My 15-year-old Maltese can't walk. What are quality of life options?

I'm sorry your dog isn't doing well! I would be concerned that she may be in pain, and she could have a neurological problem causing her inability to walk. It's quite serious that she hasn't eaten for four days and can't get up. I work for a home euthanasia service, so I frequently encounter the question of when to put an animal to sleep. I always recommend looking at the dog's quality of life. When a dog can't stand up and isn't eating, their quality of life has declined to a point where humane euthanasia should be considered. She will be starving from not eating, and that will be painful to her. It's also probably distressing she can't get up. In this case, I personally don't think it would be fair to wait it out. You can have her seen by a vet tomorrow to see if there are pain medications to give her to see if that helps her get up and medications to stimulate her to eat. If those don't work, then letting her go peacefully is the most kind option for her. I'm sure that's not something you want to hear, and I'm very sorry that she is doing so poorly.

This is a great question! Determining quality of life in our beloved pets isn't an easy thing to do, since there are so many factors to consider. I recommend scheduling a "quality of life" consultation and exam with your vet. You can discuss the concerns and changes you're seeing in Shadow, and your vet will be able to offer their input on how he's doing. They may also recommend a trial of a pain medication if they feel it's appropriate, to see if he improves on it. In the meantime, here's a website for a group that does exclusively hospice and house call euthanasia. Their website has a lot of great resources on evaluating quality of life. Hope this helps. All the best to you and Shadow. https://www.lapoflove.com/Quality-of-Life

I am sorry you feel like Sox does not feel well. I would recommend starting off with a really good physical exam with your vet. The vet will be able to determine why he is not walking well. The main concern is arthritis/ joint disease vs neurologic disease. There are lots of options for pain control in our loved patients. There are a range of medications, supplements and even therapeutic procedures like a cold light laser an acupuncture. You can start an over the counter glucosamine and chondroitin supplement however any other medications need to be prescribed by a vet. If you decide with the vet that her pain is not controlled and you feel she has a poor quality of life it might be time to put her to sleep. Hopefully you and your vet can make a plan to avoid that from happening.

I work for a home euthanasia service, so I often get asked this question from my clients. I recommend making a list of five things your dog loves to do, and if he no longer does at least two of them, then his quality of life has declined to a point where humane euthanasia should be considered. This could include eating as well, as dogs do love to eat. Oftentimes, dogs are ready to go before we are ready to let them go, and they tend to hang on for the owner. I would make this list for your Corgi, and use that to help gauge his quality of life. If you'd like, I'd be glad to consult with you on this issue to give you more in depth help. Just click the "consult online" button under my answer. I hope this helps!

As a veterinarian, am obligated to focus on Coco's health and comfort, which is currently severely compromised by his pain levels and lack of mobility. Given the number of posts you have placed expressing the severe distress Coco has experienced for many months, it is obvious that you recognize the degree of pain and suffering he is experiencing from his developmental disease. Such severe presentations rarely resolve, even with invasive surgical options. It is clear his pain to date has not been controlled by any of the methods you and your veterinary and PT teams have tried with him, and I have concerns that he is suffering and that this will be ongoing for the remainder of his life. As much as none of us like to euthanize animals, there are cases in which we are unable to manage their pain to achieve an acceptable [quality of life](https://www.petcoach.co/article/how-to-assess-your-pets-quality-of-life) for them and in such situations it is necessary to consider what is the kindest option for the patient, and not ourselves. Referral to a specialist orthopedic surgeon, experienced in treating growing animals, would be the best way to explore if any surgical procedures could provide some additional relief, but these would be extremely invasive and painful to recover from.

I am so sorry to hear that your pet has so many major issues that are debilitating and causing her to have a poor quality of life. I do think that if her condition cannot be improved with medications then it is someting you should discuss with your veterinarian. Humane euthansia, although it is probably not something you want to consider, should be considered if Sophie is not able to helped with medical management. However, there are pain medications that can be tried to see if they make a difference. You can discuss with your vet about trying Tramadol and/or Gabapentin to help with pain management. Probiotics can also be tried to help with her diarrhea, as well as a high fiber diet such as Royal Canin Gasrointestinal High Fiber (Rx). It sounds like she may have cancer involving her nervous system, which is why she can't maintain her mobitliy well. Poor girl. I hope that you can come to terms with her condition and maybe there is more you can try with her. Best wishes with Sophie. We are also available for a private consultation if you need to discuss more about Sophie's condition and futher care recommendations. Take care.

Making the decision to euthanize your pet is never easy. I usually recommend owners make a list of all the things their pet loved/loves to do. For instance, did she used to love to eat, go on walks, play with a special toy, get tummy rubs, go on car rides, etc. Now you make a check mark on the day she does that. As well as noting her appetite and if she can go out to go potty and not have accidents. When she starts to have more bad days than good days it is a sign that her quality of life is poor. You know her best. While her blood work isn't showing any problems there could be medical problems that won't. Just know that this is an extremely difficult decision but know that you have Cheyennes best interest at heart. I hope this helps. Kisses to Cheyenne!