Covid-19 Update

Due to Covid-19 we are mainly focused on continuing our 24hr service for urgent home visits for euthanasia click here for more information. To be able to continue this we unfortunately had to reduce some other service temporarily, please accept our apologies.

We are on the road for urgent end of life veterinary home visits 24/7

Journeys Scale

JOURNEYS SCALE

The JOURNEYS scale is meant to get you thinking and considering the factors that affect your pet’s happiness and sense of well-being. There are no hard and fast rules, although in general a higher score is better. A score of 80 is a happy, healthy pet! A score of 8 is a pet that is suffering. A low score on any of the measures may be a reason to consider euthanasia. Please use this as a starting place to explore your pet’s quality of life, and address your concerns with your veterinarian.

For each variable there is an assigned value of 10 points with an example for scores of 1, 5 and 10 as guidance. Use your judgment to decide how your pet scores.

For Example: E - Eating and Drinking, if your pet "only eats treats" you may assign a value of 2 or 3- higher than 1 which is not eating at all, but less than 5 which is eating slightly less of their regular food than is normal for them.

Please fill in all options below

JOURNEYS Score {{journeysScore}}

A score of {{journeysScore}} would indicate that your pet is happy and doing well. This is the score we would expect for a healthy, happy adult dog.

A score of {{journeysScore}} would indicate a pet that has a good to fair quality of life and is still able to enjoy the things that are important to them. Is there one area that is particularly low scoring? Ask us for advice on 0333 3208731

If the score of {{journeysScore}} would indicate that your pet is experiencing some challenges and would benefit from additional support. We would advise you to contact our team on 0333 3208731 to see what we can do to help your pet with their current quality of life.

A score of {{journeysScore}} would be very concerning and it would be advised to contact us as soon as possible on 0333 3208731

Please bear in mind that these measurements are very subjective and cannot be used solely to assess a pet's quality of life. Here at Dignipets we always consider the physical, emotional and social well-being of your pet and you; the primary caregiver. If you would like to discuss quality of life further please contact us to book a quality of life assessment online visit with one of our vets by calling 0333 3208731 or emailing [email protected]

J: Jumping or Mobility

  • 1pt: Your pet cannot walk or stand without assistance.
  • 5pt: Your pet can move around as long as he/she has their pain medication. They can do about half the activities they did when they were healthier, or can get about half the distance on a walk, or spend half the time doing their activities (chasing a Frisbee, swimming, hunting) as they used to.
  • 10pt: Your pet is fully active and enjoying all their activities.

Your selection:

O: Ouch or Pain

  • 1pt: Your pet seems painful (whining, crying, not willing to move) even while taking pain medication. Note: many animals will hide pain or weakness as a survival trait.
  • 5pt: Your pet is on pain medications and they are helping at least 75% of the time.
  • 10pt: Your pet is pain free.

Your selection:

U: Uncertainty and Understanding

  • 1pt: Your pet has a diagnosis (medical condition) that cannot be predicted. You may not understand your pet’s diagnosis, or the problem may be prone to sudden, catastrophic events.
  • 5pt: Your pet has a medical condition that can change over time, is currently stable, and you are able to monitor it (with the help of your veterinarian) and make adjustments when necessary. You understand what to watch for, the treatment plan, and when your pet needs medical attention.
  • 10pt: Your pet is happy and healthy; there are no medical issues beyond routine preventative care.

Your selection:

R: Respiration or breathing

  • 1pt: Your pet has severe episodes of difficulty breathing, coughing or open mouth breathing. They are not eating or drinking in an effort to breathe. At this point you should seek immediate medical attention for your pet.
  • 5pt: Your pet has occasional bouts of coughing, wheezing, or exercise intolerance. They are short (less than 2 minutes) and they are on medication from your veterinarian that can be adjusted to help.
  • 10pt: Your pet has no coughing, wheezing, or exercise intolerance.

Your selection:

N: Neatness or hygiene

  • 1pt: Your pet spends time laying in their urine and/or faeces. They may be unable to control their elimination, or be unable to move after elimination. Your pet may have an external tumour or mass that is bleeding, foul smelling, and infected, and you are unable to keep it clean and/or bandaged. Your pet may have pressure sores (bed sores) from lying down and being unable to move.
  • 5pt: Your pet may need assistance to urinate/defecate but they do not spend time lying in their waste. They are able to hold their urine/faeces until they get assistance. They may have an external tumour or mass, but it can be kept clean and/or bandaged and it is not infected. They groom themselves, but may need assistance in some areas (example-rear end).
  • 10pt: Your pet can urinate, defecate, and groom themselves without assistance. They have no medical issues that are causing them to have a bad odour. You can provide any care issues to address their hygiene (baths, trip to the groomer, anal gland expression, teeth cleaning, etc.)

Your selection:

E: Eating and drinking

  • 1pt: Your pet is refusing food and water. They may be vomiting or having diarrhoea (or both). They may be nauseous. Cats may “hang out” at the water bowl, next to it, or with their heads hanging over it.
  • 5pt: Your pet is eating more slowly, and is not as interested in food as they used to be. They may go back several times before they finish a meal. They are eating slightly less than usual, but are eating their regular food.
  • 10pt: Your pet is eating and drinking normally.

Your selection:

Y: You

  • 1pt: You are constantly worried about your pet. You may not understand what is happening to them. You feel overwhelmed and stressed trying to provide for their needs. You may feel you are unable to provide for their needs physically, emotionally, or financially. You may be worried about how they will fare when you are away on an upcoming trip. There may be tension in the family and disagreement on how to proceed.
  • 5pt: You understand your pet’s condition, and are able, with some effort, to meet their needs. You may have concerns, but they are manageable.
  • 10pt: You are easily able to meet your pet’s needs, and not worried about any aspect of their care.

Your selection:

S: Social ability

  • 1pt: Your pet does not spend time with the family. They may hide, become irritable or snippy if bothered. Some pets that do not enjoy being petted may not seem to care if they are petted. Perhaps your pet is unable physically to get to the room where they usually spend time with others.
  • 5pt: Your pet spends at least half the time with the family. They are not irritable or snippy. They happily greet you when you come home.
  • 10pt: Your pet enjoys you, the family, and others (including other animals they may know), greets you at the door when you arrive home, and seeks out company.

Your selection:

Please fill in all options above

JOURNEYS Score {{journeysScore}}

A score of {{journeysScore}} would indicate that your pet is happy and doing well. This is the score we would expect for a healthy, happy adult dog.

A score of {{journeysScore}} would indicate a pet that has a good to fair quality of life and is still able to enjoy the things that are important to them. Is there one area that is particularly low scoring? Ask us for advice on 0333 3208731

If the score of {{journeysScore}} would indicate that your pet is experiencing some challenges and would benefit from additional support. We would advise you to contact our team on 0333 3208731 to see what we can do to help your pet with their current quality of life.

A score of {{journeysScore}} would be very concerning and it would be advised to contact us as soon as possible on 0333 3208731

Please bear in mind that these measurements are very subjective and cannot be used solely to assess a pet's quality of life. Here at Dignipets we always consider the physical, emotional and social well-being of your pet and you; the primary caregiver. If you would like to discuss quality of life further please contact us to book a quality of life assessment online visit with one of our vets by calling 0333 3208731 or emailing [email protected]
© DR. Katie Hilst, DVM web: HilstVet.com JOURNEYS A Quality of Life Scale for Pets
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