253

see also endocrine...; exocrine...; pancreatic beta cells

background 181-6, 253 ‘burn itself out' destruction occurrences 183

comorbidities 183, 184-5 definition 181 diagnosis 181-3 end stage 182-3 etiology 181, 184 euthanasia 184, 185-6 flare-ups 185 immunosuppressing drugs 185 medications 182, 183-5 pain 181-6

‘Pain Ladder' 183-4

quality of life (QoL) 185-6

symptoms 181-3

treatments 183-5

weight loss 182, 184-5

chronic rhinosinusitis (CRS) 297, 299 chronic urinary tract infections see urinary tract infections

cidofovir 73

cigarette smoke 273, 275 ciliary body ablation 83, 84-8 cimetidine 236 ciprofloxacin 203

cirrhosis 233, 236-7, 239

see also chronic hepatitis

cisapride 190, 208

clients 3-20, 25, 35, 36-7, 39, 60-1, 65, 92-3, 135-9, 197, 209, 246-7, 252-3, 288-9, 294-5, 303-25

see also owners

‘The 4 Family Budgets' 308-9, 312-13 anxieties 4, 9, 25, 36-7, 60-1, 92-3, 135-9, 209, 288-9, 295, 305-9, 310-11, 315-16

challenges 4, 9-10, 36-7, 39, 60-1, 92-3, 197, 209, 246-7, 252-3, 288-9, 294-5, 303-6, 307-9, 312

Communication: 7-38-55 rule communication and caregiving 3-20, 25,

60-1, 303-6, 311, 319-21

cultural issues 312-13, 316-17 definition 3-4

educating clients 10-11, 25, 65, 311, 317-21

emotions 3-4, 5-10, 11, 39, 60-1, 304-25 end-of-life experiences 4-5 hospice care needs 64, 303-6, 307-9 proxy roles 4, 20

quality of life (QoL) 3, 5-10, 39, 60-1 stresses 4, 9, 36-7, 60-1, 92-3, 197, 209,

246-7, 252-3, 288-9, 295, 305-9, 315-16

time budgets 308-9, 312-13 veterinary-client-patient

relationships 10-12, 35, 37, 60-1 clomipramine 165, 181 clopidogrel 110-12

Clostridium 202, 223, 225, 250

Clostridium perfringes 202 clotting factors 219, 233, 239-41

CNS disease 122, 129, 143-4

coagulation 57, 83-4, 112, 147-51, 173, 219, 225, 233, 236, 244-7, 250-3

see also heparin; low molecular weight fragments; vitamin K

coagulopathies 57, 83-4, 112, 173, 225, 233, 236-7, 244-7, 250

treatments 236, 245 coat quality 33, 243 cobalamine 55-6, 182-3, 184-5, 212,

213, 218

Cocker Spaniel (CS) 80, 181, 182, 185,

228, 233

cognitive dysfunction 40, 51-2, 135-40, 311, 313-14

see also canine...

colchine 235, 236 colectomies 206-7, 209 collaborative decisions 10-12, 35

see also shared decisions collars 293

Collies 181

colon 201-3, 205-9, 212-14

see also mega-colon

ulcerative colitis 201-3 colonocytes 207-8 communication 3-21, 25, 60-1, 231, 258, 268, 303-6, 309, 311, 319-21

see also individual topics; nonverbal.; verbal.

companion animals 5, 8

conclusions 20

greetings 13, 17 overview 3-4 companion animals

see also patients; pets

communication 5, 8 complaints 10-11 complements, verbal communication 14 complete blood counts (CBCs) 85, 135, 146, 153, 169, 211-12, 218, 243-4, 250, 262, 274, 285-6

confidence 11, 13, 17, 19-20 confused states 6, 8, 315 congenital cardiac diseases 112-20, 131

see also heart disease; patent ductus arteriosus; pulmonary stenosis; subaortic stenosis

definition 112-13

diagnosis 113-16

euthanasia 119-20

quality of life (QoL) 119-20

treatments 116-20

congenital malformations 41, 43, 81 congestive heart failure 97-101, 102-5

see also heart disease

treatments 97, 98-101, 102-5 conjunctivitis 65-71, 72-4, 79

see also eyes

constipation 205-9, 243-7

see also fecal impaction; mega-colon contrast portograms 240 coordination, vestibular syndromes 141-4 coping resources, death 325 copper 233-5 corneal degenerations 77-9 corneal diseases 73-80, 85-8, 89-90

see also eyes

corneal edema 76-7, 79-80, 85-8 corneal ulcers 74-5, 77, 78 cornea's Descemet's membrane 80 Cornell scaling system 106 cortisol 169-72

see also adrenal cortical system costs

diagnosis 5, 9, 10, 18-19, 20, 45, 246-7, 274, 275, 283, 295, 308-9

dialysis 258

euthanasia 319-20

hospice care 307, 308-9, 312-13, 319-20 kidney transplants 258

oncology costs 10

treatments 5, 9, 10, 18-19, 20, 25, 27, 32, 33-4, 37, 60, 100, 246-7, 274, 275, 283, 295, 308-9, 312-13 cough diaries 275, 284 coughing 98-100, 130-1, 148-9, 273-5, 278, 283-4, 285-9, 291-5, 297-9

see also antitussives; individual diseases/ ailments

coupage 279 crackles, feline asthma 285-9 cranberry extracts 263-4 cranial nerves 40-1, 145-51

see also brain; neurological diseases creatinine 156-7, 169, 188, 218, 255-8

see also kidneys creatinine kinase 188 cremation 305, 317, 323 cricopharyngeal dysphagia 188

‘Crisis Buster' drugs, pruritus 35-6 Crohn's disease 201, 203 crossed legs, nonverbal communication 16,

18-19 crypt lesions 218-19 Cryptosporidium 202 CT scans 43, 45, 141-2, 169, 172, 239-40,

262, 277-8, 282, 292, 298

cultural issues

clients 312-13, 316-17

dress codes 20

curb appeal, nonverbal communication 16-20 curcumin 50

Cushing's disease 35, 37, 227-8, 231 cyanosis 130-2

cycads 233 cyclosporine 28, 33-7, 68-71, 72-4, 76-7, 185, 190, 213, 234, 251-2, 287-8, 298 cyproheptadine 172, 235-6, 245 cystic duct occlusion 223 cystic ducts 223, 225, 227-31 cystitis 135, 263, 264, 267-71

see also bacterial...; cholecystitis; feline interstitial.; polypoid.

cystocentesis 261-4 cystoscopies 262, 268 cystostomy tubes 264 cystourethroscopy 262 cytokines 175-8, 211 cyyptorchidism 239

d

Dachshund 43, 64, 69, 77, 171, 224, 228 Daisy case, hospice care 313

Dalmation 69, 233 dalteparin 112

see also low molecular weight fragments death 4, 7, 9, 109, 116, 122, 126-8, 139, 144, 150-1, 166, 173, 184-6, 190-1, 197, 220, 225, 231, 237, 240, 241, 258, 264, 275, 279, 281, 289, 295, 303-5, 309, 311, 318-25

see also euthanasia; hospice care aftercare 305, 317, 318, 322-5 background 109, 305, 317, 318-25 coping resources 325 cremation 305, 317, 323 decomposition stages 322-3 definition 322

emotions 323-5

‘good death' ideas 309, 316, 321

grief 323-5

honoring the memory of the pet 323-5 ‘natural' method of death 311, 317-18, 322 processes 318-21 progression/quickness of death

categories 311, 318

religion 316-17 debridement, eyes 75-8 decisions 4, 6-7, 9-12, 60-1, 139, 144, 184, 185-6, 190-1, 197, 209, 220, 225, 252-3, 258, 294-5, 303-5, 311-25

end-of-life decisions 4, 6-7, 9-10, 60-1, 63-4, 139, 144, 184, 185-6, 190-1, 197, 209, 220, 225, 252-3, 258, 294-5, 303-5, 311-25

‘life support' decisions 4

shared decisions 10-12, 35 decomposition stages 322-3 defibrillators 126 degenerative valve disease 100-5, 131,

273-5, 292

see also heart disease

definition 101

diagnosis 101-2

euthanasia 105

quality of life (QoL) 105

recurrence 102-3

treatments 102-5

dehiscence 209 dehydration 8, 205-9, 228, 256, 257, 303, 309-10, 312, 314-15

demodex 26-31 demodicosis 27-31 dental diseases 40, 297 deobstipation therapies 206-9 depression 9, 47, 79, 93, 130, 137-9, 184, 243, 269, 307-8, 323

see also antidepressants dermatitis 25-38, 40, 148-9, 157, 164

background 25-37

definitions 27

dermatologic diseases 25-38, 40, 148-9,

157, 164

see also pruritus

background 25-37

diagnosis 26-31, 34-5

etiologies 26-31

management 31-7

‘PAIN 4 ME' mnemonic 26-7

quality of life (QoL) 37 treatments 27-37

desensitization therapy, allergic rhinitis 298 desoxycorticosterone pivalate

(DOCP) 161-2

detaching from the outcome, definition 11 developmental orthopedic diseases 43-4 dexamethasone 34-7, 70, 86-8, 91, 160, 161-2, 169, 234

dextrose supplements 160-1, 244

DHA 48-52

diabetes insipidus 172-3

diabetes mellitus (DM) 8, 9, 37, 128-30, 166, 169, 170, 173, 175-9, 181, 183, 227-8, 243, 253, 262, 279

carbohydrates 176-7

definition 175

diagnosis 175 dietary therapy 176-7 etiology 128, 170, 175 insulin therapy 176, 178 medications 176

monitoring practices 177-8 obesity 175, 176-7 oral antidiabetic drugs 176 pregnancy 175, 176, 178 quality of life (QoL) 178 remission 176, 178 steroid effects on glucose controls 253 survival rates 178

symptoms 8, 175

treatments 8, 9, 173, 175-7, 253

diagnosis 5, 9, 10, 18-19, 20, 45, 246-7, 274, 275, 283, 295, 308-9

see also individual diseases/syndromes costs 5, 9, 10, 18-19, 20, 45, 246-7, 274, 275, 283, 295, 308-9

dialysis

chronic kidney disease (CKD) 257-8 costs 258

diamond burr debridement 75

diarrhea 70-1, 126, 171-2, 181-2, 194-7, 202, 211-14, 218-20, 228, 235-6, 243-7, 303

diazepam 143-4, 147-51, 245

see also benzodiazepines

side-effects 149

storage problems 150 diencephalon, seizure disorders 145-51 dietary therapy 46-7, 48-52, 102, 104-6, 109, 137-9, 176-7, 190, 206-9, 212-14, 218-19, 230-1, 235-6, 240-1, 245-6, 252-3, 255-8, 268-70, 306

see also food...

appetite stimulants 235-6, 245-6, 256

canine cognitive dysfunction

(CCD) 137-9

chronic kidney disease (CKD) 255-8 diabetes mellitus (DM) 176-7 feline hyperthyroidism 153-4, 155, 157 feline interstitial cystitis (FIC) 268-9 hepatic lipidosis 245-6 hypothyroidism 163, 165-6 mobility impairments 46, 48-52 digoxin 108-9, 126 dihydroxyphenylalanine (DOPA) 267-70 dilated cardiomyopathy (DCM) 105-12, 124, 127, 131

see also cardiomyopathies

definition 105-6

diagnosis 106, 108 euthanasia 105-12 quality of life (QoL) 108-9 treatments 106-9

diltiazem 108-9, 125-6, 131-2 dipivefrin 84

Dirofilariasis 283 disseminated intravascular coagulation

(DIC) 147, 151 distemper 283 diuretics 98-105, 109, 110-12, 119-20, 129-30, 133-4, 236, 283

see also furosemide; spironolactone; torsemide

acute heart failure treatments 98-100

congestive heart failure treatments 100-1, 104-5

heart disease 98-105, 109, 110-12, 119-20, 129-30, 133-4

Dixie case, hospice care 321 DNA damage, cigarette smoke 273 Doberman Pincher 97, 99, 105, 106, 127, 233 dorzolamide 83-4

‘Double Down' flea control program 29-30 doxorubicin 105

doxycycline 73, 274, 286, 293, 298-9 Drentse Patrijshund 194 dress codes, nonverbal communication 19-20 drinking 6, 8, 63, 93, 315

see also dehydration; food

dry cat food 267

dry eye 65, 67-72

Duchenne smile 16-17

duodenum 218-19

dynamic left ventricular outflow tract obstruction (DLVOTO) 110-12

dynamic upper airway obstruction 286-7 dysautonomia 206-9

dyschezia 205-9

dysgenesis 81-2

dyskinesia 297

dyslipidemias 227-8, 230

dysphagia 188, 206-9

dysplasia 42, 43, 45, 89-91, 312

dyspnea 98-100, 101-2, 111-12, 274-5, 279, 283, 310-11

dysuria 261-4

e

early enteral feeding 185

ears 29, 141-4, 154-5

ECG 100-2, 106-7, 109-10, 113, 120-4, 128, 131, 132-3, 160, 274, 275, 281, 283-4, 292 echocardiography 97-8, 100-1, 102, 103, 106-7, 108, 109-10, 111, 112, 113-15, 116-17, 119-24, 128, 131, 132-4

EDTA 77

educating clients 10-11, 25, 65, 311, 317-21 EGF 57

Ehrlichia 233

elbow dysplasia 43, 59

electrolyte status 44-5, 67, 110-12, 159-62, 225, 243-7

electromyography 188

electrophysiologic studies 206 electrostimulation therapy, mobility impairments 46, 56-7

elk velvet antler 50

‘emergency management' pain management 305-6

emotional labeling 11

emotions 3-4, 5-10, 11, 16-17, 39, 60-1, 304-25

‘The 4 Family Budgets' 308-9

aspects of quality of life (QoL) 5-10, 39, 60-1, 313-15

body language 16-17

clients 3-4, 5-10, 11, 39, 60-1, 304-25 death 323-5

empathy 3, 10-12, 25

see also active listening emphysematous cholecystitis 223-5

see also cholecystitis enalapril 101, 129-30 encainide 126 end stage

arthritis 311

chronic pancreatitis (CP) 182-3 mega-colon 205, 206-7

‘natural' method of death 311, 317-18 end-of-life decisions 4, 6-7, 9-10, 60-1, 63-4, 139, 144, 184, 185-6, 190-1, 197, 209, 220, 225, 252-3, 258, 294-5, 303-5, 311-25

see also euthanasia; hospice care end-of-life experiences 4-5 endocarditis 118 endocrine insufficiencies 26-31, 44-5, 181-6, 187, 188-91, 230-1, 268, 274-5

see also adrenal cortical system; chronic pancreatitis; thyroid endoscopies 194-5, 202, 212, 214,

218-19, 275 endothelium 76-9, 80-5, 130-2 enemas

hepatic encephalopathy 236

mega-colon 206-9

English Bulldog 69

English Cocker Spaniel (ECS) 69, 181, 182, 185, 228, 233

English Mastiff 205

English Springer Spaniel 69 enrofloxacin 201, 202-3, 213, 251 enteral feeding 185, 245-6 Enteroccoccus 225, 250 enteropathy 217-21

see also protein-losing... enucleation 83, 85 eosinophilic bronchopneumopathy (EB) 283, 291

eosinophilic conjunctivitis 73-4 eosinophils 73, 154, 159-60, 193-4, 212-14, 218-19, 277, 281, 283, 285-6, 297-9 EPA 48-52

epaxial muscles 42 epidermal barrier, pruritus 33-4 epigastric pain, chronic pancreatitis (CP) 181-6 epilepsy 145-51

see also seizure disorders

definitions 145 episcleral injection 80, 82, 85-8 epistaxis, allergic rhinitis 297-9 epithelium 75, 77-8, 211, 231, 263, 267

definition 211 erythromycin 73, 208 erythropoieten treatments 119-20, 257 Escherichia coli 201, 203, 211, 223, 225, 261 esmolol 125, 126-8 esophageal dysmotility 187-92

see also mega-esophagus esophagitis 187-91 esophagostomies 245-6, 257-8 esophagus 160, 187-92 euthanasia 4, 7, 9, 60-1, 64, 105-12, 119-20, 128, 134, 139, 144, 150-1, 166, 173, 184, 185-6, 190-1, 197, 220, 225, 231, 237, 240, 241, 258, 264, 275, 279, 281, 289, 295, 303-5, 309, 311-17, 318-21, 322

see also death; end-of-life decisions; individual diseases/syndromes background 312-13, 316-17, 318-21, 322 communication 319-21

costs 319-20

cultural issues 312-13, 316-17 parties 321

paw impressions 324 processes 318-21, 322 sympathy cards 320 euthyroid sick syndrome 165 exercise 45-6, 52, 119, 120-1, 163-4, 193-4, 205-6, 208, 275, 288, 291-3

see also physical activity

mobility impairments 45-6, 52 exercise-induced gastritis 193-4 exocrine insufficiencies 181-6

see also chronic pancreatitis exocrine pancreatic insufficiency (EPI) 182-3, 184-5 extra-hepatic biliary obstruction (EHBO) 223-5, 243, 250, 252 eye contact with clients 10-11, 17-18

see also nonverbal communication

background 17-18

tips 17-18

eyes 8, 40, 65-96, 129-30

see also blindness; glaucoma; lens...; retinal...; uveitis

adnexa 65-7, 75 blepharitis 65-7, 71 cataracts 81-2, 85, 86, 88-91 conjunctivitis 65-71, 72-4, 79 corneal degenerations 77-9 corneal diseases 73-80, 85-8, 89-90 corneal edema 76-7, 79-80 corneal ulcers 74-5, 77, 78 dry eye 65, 67-72 examinations 40 herpes virus 73-4 intraocular disease 78-85 keratitis 65-9, 72, 75-7, 79 keratoconjunctivitis sicca (KCS) 67-71,

73, 74-5, 76-7 meibomianitis 66-7, 71 neoplasia 65, 67, 81, 87-8 nuclear sclerosis 88-9 ocular surface disorders 67-74 posterior segment disease 91-2 preocular tear film 67 qualitative dry eye 71-2 quality of life (QoL) 65, 92-3 surgery 74, 82-5, 86, 89 uvea 79, 81-4, 85-8 uveal neoplasia 87-8

f

F waves 106, 107

facial excoriations, methimazole 154-5 facial expressions 14-15, 16-20, 40-1 see also nonverbal communication background 14-15, 16-20, 40-1 famciclovir 73 family concerns see also clients

quality of life surveys 5-8, 315-16 famotidine 196, 208, 236, 246, 256 fascia 44 fasting 185 FAT CAT study 110-12 fatty acids 31-2, 33, 48-52, 102, 104, 109, 137-8, 207, 213, 243-7, 256-7, 287 fatty diets 181-2, 184

Favrot's 2010 criteria, atopic dermatitis 29 febendazole 283 fecal analysis 40, 202, 281, 285-7

fecal impaction 205-10

see also constipation; mega-colon fecal incontinence 306, 318-20

see also bowel movements

feedback 10-11

feeding devices 190, 244-7, 252-3, 256, 257-8, 306-7, 309-10

see also diet...; food

feline asthma 285-90

chronic management approaches 288 comorbidities 286-7

definition 285

diagnosis 285-7

etiology 285

euthanasia 289

medications 286, 287-8 quality of life (QoL) 288-9 status asthmaticus 288-9

symptoms 285-6

treatments 285, 286, 287-9

feline cholangitis (CCH) 182, 184-5, 225, 233, 249-53

see also bile ducts; cholangiohepatitis background 249-53 definitions 249

diagnosis 250-1

etiology 249

euthanasia 252-3 immunosuppressing drugs 251-2 quality of life (QoL) 252-3 steroids 251-2, 253 symptoms 249-50 treatments 251-2

vomiting 249-50, 252

feline hepatic lipidosis (FHL) see hepatic lipidosis

feline herpesvirus-1 (FHV-1) 73-4

feline hyperthyroidism 44, 105, 128-30, 153-8, 194, 211, 243

see also chronic kidney disease

azotemia 156-7

definition 153

diagnosis 153

dietary therapy 153-4, 155, 157 medications 153-5, 157

radioiodine therapy 153-4, 155-6, 157 renal function 156

surgery 153-4, 156

symptoms 153 thyroidectomies 153-4 treatments 153-7 feline immunodeficiency virus 85-6 feline interstitial cystitis (FIC) 267-71

see also urinary tract infections canned food benefits 269 definition 267 diagnosis 267-8 dietary therapy 268-9 etiology 267 medications 269-70 pheromones 269-70 quality of life (QoL) 270 treatments 268-70 feline leukemia 85 Feliway F3 fraction 269 fenbendazole 195 fentanyl 47, 184, 252 fiber supplements 206, 207-9, 235, 240 fibrin 85-91 fibrosis 85-8, 98, 114-15, 181-6, 197, 218-19, 230, 233-7, 239, 251, 281-2, 283, 287

see also anti-fibrotic therapy background 233-7, 239, 281-2, 287 fibrosis of the pancreas 181-6

see also chronic pancreatitis fine-needle aspiration of the liver 244, 250-1 fine-needle aspiration of the lungs 281 first impressions, nonverbal communication 15, 17

Five Step strategy, hospice care 305-6 flare-ups, chronic pancreatitis (CP) 185 fleas 26-31, 33-7

see also pruritus

‘Double Down' control program 29-30 flecainide 125, 126 fludrocortisone acetate 161-2 fluid therapy 160-2, 185, 190, 244-5, 252, 257, 304, 308 fluorescent in-situ hybridization (FISH) 195, 202, 203, 250

fluorscopic studies 71, 116, 118, 188, 195, 250, 291-2

fluroquinones 274 fluticasone 275, 279 folate 212

food 28-31, 33-7, 46-7, 48-52, 63-4, 105, 137-9, 171-3, 176-7, 190, 193, 205-9, 212-14, 218-19, 230-1, 235-6, 240-1, 252-3, 255-8, 267, 269-70, 306-7, 309-10, 313-15

see also diet...; feeding...

canned food benefits 269

dry cat food 267

pruritus 28-31, 33-7 food allergies 193, 212 Food and Drug Administration (FDA) 209 food intolerance, food allergies 212 food-responsive diarrhea (FRD) 212, 218 forebrain, seizure disorders 145-51 Four family budgets 308-9, 312-13 Fox Terriers 69 French Bulldog 201-2 fructosamines 175-8 fundus 89, 193-4, 227-31 fungal diseases 65-7, 281, 297-9 fungal rhinitis 297-9 furosemide 98-101, 104-5, 109, 110-12, 236, 283

see also diuretics

g

gabapentin 47, 149, 184 gag reflexes 40-1 gait analysis, mobility impairments 45 gallbladder (GB) 223-5, 227-31, 249-53

see also bil.; cholecystitis; liver. ganglion, vestibular syndromes 141-4 gangrene 112 gastric ulcers 183-4, 193-4, 197, 219 gastrinoma 195-6 gastritis 193-9, 218

see also chronic gastritis gastro-intestinal bleeding, treatments 235, 236 gastroduodenal reflux 193 gastrointestinal neoplasia 183, 190, 202, 205-9, 243

gastrointestinal problems 40, 155-7, 159, 181-6, 190, 193-4, 197, 202, 205-9, 219, 243, 268

gastrointestinal pythiosis 193, 195-7 gastrointestinal ulceration 183-4, 193-4, 197, 219

gastrointestinal-associated lymphoid tissue (GALT), definition 205 gastroprotectants 196, 208, 230-1, 256 see also omeprazole; ranitidine; sucrulphate

gastrostomy tubes 190, 245-7, 252, 256, 257-8

gentamicin 84-5 German Shepherd Dog (GSD) 66, 69, 76, 132, 187, 205, 217, 312

GGT activity 228, 244, 250 Giant Schnauzer 205

Giardia 202 giardiasis 202, 219 glaucoma 65, 69, 78-85, 87-8, 89-91

see also eyes

definition 78-81

diagnosis 79-81 end-stage treatments 83, 84-5 etiology 78-80, 81, 87-8, 89, 90 medications 82-5

quality of life (QoL) 78

surgery 82-4 symptoms 79-80 therapies 79, 82-5 types 81-2, 89 glipizide (sulfonylureas) 176 glomerular filtration rate (GFR) 129-30, 156-7, 255-8, 268 glomeruli 255-8, 268 glucocorticoids (GC) 29, 33-7, 46-8, 85-8, 91, 159-62, 165, 190, 213, 234, 273, 274-5, 278-9, 289, 293-4, 298-9

see also budesonide; dexamethasone; fluticasone; prednisolone

canine chronic bronchitis (CCB) 274-5

side-effects 33-4, 36-7, 162 glucosamine 49-52 glucose 49-52, 67, 173, 175-8, 239-41, 244-6, 253 glutamate 84-5 glycemia 146-7, 159-62, 175-8, 233, 235, 236-7, 240 glycerin 84-5 glycosaminoglycans (GAGs) 267, 270, 293 glycosuria 175-8

see also diabetes mellitus (DM) goggles, UV radiation 76 Golden Retriever 86-7, 132, 187 Golgi tendon apparatus 55

Gomori methenamine stain 202 gonioshunt 83-4 ‘good death' ideas 309, 316, 321 good-days-vs-bad assessment tool, quality of

life (QoL) 314 Gram stains 202 granulomatous colitis (GC) see ulcerative

colitis

granulomatous enteritis 212 Great Dane 43, 187 green-lipped mussels 50 greetings, communication 13, 17 Greyhounds 69, 76 grief, death 323-5 guar gum 207

h

H2 blockers 195-6, 208, 236, 256 hairballs 286

halitosis, allergic rhinitis 297-9 hand gestures, nonverbal communication

17, 18 handshakes 17 happy pets, definitions 309-10, 313-15 haptoglobin (HAP) 214 head tilts, vestibular syndromes 141-4 heart disease 40, 97-134, 146, 155, 156,

159-60, 239, 268, 273, 279, 283, 286, 311, 322

see also arrhythmias; cardiomyopathies; cardiovascular...; congenital cardiac...; degenerative valve.; hypertension; pericardial effusion

acute heart failure treatments 98-100, 107-9

background 97-134 classification scheme 97-8, 101-2,

104-5

congestive heart failure treatments 100-1,

102-5

definition 97-8 hormones 98

heart murmurs 97-8, 109-12, 113-20, 239,

273-4, 283

see also cardiovascular disease heart rates 120, 126-8, 130, 132-4, 273-4

normal ranges 120 heartworm antigens 28, 131-2, 274, 281,

285- 6, 287

heartworms 28, 131-2, 274, 281, 285-6, 287 Heinz bodies 243-4

Helicobacter 193, 195-6 Helicobacter felis 193

Helicobacter heilmannii 193 Helicobacter pylori 193 hemangiosarcomas 134 hematemesis 159, 194-7 hematocrit levels 257 hematoma 44 hematuria 261-4, 267-70 hemobilia 224 hemopericardium 103-5 hemorrhage 91-2, 134, 159-60, 224 heparin 112 hepatic ducts 225, 227-31 hepatic dysfunction 243-7 hepatic encephalopathy 233-7, 240-1, 243, 245

see also chronic hepatitis treatments 236, 240 hepatic lipidosis 205, 243-7, 250 definition 243 diagnosis 243-4 dietary therapy 245-6 etiology 243, 250 quality of life (QoL) 246-7 symptoms 243 treatments 244-6 vomiting 243-7 hepatitis 143, 229, 230, 233-7, 249-53 see also cholangiohepatitis; chronic.; liver.

hepatocellular necrosis 143, 149, 233-7, 245

see also chronic hepatitis hepatocytes 231, 235 hepatomegaly 169 herbal supplements 9 herpes virus 73-4, 233 quality of life (QoL) 314 hiatal hernias 190 high-resolution manometry 188 hindlimb examinations 41-2, 205-6 hip dysplasia 42, 43, 45, 59 histamine 32, 33-4, 55, 72-4, 126, 287, 299

histiocytic ulcerative colitis (HUC) see ulcerative colitis

Histoplasma 202 histoplasmosis 202, 219 holistic therapies 9

Holter monitor 107, 126, 127 homeopathy, mobility impairments 58 homeostasis 84-5, 255-8 honesty, verbal communication 14, 311 honoring the memory of the pet, death

323-5

hookworms 217

hormones

heart disease 98

tests 211-12

horses 4

hospice care 64, 139, 303-26

see also death; end-of-life decisions

‘The 4 Family Budgets' 308-9, 312-13 aftercare 305, 317, 318, 322-5

Andy case 310

Bogey case 314

Cali case 308

client needs 64, 303-6, 307-9 costs 307, 308-9, 312-13, 319-20 cultural issues 312-13, 316-17

Daisy case 313 definition 303

Dixie case 321

Five Step strategy 305-6

hygiene maintenance 306, 309-10,

314-15

Jindu case 320

Jupiter case 324

life stages 304-5 patient needs 64, 303-7, 309-12 qualifying scenarios 304-5 quality of life (QoL) 64, 303-4, 309-16 revenues 307

Romeo case 303-4

services 303-7

Hospice case 310

Hospice Package 305

household adjustments 8-9 human recombinant protamine zinc

insulin 176

humidifiers 279

humor 13-14

Hungarian Kuvasz 205 hydralazine 99-100, 130 hydrocephalus 146-7 hydrocortisone 86 hydromorphone 252 hydrotherapy, mobility impairments 46,

52, 53, 59 hydroxyethyl starches 219 hygiene maintenance blindness 92-3 hospice care 306, 309-10, 314-15 hyperadrenocorticism (HAC) 27-8, 44-5,

128-30, 135-7, 169-74, 175, 181, 184-5, 262, 273-5, 279

see also adrenal cortical system definition 169 diagnosis 169 euthanasia 173 ketoconazole 172-3 maintenance therapy 171-2 medications 170-1 mitotane 169, 172-3 quality of life (QoL) 173 radiation therapy 172-3 surgery 172-3 symptoms 169 treatments 169, 170-3 trilostane 170-3 types 169 hyperammonemia 235, 240-1 hyperbaric oxygen, mobility

impairments 56-7 hyperbilirubinemia 228-9, 244-7 hypercalcemia 159-62 hypercholesterolemia 175, 227-31 hypercoagulability 173, 219 hyperemia 65-7, 68, 72-4 hypergastrinemia 194, 196 hyperglobulinemia 250 hyperglycemia 175-8 see also diabetes mellitus (DM) hyperkalemia 120-4, 129-30, 159-62 see also hypoadrenocorticism background 120-4, 159-62 hypermetria 142-4 hypernatremia 172 hyperosmotic agents 76-7, 84-5 hyperphosphatemia 256 hyperpigmentation 85-8 see also uveitis hyperplasia 153-4, 227-31 hypersomnia 136-7

hypertension 44-5, 83-5, 91-2, 98, 99-100, 101, 102-12, 119-20, 128-32, 135-7, 155, 169, 173, 175, 190, 233, 234, 239-41, 256-7, 273, 275, 281-2, 283-4,

286- 7, 292

see also blood pressure; pulmonary...; systemic...

background 44-5, 83-4, 91-2, 128-32 diagnosis 128

end-organ damage 91-2, 128-9 quality of life (QoL) 130, 132 retinopathy 91-2

treatments 83-4, 91-2, 98, 99-100, 101, 102-5, 106-9, 110-12, 119, 128-30, 131-2, 155, 173, 190, 256-7 hyperthermia 98, 147 hyperthyroidism see feline hyperthyroidism hypertriglyceridemia 175, 181, 227-31 hypertrophic cardiomyopathy (HCM) 105, 109-12

see also cardiomyopathies

definition 109

diagnosis 109-11 euthanasia 112 quality of life (QoL) 112 surgery 112

treatments 110-12

hypertrophic gastropathy 194-7, 205-7, 258 hyphema 81, 85-8

hypoadrenocorticism 122, 124, 159-62, 166, 171-3, 188, 194-5, 202, 211

see also hyperkalemia

definition 159

desoxycorticosterone pivalate

(DOCP) 161-2

diagnosis 159-60

differential diagnosis 159

emergency treatment 160-1 fludrocortisone acetate 161-2 maintenance therapy 161-2 quality of life (QoL) 162 symptoms 159

treatments 160-2 hypoalbuminemia 132-4, 159-62, 202, 217-20, 237

hypoaldosteronism 160 hypocalcemia 146 hypochloremia 159-62 hypocobalaminemia 213

hypoglycemia 146-7, 159-62, 176-8, 233, 235, 236-7, 240

hypokalemia 244, 246, 252 hypomagnesemia 126, 244 hyponatremia 159-62 hypophosphatemia 244 hypophysectomies 172-3 hypoplasia 240 hypoproteinemia 217-20 see also protein.

hypotension 230 hypothalamic-pituitary-adrenal axis 275 hypothyroidism 27-8, 44, 142-3, 155-7,

163-7, 181, 188, 206, 227-8, 230 definition 163 diagnosis 163-5, 166 dietary therapy 163, 165-6 effects of drugs on tests 164-5 etiology 155-7 medications 164-6 quality of life (QoL) 166 symptoms 163-4 treatments 163, 165-6 hypotrichosis 164 hypovolemia 160-2 hypoxia 120, 130-2, 288, 289, 294-5 see also breathing.; oxygen hypyon 85-8

‘I can tell you are upset/angry/hurt' emotional labeling 11

IAMS Veterinary Formula 245, 252 icterus 224-5, 228, 243 idiopathic hepatic lipidosis (IHL) see hepatic lipidosis

idoxuridine 73

IgE 27, 31 IGF-1 57 ileum 212-14 iliopsoas 42 imaging 43-5, 98-100, 106, 109-10, 113-19, 128, 130-1, 132-3, 135-7, 141-2, 170, 173, 182-5, 188, 202, 206, 218-19, 224-5, 227, 228, 239-40, 244, 255, 273-4, 275, 277-8, 282, 283, 292, 298

see also CT scans; MRI scans; radiographs; ultrasound; X-rays imepitoine 165

immune system 25-37, 43, 65-71, 164, 185, 189-90, 193-7, 202-3, 211, 249-53, 278-9, 281

see also cytokines; eosinophils; epithelium; inflammation; leukocytes; lymphocytes; neutrophils; T-cells

background 65-71, 211, 249 immune-mediated diseases 65-71, 76-93,

164, 193-7, 278-9, 281 immunoglobulins 27, 31, 57, 67, 190 immunosuppressing drugs 25-37, 46-7,

65-71, 72-4, 76-7, 85-8, 91, 150, 161-2,

165, 185, 189-90, 196-7, 202-3, 213, 234, 251-2, 256-7, 278-9, 287-8, 293-4, 298-9

see also azathioprine; budesonide; chlorambucil; cyclosporine; glucocorticoids; individual diseases/ syndromes; methotrexate; prednisolone; prednisone; steroids; tacrolimus In re Guardianship of Barry (1984) 4 incontinence 306, 318-20

see also fecal...; urin...

infectious diseases 26-31, 65-7, 73-8, 105, 118, 131, 132, 146, 211, 219, 223-5, 233, 261-4, 278, 281, 283, 292, 306

see also bacteria; fungal.; parasites; urinary tract.; viruses; yeast

biofilms 264

pathogen types 131, 211-12, 219, 223-5, 233, 261-4, 283

inflammation 8-9, 32-7, 44-64, 65-93, 146, 175, 181-6, 194-7, 211, 233-7, 249-53, 273-5, 277-9, 281-4, 285-9

see also arthritis; immune system background 211-14, 217-19, 229, 250-1, 253

inflammatory bowel disease (IBD) 184-5, 195-6, 202, 211-15, 217-19, 229, 250-1, 253

see also protein-losing enteropathy; ulcerative colitis

background 211-14, 217-19, 229, 250-1, 253

canine IBD activity index (CIBDAI) 214, 218, 219

definition 211

diagnosis 211-12, 217-18 etiology 211

immunosuppressing drugs 213 medications 212-13 quality of life (QoL) 214, 219 symptoms 211-12 therapeutics 211, 212-13 influenza 283 infraspinatus examinations 42 inhalers 98-100, 274-5, 279,

287- 9, 293-5

see also bronchodilators inner ear, vestibular syndromes 141-4 insomnia 135-7

insulin

diabetes mellitus (DM) 175-8 glargine 176 therapy 176, 178 types 176 interferon 33-7 International Task Force on Canine Atopic Dermatitis 29, 35 interstitial lung diseases (ILDs) 281-4 definition 281 diagnosis 281-2 etiology 281, 283-4 euthanasia 281 medications 283 parasites 281, 283 quality of life (QoL) 281, 283 treatments 281, 283-4 interstitium 255-8 intervertebral disc disease 39, 41, 43, 45, 53,

59, 64, 182

see also mobility impairments background 43, 53, 59, 64 surgery 59 intestinal dysbiosis 213 intra-cranial diseases

mobility impairments 40-1 seizure disorders 145-51 intraocular disease 78-85 see also eyes intraocular pressure (IOP) 78-85, 86-8,

89, 90-1 intraocular prosthesis 83, 84-5 iodine 153-4, 155-7 iridocyclitis 89-90 iris 84-8, 89-90 see also eyes; uveitis Irish Setter 187

Irish Wolfhound 105, 125 iron 257

see also anemia irritable bowel syndrome 202 isometric exercises 52 isoproterenol 124 Italian Greyhound 69 itraconazole 195-6

Jack/Parsons Russell Terrier 69 Janus Kinase inhibitors (JAKs) 34-7

see also oclacitanib jejunum 218-19 ‘jet lesions' 103-5 Jews 317 Jindu case, hospice care 320 Journal ofPalliative Medicine 307 Jupiter case, hospice care 324

k

keratectomies 78-9 keratitis 65-9, 72, 75-7, 79

see also eyes keratoconjunctivitis sicca (KCS) 67-71, 73, 74-5, 76-7

see also eyes keratoplasties 78 ketamine infusions 47, 184 ketoacidosis 175-8 ketoconazole 172-3 ketoprofen 165 kidneys 56, 119-20, 128-30, 156, 159, 166, 177, 185, 194, 211, 217-18, 243, 255-9, 262, 263, 266, 279, 311, 312

see also chronic kidney disease transplants 258 ‘kiwi-fruit' GB appearance, biliary mucocele 228 knuckling 112 kyphosis 41

l

L-carnitine 51-2, 105, 137-8, 246 L-tryptophan 269

Labrador Retriever 72, 107, 123, 233,

234, 312 lactate 230 lactated Ringer's solution 160-1, 244 lactulose laxatives 207-8, 236, 240-1 lagophthalmos 80-1

lamina propria 212

Lancashire Heelers 69 Lanthanum-based binders 256 Lap of Love, quality of life (QoL)

314-15, 316 laparoscopies 233 laparotomy 233 laryngeal paralysis 292 laser therapy

glaucoma 83-4

mobility impairments 46, 53-4, 56-7, 59 latanaprost 83-4

laxatives 207-9

see also individual medications

left atrial enlargement 97, 103-5

left atrial tears 103-5

left atrium to aorta ratio (LA:Ao ratio)

102, 105

Leishmania 65-7

lens 81-5, 88-91

see also cataracts; eyes

background 88-91 nuclear sclerosis 88-9

lens luxations/subluxations 82-5, 89-91 lens-induced glaucoma 81-5 leptospirosis 233

lethargy 44-5, 120-8, 157, 159-62, 164, 175, 206-9, 218, 228, 237, 241, 243, 249-50, 252, 289, 312-15

leukemia 85

leukocytes 218, 224-5, 228, 243-4, 250-3 leukocytosis 218, 224-5, 228, 243-4, 250-3 levetiracetam (Keppra) 148, 150 levothyroxine 165-6

Lhaso Apso 69, 194

lidocaine 47-8, 125-8, 184, 287

life stages, hospice care 304-5

‘life support' decisions 4 lipase tests 182-3

lipids 65-93, 205, 227-31, 235, 243-7

see also cholesterol; dyslipidemias; fatty acids; triglycerides

lipiduria 244-7

lipogranulomatous conjunctivitis 74 lips

nausea symptoms 126

nonverbal communication 18

listening 3, 10-12 see also active...

listlessness 44-5, 157, 159-62, 164, 175, 182, 206-9, 218, 228, 237, 241, 243, 249-50, 252, 289, 312-15

see also lethargy

liver 183-4, 211-12, 214, 217-20, 225, 228-31, 233-7, 239-41, 243-7, 249-53, 322

see also gallbladder; hepat... background 211-12, 233-7, 239-41,

243- 7, 249-53

liver enzymes 153, 159-62, 169-74, 233-7, 244, 250, 274

liver failure 166, 233, 237, 239-41,

244- 7, 311

see also chronic hepatitis; cirrhosis liver function 211-12, 218, 239-41, 244 tests 211-12, 218, 244

toxins 239-41

location issues, treatments 8, 209, 246-7, 258, 306-7, 319-21

lordosis 41

losartan (angiotensin II inhibitor) 235 low molecular weight fragments 112

see also dalteparin

low sodium diets 104-5 lower-pitched voices, verbal communication 13

lumbar pain 182

lung biopsies 282-3 lung lobe torsion 286-7 lung worms 274

lungs 40, 98-100, 111-12, 130-2, 273-6, 277-9, 281-4, 285-9, 292-3, 310-11 see also asthma; bronch.; interstitial.;

pulmonary.

lupus 66

lymphangiectasia 217-20 lymphatic obstruction 217 lympho-plasmacytic rhinitis (LPR) 297-9 see also allergic rhinitis

lymphocytes 159-60, 183, 195, 205, 211, 212-14, 249-53, 297-9

lymphocytic-plasmacytic enteritis (LPE) 212-14, 297

lymphoid tumors 197 lymphoma 132, 202, 217-19, 251,

303, 311

lymphoplasmacytic hyperplasia 193-5 lymphoplasmacytic inflammation 181-6, 193-5, 218-19

see also chronic pancreatitis

m

macrocyclic lactone 283

macrolides 73 macrophages 201, 203 magnesium 126-8, 244 Maine coon cat 97

Maltese Poodle 194

mannerisms 5-8

mannitol 83-4

Manx deformity 205 maropitant 143-4, 230-1, 235, 246, 252,

256, 287

massage, mobility impairments 52-3 meclizine 143

see also anti-emetics medications 3, 8-9, 31-2, 46, 306-25

see also analgesics; anti.; immunosuppressing drugs; individual medications; treatments

over the counter products (OTCs) 31-2, 36 placebo effects 269-70 mega-colon 205-10

definition 205

diagnosis 205, 206 end stage 205, 206-7 etiology 205-6, 209 euthanasia 209

medications 207-9

quality of life (QoL) 209

surgery 206-7, 209

symptoms 205-6

therapeutics 206-9

weight loss 205, 206 mega-esophagus 160, 187-92

see also esophageal dysmotility

definition 187

diagnosis 188

etiology 160, 187

euthanasia 190-1

quality of life (QoL) 190-1

symptoms 187-8

therapies 187, 188-91

meibomianitis 66-7, 71

melanoma 87-8 meloxicam 47, 73-4, 165 memantine 83-4 MEMO therapy 268-9 menace detection 40-1 Menetriers disease 195, 196 meningiomas 146-7, 150 mental health aspects of quality of life (QoL)

5-10, 313-15 mentation, seizure disorders 145-51 meperidine 252 mesalamine 213 mesenchymal cells 57-8 mesothelioma 134, 197 metabolic acidosis 159-62, 257, 264 metabolic disorders 44-5, 146-7,

159-62, 262

see also diabetes mellitus;

Lyperadrenocorticism; hypertension background 44-5, 159-62

methadone 184 methazolamide 83-5 methenamine 264 methicillin resistant staphylococcal infection 37 methimazole 154-5, 233 methotrexate 251-2 methylsulfonylmethane (MSM) 50 metoclopramide 190, 230-1, 235-6, 246,

252, 256

metronidazole 143-4, 185, 196, 201, 212-13, 234, 236, 240-1, 251

metyrapone 172 mexiletine 125 midazolam 143-4, 147-51 see also benzodiazepines mimicry inferences, verbal

communication 14 mineralocorticoid deficiencies 159-62 Miniature Bull Terrier 69 Miniature Poodle 69, 194

Miniature Schnauzer 69, 175, 228 minimum inhibitory concentration

(MIC) 261-2

miosis 85-8

mirtazapine 235-6, 245, 256 misoprostol 208-9 mites 26-31

mitotane 171-3

mitral valve disease 97-8, 101-5, 111, 292 see also degenerative valve disease mitral valve regurgitation 103, 292 mobility impairments 5-10, 39-64, 141-4, 311, 312

see also arthritis; intervertebral disc disease; muscle...

acupuncture 46, 55-6, 59 assistance equipment 39, 313 assistive devices and orthotics 58-9, 313 carts 59, 313 comorbidities 45 definition 39 diagnosis 39-46 dietary therapy 46, 48-52 differential diagnosis 42-4 electrostimulation therapy 46, 56-7 etiology 39-40, 141-4 euthanasia 60-1, 63-4 exercise 45-6, 52 history 39-40 homeopathy 58 hydrotherapy 46, 52, 53, 59 hyperbaric oxygen 56-7 laser therapy 46, 53-4, 56-7, 59 massage 52-3 medications 46-8, 59-60 neurological examinations 40-3, 45 novel diagnostics 45 nutraceuticals 46, 48-52 obesity 40, 45, 46, 48-52 orthopedic examinations 41-2 physical examinations 39-42 physiotherapy 46-7, 52-3, 59 platelets 46, 48, 57-8 prognosis 45, 60-1 quality of life (QoL) 39, 40, 46-7, 60-4 reflexes 40-1

regenerative therapies 48, 57-8 rescue therapies 59-60 scoring systems 61-3 shockwave therapy 46, 54 soft tissue assessments 39, 40, 42 stem cells 46, 57-8 surgery 59 therapeutics 39, 45-64 ultrasound therapy 54-5 veterinary chiropractic therapy 58 weight gains 40, 45, 46 modified Steiner 202 monoamine oxidase inhibitors (MAOIs) 47 morphine 48, 184 motilin-like drugs 208-9 motor neurone disease 188

MRI scans 136-7, 141-2, 169, 239-40, 298 mucin 68-72

mucosal immune responses

see also epithelium; immune system definition 211

mucus membranes 206-9

muscle atrophy/wasting 39, 40, 41-2, 44,

45-8, 49-55, 169, 219

muscle biopsies 188

muscle strains 39, 40, 41-2, 44, 50-5 Muslims 317

myasthenia gravis (MG) 187-91 Mycobacterium 202-3 mycophenolate mofetil 190, 234 Mycoplasma 73-4, 202-3, 274, 283, 286 mycosis 193

mydriasis 79-80, 91-2 myeloid tumors 197 myocardial fibrosis 98, 112 myositis 44

myostis 190 myxomatous mitral valve disease (MMVD) 101-5, 131, 273-5, 292

see also degenerative valve disease

n

N-acetylcysteine 235, 287-8 nasal cavities, allergic rhinitis 297-9 nasal discharge, allergic rhinitis 297-9 natriuresis 160

‘natural’ method of death 311, 317-18, 322 natural-functions aspects of quality of life (QoL) 5-10, 60-4, 92-3, 313-15 see also individual diseases/syndromes nausea 83, 126, 143-4, 235-6, 246, 306, 312 see also anorexia; vomiting

necrotizing cholecystitis 223-5, 229 see also cholecystitis

neoplasia 26-7, 40, 43-5, 65-7, 81, 85, 122, 125, 132-4, 143-7, 153-4, 194, 195-6, 202, 205-9, 212, 223, 225, 233, 243, 262, 268, 281, 284, 297-9

eyes 65, 67, 81, 87-8

gastrointestinal neoplasia 183, 190, 202, 205-9, 243

uveal neoplasia 87-8 neurogenic pain 183-5 neurokinin-1 287-8, 293 neurological diseases 39, 40-1, 42-3,

45, 83-4, 98, 126, 136-9, 141-4, 146, 205, 206

see also mobility impairments neutrophilia 182-3, 228, 250-3, 274-5, 286 neutrophils 181-3, 224-5, 228, 249-53, 286, 297-9

Newfoundland 105 nitric oxide 54 nitroglycerine 100 nitroprusside 99-100, 130 nizatadine 208

NMES 56-7 nodding, active listening 18 non-medical skills 3-20 non-steroidal anti-inflammatory drugs (NSAIDS) 46-8, 76-7, 86, 87, 89, 91, 183-4, 233, 263, 270, 298 nonskid runners 9 nonverbal communication 4, 8, 10-11, 14-20

see also body language; communication; eye contact...; facial expressions; nodding; smiling

7-38-55 Rule 15

attractive people 16-17 baselines 15-16 basics 16 belly-button rule 18 conclusions 20 crossed legs 16, 18-19 cultural issues 20 curb appeal 16-20 dress codes 19-20 first impressions 15, 17 greetings 17 hand gestures 17, 18 handshakes 17 observational aspects 15-16 physical appearances 19-20 rapport 17-18, 20 tips 14-20 white coats 19-20 norepinephrines (NEs) 267-70 Norwegian Elkhound 69 Norwegian Forest cat 249 Norwegian Lundehund 194, 217

NT-ProBNP 281, 286, 292 nuclear sclerosis 88-9

see also cataracts

nursing care 7

nutraceuticals 46, 48-52, 137-9,

234-6, 246

see also antioxidant therapy; diet. nystagmus 141-4

O

obesity 40, 45, 46, 48-52, 164, 175, 176-7, 206, 267-8, 273, 275

see also diet.

diabetes mellitus (DM) 175, 176-7 mobility impairments 40, 45, 46, 48-52 treatments 45, 46, 48-52 observational aspects, nonverbal communication 15-16

oclacitanib 28, 33-7 oligosacharides 208 Ollulanus tricuspis 193, 195 olsalazine 213

omega-3 fatty acids 31-2, 33, 48-52, 102, 104, 109, 137-8, 213, 256-7, 287 omeprazole 196, 230-1, 236, 256 oncology costs 10 ondansetron 235, 246, 252, 256 open questions 10, 309

opioids 47-8, 55-6, 100, 133, 137-9, 182-5, 230-1, 252, 270, 293

see also buprenorphine; butorphanol; fentanyl; hydromorphone; methadone; morphine; tramadol

types 47, 185

optic nerve 79-85

see also eyes

oral antidiabetic drugs 176 organophosphates 181 orthotics, mobility impairments 58-9 osteoarthritis 8-9, 39-64, 311, 312

see also arthritis; mobility impairments

definition 43

scoring systems 61-3

osteosarcoma 43

otitis media/interna 141-4, 164

over the counter products (OTCs) 31-2, 36 owners

see also clients

definition 4, 12 oxygen 56-7, 79-85, 91-2, 98-100, 107-9, 110-12, 119, 120, 130-2, 287-9, 293-5 acute heart failure treatments 98-100, 107-9, 119

feline asthma 287-9

heart disease 98-100, 107-9, 110-12, 119 hyperbaric oxygen 56-7 tracheal collapse 293-5

p

pacemakers 124-5 pacing/restless behaviours 6, 8, 135-8, 182, 311, 313-15

pain 5, 6-8, 39-40, 43, 46-8, 61-3, 78-88, 159, 182-6, 206, 224, 228, 237, 252-3, 299, 303-25

chronic pancreatitis (CP) 181-6

‘PAIN 4 ME' mnemonic 26-7 perceptions 310, 313 scales 61-3, 310

‘Pain Ladder' chronic pancreatitis (CP) 183-4 pain management 5, 6-7, 46-8, 55-6, 61-3,

75, 82-5, 182-6, 225, 230-1, 252-3, 270, 293, 303-25

see also analgesics; palliative care

acupuncture 9, 46, 55-6, 59 background 46-8, 55-6, 61-3, 82-3, 309-12, 317-25

palliative care 9-10, 25-6, 32-3, 37, 303-25 see also hospice...; pain management definition 9-10

pancreatic beta cells 175-8 pancreatic specific lipase (PLI) 212 pancreatitis 181, 194, 211, 229, 230, 243, 246, 250-1, 253

see also chronic.

definitions 181 pannus see keratitis Paragoniumus 283 parainfluenza 283 paraquat 281 parasites 10, 26-37, 65-7, 73, 131-2, 193, 195-6, 202, 211-12, 217, 223, 274, 281, 283-4, 285-7, 297

see also Aelurostrongylus abtrusus; antiparasitics; individual parasites; Ollulanus tricuspis; Physaloptera; Toxocara cati

fleas 26-31, 33-7

heartworms 28, 131-2, 274, 281,

285-6, 287 hookworms 217 interstitial lung diseases (ILDs) 281, 283 lung worms 274 migration 283 scabies 26-31

tapeworms 10 treatments 28-31, 32-7, 195-6,

283-4, 287 parasitic rhinitis 297 parental relationships 4 paresis 40-1, 42-3, 46, 112, 149 parties, euthanasia 321 patent ductus arteriosus (PDA) 113-20, 131 see also congenital cardiac diseases pathogen types 131, 211-12, 219, 223-5,

233, 261-4, 274, 283

see also bacteria; fungal...; parasites; viruses patients 3-20, 35, 37, 92-3, 100, 135-9, 175, 197, 243, 267, 268-9, 303-25

see also death; pets anxieties 6, 8, 92-3, 135-9, 268-9, 306, 310-11, 315

definition 4 hospice needs 64, 303-6, 309-12 pain perceptions 61-3, 310, 313 personalities 312-13 quality of life (QoL) 3, 5-10 stresses 6, 8, 92-3, 100, 175, 197, 243, 267,

268, 306, 310-11, 315 veterinary-client-patient

relationships 10-12, 35, 37, 60-1 pauses, verbal communication 14 paw impressions, honoring the memory of

the pet 324 PDGF-BB 57 pectineus muscle 42 pectins 207-8 Pekingese 69 pelvic canal stenosis 205-9 pelvic examinations 41-2 pelvic osteotomies 206-7 penicillamine 234, 235 pennies-in-a-jar assessment tool, quality of life

(QoL) 314 pentosan polysulfate sodium 269-70 percutaneous endoscopic techniques

(PEG) 190 pericardectomies 134 pericardial effusion 132-4 pericardiocentesis 133-4 periodic acid-Schiff (PAS) 201-3 peripheral axons, vestibular

syndromes 141-4 peripheral edema 214 peritonitis 209, 224, 227, 228-31 periuria 267-70 Persian cat 194 persistent atrial standstill (PAS) 120-8 personalities, pets 312-13 persuasiveness, verbal communication 13-14 Pet Hospice Journal 316 ‘pet parent' terminology 12 pet pronouns, verbal communication 12 pets 3-20, 64, 78-9, 84-5, 92-3, 130,

303-25

see also death; patients

blindness 8, 78-9, 84-5, 92-3, 130 body language 6, 7, 8

children 9, 12

happy pet definitions 309-10, 313-15 honoring the memory of the pet 323-5 hospice needs 64, 303-6, 309-12 pain perceptions 61-3, 310, 313 personalities 312-13 pH levels 197, 240-1, 257 phenobarbitone 147-51, 165, 181 phenothiazines 143-4

see also acepromazine; chlorpromazine phenytoin 149 pheromones 93, 269-70 phosphatidyl choline (PC) 228 phosphodiesterase 5 inhibitor 104, 131-2 phospholipids 235 phosphorous 244, 256 photobiomodulation, mobility impairments

46, 53-4, 56-7 Physaloptera 193, 195 physical activity 39-42, 119, 120-1, 163-4, 193-4, 205-6, 208, 275

see also exercise; mobility impairments physical appearances

see also individual diseases/syndromes nonverbal communication 19-20 physical aspects of quality of life (QoL) 5-10, 39, 60-4, 92-3, 209, 313-15

see also individual diseases/syndromes physical challenges, ‘The 4 Family Budgets'

308-9, 312-13 physical touch 10, 308-9 physiotherapy, mobility impairments 46-7,

52-3, 59 pilocarpine 70-1 pimobendan 98-101, 102-3, 104-5, 110-12,

119-20, 132

see also calcium inodilator pinnae 29, 155 pitch variations, verbal

communication 13-14, 15-16 pituitary dependent hyperadrenocorticism

(PDH) 169-73

see also hyperadrenocorticism

PIVKA test 244

placebo effects, medications 269-70 plasma 79-85, 112, 161-2 plasma cells 212-14, 218-19, 225, 236,

249-53, 267, 297-9 platelets 46, 48, 57-8, 110-12, 130-2,

173, 274 playfulness 6, 8, 135-8, 313-15 plegia 43 pleural effusion 98-100, 109-12, 159,

217-18, 219 pneumonia 187, 188-91, 230, 275, 279,

286-7, 292 Pneumonyssoides caninum 297 pneumothorax 287 polionic crystalloid fluid 244-5 pollakiuria 261-4, 267-70 pollutants, canine chronic bronchitis

(CCB) 273, 275 polycythemia 113, 119, 128-30, 132 polydipsia 35-6, 153, 159-62, 169-74, 175,

213, 228 polymerase chain reaction (PCR) 73, 195,

251, 286 polyneuropathy 142-3 polypeptides 24-5 polyphagia 35-6, 169-74, 175, 249-50 polypnea 155 polypoid cystitis 263, 264 polyuria 35-6, 153, 159-62, 169-73, 175,

213, 228

Poodles 69, 175, 194, 233 porcine insulin zinc suspension 176 portal vein 239-41 portosystemic liver shunts (PSS) 233, 239-41 definition 239 diagnosis 239-40 euthanasia 240, 241 medications 240-1 quality of life (QoL) 241 surgery 240-1 therapies 240-1 positive inotrope

acute heart failure treatments 98-100, 107-9, 110-12

heart disease 98-100, 107-9, 110-12, 125-8

positive pressure ventilation (PPV), tracheal collapse 294-5

posterior segment disease 91-2 postural feeding 190 potassium 125, 160-1, 181, 257, 269 potassium bromide 148, 149, 165, 181 potassium chloride 269 potassium citrate 257 prednisolone 33-4, 36-7, 46-7, 86-8, 91, 161-2, 196, 213, 234, 236, 251-2, 279 prednisone 33-4, 36-7, 46-7, 150, 234 pregnancy, diabetes mellitus (DM) 175, 176, 178

preocular tear film 67 primidone 149 probiotics 213 procainamide 125, 126-8 proctoscopies 202 prokinetics 190, 195-6, 206, 208-9 prolapsed third eyelid 206 prolotherapy 48 propanolol 155 propantheline 124 proparacaine 75 propranolol 125 proprioception evaluations 41 prostacyclin 130-2 prostaglandins 48-9, 83-4, 208 prostate 262-3 protein-losing enteropathy (PLE) 217-21, 239

see also inflammatory bowel disease definition 217 diagnosis 217-19 etiology 217, 219

euthanasia 220 medications 219 quality of life (QoL) 219-20 symptoms 217-18 therapeutics 219 protein-losing nephropathy 217 PROTEIN-pump inhibitors 236 protein-to-creatinine ratio 169, 218 proteins 46-7, 48-52, 89-93, 212, 217-20, 235, 239-41, 244-7, 252, 256-8 proteinuria 128-30, 169, 173, 255-8 prothrombin time (PT) 244 proton pump inhibitors 195-7, 256 see also omeprazole proxy roles, clients 4, 20 prucalopride 208-9 pruritus 25-38, 148-9, 214 see also dermatologic diseases ‘Crisis Buster' drugs 35-6 definitions 26 diagnosis 26-31, 34-5 epidermal barrier 33-4 etiologies 26-31 management 31-7 ‘PAIN 4 ME' mnemonic 26-7 quality of life (QoL) 37 rescue therapies 34, 35-7 summation of effect and threshold

theory 26 treatments 27-37 psyllium 207-8, 213 ptyalism 146-51, 239, 243 Pug 69 pulmonary artery 116-20 pulmonary edema 97-100, 105, 110 pulmonary fibrosis 281-2, 283, 287 pulmonary hypertension (PH) 104-5, 130-2, 282-4, 286-7, 292 see also hypertension background 130-2 definition 130 diagnosis 130-1 quality of life (QoL) 132 treatments 131-2 pulmonary parenchyma 281-4 pulmonary stenosis 113-20 see also congenital cardiac diseases pulmonic regurgitation 115-20 pulmonic stenosis 114-20 pupillary dilation 145 pyelonephritis 257, 262-4 pyloris 193-4 pyoderma 27-8, 32, 35, 164 pyometra 122 pyrantel pamoate 195 pyrexia 224-5, 228, 249-50 pyridostigmine bromide 188-90 pythiosis 197, 202 Pythium insidiosum 195, 202

q

qualitative dry eye 71-2 quality, definitions 5 quality of life (QoL) 3, 5-10, 39, 60-3, 197, 237, 241, 303-4, 309-16

see also individual diseases/syndromes; well-being

assessment tools 313-15

background 3, 5-10, 39, 60-3, 197, 237, 241, 303-4, 309-16

chronic disease impacts on the patient and the caregiver 5-10, 39, 60-1, 303-25

definitions 5, 197, 237, 241, 313-15 evaluations 5-7, 312-16 good-days-vs-bad assessment tool 314 hospice care 64, 303-4, 309-16 interactive assessments 316 Lap of Love 314-15, 316 pennies-in-a-jar assessment tool 314 rule-of-5 assessment tool 313-14 scales 5-10, 61-3, 312-16 self-reporting element 5-6, 314-15 surveys 5-9, 61-4, 258, 315-16 quinapril 101 quinidine 125

r

radiation therapy 5, 172-3 radiographs 43-5, 98-102, 106, 109-10, 113-14, 128, 130-1, 132-3, 135-7, 146, 188-9, 206-7, 228, 244, 262, 273-4, 275, 277-8, 279, 281-2, 283, 288, 292, 298

radioiodine therapy, feline hyperthyroidism 153-4, 155-6, 157 ramapril 101

ranitidine 208, 230-1 rapport 3, 10-12, 17-18, 19-20

see also trust

establishment timescales 10, 17-18

nonverbal communication 17-18, 20 tools 10-11, 17-18, 19-20 rectal diazepam 149-50 rectal examinations 41, 206, 262 rectum, ulcerative colitis 201-3 red blood cells 257

see also anemia

red eye 79-85

see also glaucoma

reflexes, mobility impairments 40-1 refractory/indolent corneal ulcers 75, 77, 78 regenerative therapies, mobility

impairments 48, 57-8 regurgitation 188-91 rehydration therapies 206-9, 225, 252, 257,

309-10, 314-15 religion 10, 316-17 remission

definition 178

diabetes mellitus (DM) 176, 178 renal failure 101-2, 109, 128-30, 156,

159, 194, 211, 217-18, 243, 255-8, 279, 311, 312

see also kidneys renin 98, 101, 129-30, 161-2 renin-angiotensin-aldosterone system 98,

101, 129-30 repetitive strain 44 respiratory arrest 322 restrictive cardiomyopathy (RCM) 105-6 retina 79-88, 129-30

see also eyes

retinal degeneration 79-85, 91-2 retinal detachment 85-6, 91-2 retinal edema 85-8, 129-30 retinal ganglion cells (RGCs) 79-85 see also glaucoma

retinoic acid 172 retinopathy 129-30 reverse sneezing 286 rhinoscopies 298 see also allergic rhinitis rickettsia 43, 202-3 rifampicin 203 robenacoxib 47, 73 Roman Catholics 316-17

Romeo case, hospice care 303-4

Rottweiler 205, 217

Royal Society Open Science website 17-18 rule-of-5 assessment tool, quality of life

(QoL) 313-14

S

S-adenosylmethionine (SAMe) 51-2, 137-8,

231, 234-5, 246

S100A12 218

St Bernard 132 salbutamol 275 saline 161

Salmonella 202

salt restrictions 129-30

salt supplements 162

salutations, verbal communication 13 Samoyed 69, 175

Sarplaninanc 205 sartorius muscle 42 scabies 26-31

Schirmer tear tests (STTs) 68-71 scintigraphy test 164

Scottish Terrier 233

Sealyham Terrier 69 seborrhea 164 second degree AV block 120-8 seizure disorders 8, 120, 145-51, 233, 240-1,

243, 311

see also epilepsy

definitions 145 diagnosis 145-7 differential diagnosis 146-7 drug selection criteria 149-50 etiology 120, 145, 146-7 euthanasia 150-1 medications 147-51 quality of life (QoL) 150-1 rescue/relapse therapies 149-50 status epileptus 145, 147, 150-1 surgery 150 symptoms 145-7 therapies 147-51 types of seizure 145 videos 145-6 selective serotonin reuptake inhibitors

(SSRIs) 47 selegiline 137-9, 172 self-awareness 10-12 self-control, definition 11 self-reporting element, quality of life (QoL)

5-6, 314-15 sepsis 225 septicemia 122 serotonin 54, 55, 130-2, 137 serum amyloid A (SAA) 214 Sevelamer-based binders 256 shampoo therapy, pruritus 33 Shar Pei 69, 187 shared decisions 10-12, 35 see also collaborative decisions shared value systems 11-12, 25, 35, 318-21 Sharr Mountain dog 205 shelter medicine 4 Shetland sheepdog 228 Shih Tzu 66, 69, 71, 194 shock 159 shockwave therapy, mobility impairments

46, 54 short-chain fatty acids 207, 213 Siamese cats 81, 205, 285 Siberian Husky 69 sick sinus syndrome (SSS) 120-8 side-effects of medications 8, 9, 25, 49-52,

143, 148-9, 154-5, 162, 171-2, 181, 184, 196-7, 213, 227-8, 233, 262, 288 see also individual diseases/syndromes;

medications sildenafil 104-5, 119, 131-2 silymarin (milk thistle) 235, 236 situs inversus 205 skills, non-medical skills 3-20 skin lesions 31-7, 268 see also pruritus Skye Terrier 233 sleep-wake cycles 135-9 smiling 10, 16-17

see also nonverbal communication snappiness 182 sneezing, allergic rhinitis 297-9 social aspects of quality of life (QoL) 5-10,

60-4, 135-8, 209, 313-15

see also individual diseases/syndromes sodium bicarbonate 257 sodium channel blockers 125 sodium chloride 76-7, 148, 160 sodium nitroprusside 99-100, 130 sodium phosphate 86

Soft Coated Wheaten Terrier 217 soft tissue assessments

see also muscle...

mobility impairments 39, 40, 42 soft tissue therapies 46 soluble fiber 207-8, 240 sotalol 125-8 soybean 50 spaying 170, 178, 189 spinal cord 41, 42-3, 46-8, 141-4 spinal injuries 41, 42-3, 46-8, 205-6

see also intervertebral disc disease spiritual support 10, 316-17 Spirocerca lupi 283 spironolactone 101, 119, 236

see also diuretics sprains 44-5 Springer Spaniels 69 squinting 79 Standard Poodle 233 stanozol 293 Staphylococcus 250 status asthmaticus 288-9 status epileptus 145, 147, 150-1 stem cells, mobility impairments 46, 57-8 steroids 28-9, 36-7, 46-8, 66-9, 72-7, 85-6, 89, 175, 185, 189-90, 196-7, 212, 213, 227-8, 231, 235, 251-2, 253, 273, 283, 285, 286, 287-8, 293-4, 298-9, 303

see also immunosuppressing drugs side-effects 213, 227, 231, 253 stomach wall thickening 218 stool softeners 206-7, 240-1 strains 39, 40, 41-2, 44 stranguria 261-4, 267-70 Streptococcus 225, 250 stresses 4-9, 36-7, 92-3, 100, 135-9, 175, 197, 209, 243, 246-7, 252-3, 267, 268, 288-9, 295, 305-9, 310-11, 315-16

see also anxieties; individual diseases/ syndromes

clients 4, 9, 36-7, 60-1, 92-3, 197, 209, 246-7, 252-3, 288-9, 295, 305-9, 315-16

patients 6, 8, 92-3, 100, 175, 197, 243, 267, 268, 306, 310-11, 315

stretching behaviours 182, 318 subaortic stenosis 113-20

see also congenital cardiac diseases

sublingual allergen specific immunotherapy (SLIT) 34-7

subtotal colectomies 206-7, 209 sucralfate 236

sucrulphate 230-1

sued physicians 10 sulfasalazine 202, 213 sulfonamides 165

sulfonylureas 176 sulphonamides 181, 278-9 summation of effect and threshold theory,

pruritus 26 suppositories 150 supraspinatus examinations 42 supraventricular premature complexes

(SVPC) 101-2 supraventricular tachycardia (SVT) 120-8 surgery 5, 59, 74, 82-5, 86, 89, 112, 118,

143-4, 150, 153-4, 156, 172-3, 190, 206-7, 209, 225, 229-31, 240-1, 252, 258, 263-4, 293-5

see also individual diseases/syndromes transplants 258

surveys, quality of life (QoL) 5-9, 61-4, 258, 315-16

swimming, mobility impairments 53 sympathy cards, euthanasia 320 symptomatic therapy, chronic hepatitis 235-6 synechia 89-90

see also cataracts

systemic hypertension 44-5, 91-2, 104-12, 119-20, 128-30, 131, 135-7, 155, 169-70, 173, 175, 190, 233, 234, 239-41, 256, 273, 275, 281-2, 283-4, 286-7, 292

background 91-2, 128-30, 131 definition 128

diagnosis 128 end-organ damage 91-2, 128-9 quality of life (QoL) 130 treatments 91-2, 98, 99-100, 101, 102-5, 106-9, 110-12, 119, 128-30, 155, 173, 190, 256-7

systolic dysfunction, degenerative valve disease 104-5, 119-20, 127

t

T-cells 68-9, 251

T-helper cells 68-9 tachycardias 105-12, 120-8, 130, 155, 228

see also arrhythmias

definition 120

diagnosis 120-4 treatments 122-7

types 120 tachycardiomyopathy 105-12

see also cardiomyopathies tachypnea 98-100, 130-1, 228, 285 tacrolimus 33-7, 68-71, 76-7 tadalafil 131

tapeworms 10

taste sensations 109

taurine 105-6, 246

tegaserod 208-9

telmisartan 256-7

tendonitis 44, 54-5

tenesmus 205-9

tenosynovitis 41

TENS 56-7

terbinafine 195

terbutaline 124

Terriers 68, 69, 77, 79, 89-90, 187, 217, 218, 233, 255

tetracaine 75

tetracyclines 73, 203

tetramisole 195

TGF-beta 57

Thatcher, Margaret 13 theophylline 124 therapies 8-9

see also individual diseases/syndromes; medications; treatments

thermal cameras, mobility impairments 45 thiamine 245

thiazide diuretics 104, 109, 112

third degree AV block 120-8 thoractomies 118

Thoreau, David Henry 10 thrombocytopenia 154 thrombocytosis 169 thromboembolism 110-12, 173,

230, 282

thrombosis 110-12, 219, 223

thromboxane inhibitors 130-2, 256-7 thymectomies 189-90 thymoma 189

thyroid 44, 128-30, 146, 148-51, 153-7, 163-6

see also hyper...; hypo... thyroidectomies 153-4 thyrotropin (TSH) 163-6 Tibetan Terrier 69 tidal breathing flow-volume loop analysis 292 time budgets, clients 308-9, 312-13 tissue stimulation, mobility impairments 46 toll-like receptors (TLRs) 201

tone of voice, verbal communication 12-13,

14, 15, 19

tonometry 81

torsemide 104-5, 109

total thyroxine serum measurement

(TT4) 153-7, 163-6

toxins 105-12, 233-4, 239, 281, 312 Toxocara cati 285

Toy Poodle 69

tracheal collapse 286-7, 291-6, 311

see also bronchial collapse

asymptomatic patients 293 comorbidities 292

definition 291

diagnosis 291-2

euthanasia 295

medications 293-5

positive pressure ventilation

(PPV) 294-5

quality of life (QoL) 294-5

surgery 293, 294-5

symptoms 291

therapeutics 293-5 tracheoscopies 291-2 tramadol 47, 137-9, 184, 230-1 transmucosal buprenorphine 184, 230-1 transplants, kidneys 258 trazodone 137-9

see also anxiolytics treadmills, mobility impairments 52-3 treatments 3, 5, 8-9, 10, 11, 18-19, 20,

25, 27, 32, 33-4, 45, 46, 48-52, 100, 246-7, 274, 275, 283, 295, 303, 308-9, 312-13

see also anti...; antivirals; individual diseases/syndromes; medications; therapies

costs 5, 9, 10, 18-19, 20, 25, 27, 32, 33-4,

37, 60, 100, 246-7, 274, 275, 283, 295, 308-9, 312-13

location issues 8, 209, 246-7, 258, 306-7 parasites 28-31, 32-7, 195-6, 283-4, 287 triaditis

see also feline cholangitis; inflammatory bowel disease; pancreatitis definition 250

triamcinolone 33-7, 47-8 triceps examinations 42 Trichuris 202 tricuspid valve disease 101-5, 131 see also degenerative valve disease tricyclic antidepressants 47, 137 trientine 234 triglycerides 169, 243-7 trilostane 170-3 trimethroprim sulfas 203 troponin C 100-1, 106 trust 3, 10-12, 15, 17-18, 19-20, 25 see also rapport

trypanosomiasis 105 trypsin 182-3, 212 tubules 255-8 tylosin 203, 212-13 tyrosine kinase inhibitors 196-7, 287

U

ulcerative colitis 201-4, 211, 213, 312 see also inflammatory bowel disease definition 201, 211 diagnosis 201-2 etiology 201, 202, 211 immunosuppressing drugs 202-3 quality of life (QoL) 203 symptoms 201-2 therapies 201, 202-3, 211, 213 weight loss 202

ultrasound 54-5, 98-100, 135-7, 164, 169, 172, 182, 202, 218-19, 224-5, 227-9, 231, 233, 244, 250, 262, 281, 285-6 mobility impairments 54-5 unsaponifiables (ASUs) 50

‘upspeak’ mistakes, verbal communication 13 urea 67, 239-41, 269-70 uremia 193-4, 196-7, 257 uremic gastropathy 193-4, 196-7

uremic toxins 255-8 urethra 263 urethral obstruction 120-1 urethral plugs 268 urethral strictures 268 urethritis 263, 264 urinalysis 40, 85, 135, 145, 146, 153, 169, 211-12, 218, 255-8, 261-4, 267-70, 274, 287

urinary acidifiers 263-4

urinary tract infections (UTIs) 40, 256, 257, 261-5, 267-70

see also bladder; feline interstitial cystitis; kidneys; prostate

antiseptics 263-4

definition 261

diagnosis 40, 261-2, 268 etiology 261, 263

failed treatments 262-4

medications 261-4 monitoring needs 262

preventative treatments 264 quality of life (QoL) 264

surgery 263-4

treatments 257, 261-4

urination 6, 8, 40, 98-101, 120-4, 135-8, 145-51, 261-4, 267-70, 306, 309-10, 315, 318-20

urine catheters 264

urine concentrating ability 255-8 urolithiasis 262, 268

ursodexoycholic acid (UCDA) 234, 236, 252 ursodiol 225, 230-1

UV radiation, goggles 76

uvea 79, 81-4, 85-8

uveal neoplasia 87-8

uveitis 79, 81-4, 85-8, 89, 90, 92

see also eyes; glaucoma

cataracts 86, 89

definition 85-6

diagnosis 85-7 etiology 84, 85-6, 92

Golden Retriever uveitis (GRU) 86-7 symptoms 85-7

therapies 85-6, 89, 92

V

validation, definition 12

vancomycin 262

vascular ring anomalies (VRAs) 187, 190 vasodilators 54, 99-100, 130-2 vasovagal reactions 224

VEGF 57

venodilators 100

ventricular fibrillation 119-20 ventricular premature complexes (VPC) 101-2, 105-12, 124, 127 ventricular tachycardia (VT) 120-8 verbal communication 11, 12-15, 19, 309, 311, 319-21

see also communication

7-38-55 Rule 15 advice-seeking 14 complements 14 euthanasia 319-21 honesty 14, 311 ideal expressions 11-12, 14-15, 309 lower-pitched voices 13 mimicry inferences 14 pauses 14 persuasiveness 13-14 pet pronouns 12 pitch variations 13-14, 15-16 rates 13-14 salutations 13 structural issues 12 tips 11-12, 13-15, 309, 319-21 tone of voice 12-13, 14, 15, 19 ‘upspeak’ mistakes 13 winning someone over 14 vestibular syndromes 141-4

anatomy 141-2 anxiolytics 143-4 definition 141-2 diagnosis 141-2 euthanasia 144 medications 143-4 quality of life (QoL) 144 surgery 143-4 therapies 143-4 types 141-3

veterinarians 3-20, 25, 35-7, 60-1, 65, 303-25 see also communication

detaching from the outcome 11 ‘I can tell you are upset/angry/hurt’ emotional labeling 11

ideal expressions 11-12, 14-15, 309 roles 3-20, 25, 60-1, 65, 303-6, 309-12, 318-25

self-awareness 10-12 self-control 11 shared value systems 11-12, 25, 35, 318-21 ‘we are both in this for the same reason’ shared value systems 11-12, 25, 319

veterinary chiropractic therapy, mobility impairments 58

Veterinary Hospice Care 303 veterinary-client-patient relationships 10-12, 35, 37, 60-1

see also trust

videofluoroscopy 188 videos

mobility impairments 45

seizure disorders 145-6

viruses 73-4, 85-6, 211, 233, 283

see also adenovirus; distemper; individual viruses; influenza

visits 10-11, 209, 258, 306-8

vitamin B12 55-6, 245

vitamin C 51-2, 137-8, 235, 264

vitamin E 51-2, 137-8, 235, 236, 246

vitamin K 225, 236, 244, 245, 252

see also coagulopathies

VKH syndrome 86-7

vomiting 70-1, 83, 126, 153, 170-2, 175,

181-2, 190, 193-7, 205-9, 211-14,

224-5, 228, 230-1, 234-7, 241, 243-7, 249-50, 252, 303, 306

see also individual diseases/syndromes; nausea

controls 190, 230-1, 235-6, 246, 252

W

walking 92-3, 208, 312-15

water 6, 8, 63, 93, 206-9, 269, 315

‘we are both in this for the same reason' shared value systems 11-12, 25, 319 weight gains, mobility impairments 40, 45, 46 weight loss 48-52, 109, 153, 156, 159-62, 175, 176, 182, 184-5, 202, 205, 206, 214, 218, 224-5, 243, 249-53, 256, 258, 275, 287, 288-9, 293

see also diet...

chronic kidney disease (CKD) 156, 256, 258

chronic pancreatitis (CP) 182, 184-5 diabetes mellitus (DM) 175, 176 mega-colon 205, 206

ulcerative colitis 202

well-being 3-4, 5, 27, 36-7, 307-9

see also quality of life

Welsh Springer Spaniel 69

West Highland White Terrier 68, 69, 233 wheezing, feline asthma 285-9 whining 6, 309-11 white coats, nonverbal

communication 19-20

winning someone over, verbal communication 14

World Health Organization (WHO) 184

WSAVA Liver Standardization

Group 249

X

X-rays 98-100, 135-7, 146, 188-9, 206-7, 228, 244, 262, 273-4, 275, 277-8, 279, 281-2, 283, 288, 292, 298

xylitol 233

Ó

yeast 26-31

Yorkshire Terrier 217, 218, 255

Z

zinc 202, 218, 234, 235, 281

zinc sulphate fecal flotation 202, 281

Zollinger-Ellison syndrome 194, 197 zonisamide 148, 149

zonules, lens luxations/subluxations

89-91