Quality of Life Assessment 

For information on assessing the pain level in your pet please click on the links below:

Canine Pain Scale                   Feline Pain Scale 

Quality of Life Scale: The HHHHHMM Scale

You can use the items listed below in assessing your pet's quality of life, however this is highly subjective and may not be conclusive in determining whether quality of life is still good for your pet.   

Score patients using a scale of 1 to 10.

Score - A total over 35 points represents an acceptable quality of life (again highly subjective!) 



HURT - Adequate pain control, including breathing ability, is of top concern. Trouble breathing outweighs all concerns.  Is the pet's pain successfully managed? Can the pet breathe properly?  Is oxygen supplementation necessary?


HUNGER - Is the pet eating enough? Does hand feeding help? Does the patient require a feeding tube?


HYDRATION - Is the patient dehydrated? For patients not drinking enough, use subcutaneous fluids once or twice daily to supplement fluid intake.


HYGIENE - The patient should be brushed and cleaned, particularly after elimination. Avoid pressure sores and keep all wounds clean.


HAPPINESS - Does the pet express joy and interest? Is the pet responsive to things around him or her (family, toys, etc.)? Is the pet depressed, lonely, anxious, bored or afraid? Can the pet's bed be close to the family activities and not be isolated?


MOBILITY - Can the patient get up without assistance? Does the pet need human or mechanical help (e.g., a cart)? Does the pet feel like going for a walk? Is the pet having seizures or stumbling? (Some caregivers feel euthanasia is preferable to amputation, yet an animal who has limited mobility but is still alert and responsive can have a good quality of life as long as caregivers are committed to helping the pet.)


MORE GOOD DAYS THAN BAD - When bad days outnumber good days, quality of life might be compromised. When a healthy human-animal bond is no longer possible, the caregiver must be made aware the end is near. The decision for euthanasia needs to be made if the pet is suffering. If death comes peacefully and painlessly at home, that is okay.


*A total over 35 points represents acceptable life quality

Adapted by Villalobos, A.E., Quality of Life Scale Helps Make Final Call, VPN, 09/2004, for Canine and Feline Geriatric Oncology Honoring the Human-Animal Bond, by Blackwell Publishing, Table 10.1, released 2006.

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