Palliative care for dogs and cats in France: A qualitative and descriptive study based on professionals of the field

A. Loscos , G. Marignac
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Abstract

Background

Little academic research has been done on palliative care for dogs and cats in France. However, palliative care (PC) is often practiced in veterinary hospitals without naming it precisely, providing great opportunities for the management of pets’ life-threatening diseases.

Method

In order to assess how pet end-of-life support is performed and PC could alleviate associated ethical dilemmas, we performed a qualitative study by interviewing two human PC professionals and nine veterinarians who often deal with pet end-of-life. After these interviews, we also made a comparison with existing literature, which mainly consists on experience sharing.

Results

Globally, the interviewed veterinarians define palliative care for dogs and cats as the support of a dog or a cat with a life-threatening disease intended to treat clinical symptoms, pain and suffering without curing the patient, giving its quality of life a high priority. It can be done at any stage of the disease. Support should also be provided to the pet's owners, always with emphasis on the quality of life of the animal. All veterinary interviewees, as opposed to human medicine professionals, overlooked the support to the veterinary team included in a structured PC approach. Such a platform should include both in clinics and ambulatory care in order for the severely ill pet to stay as much as possible in a familiar environment. This also requires render to owner competent in pet nursing.

Conclusion

This preliminary work tends to show the relevance of the ethics of care approach structured PC would provide to pets. Support from professionals such as veterinary nurses is mandatory.

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法国对狗和猫的姑息治疗:基于该领域专业人员的定性和描述性研究
背景在法国,关于猫狗的姑息治疗的学术研究很少。然而,姑息治疗(PC)经常在兽医医院进行,没有确切的命名,为管理宠物危及生命的疾病提供了很大的机会。方法为了评估如何进行宠物临终支持以及PC是否能缓解相关的伦理困境,我们进行了一项定性研究,采访了2名人类PC专业人员和9名经常处理宠物临终问题的兽医。在这些访谈之后,我们也与已有的文献进行了比较,主要是经验分享。结果在全球范围内,受访的兽医将对狗和猫的姑息治疗定义为对患有危及生命的疾病的狗或猫的支持,旨在治疗临床症状、疼痛和痛苦,而不治愈患者,将其生活质量放在首位。它可以在疾病的任何阶段进行。支持也应该提供给宠物的主人,总是强调动物的生活质量。与人类医学专业人员相反,所有兽医受访者都忽视了结构化PC方法中对兽医团队的支持。这样的平台应该包括诊所和门诊护理,以便病情严重的宠物尽可能多地呆在熟悉的环境中。这也要求主人在宠物护理方面有能力。结论本初步工作倾向于显示结构化PC为宠物提供的护理方法的伦理相关性。兽医护士等专业人员的支持是强制性的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Ethics, Medicine and Public Health
Ethics, Medicine and Public Health Medicine-Health Policy
CiteScore
2.20
自引率
0.00%
发文量
107
审稿时长
42 days
期刊介绍: This review aims to compare approaches to medical ethics and bioethics in two forms, Anglo-Saxon (Ethics, Medicine and Public Health) and French (Ethique, Médecine et Politiques Publiques). Thus, in their native languages, the authors will present research on the legitimacy of the practice and appreciation of the consequences of acts towards patients as compared to the limits acceptable by the community, as illustrated by the democratic debate.
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