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    Complete Care for Your Aging Cat

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      Pet cemeteries provide a “formal” burial arrangement. That

      may include the plot, casket, a gravestone or marker with inscription,

      or even a burial service. These cemeteries can be expensive, though.

      Cremation has become a popular choice particularly for urban pet

      owners. It’s typical y less expensive than a cemetery. The pet’s ashes

      can be kept in container of your choice in your home, garden, or even

      scattered in a memorial ceremony. Ask your vet for a local referral for

      a pet cemetery or crematorium service.

      Funeral ceremonies, memorials such as planting a tree, or making

      a charitable donation in memory of a beloved pet offer wonderful

      memorials for the departed cat. Some veterinarians wil make a paw

      impression for you, or you may wish to keep a lock of fur. There are no

      wrong choices. “Little things like that real y help an owner through the

      grieving process,” says Dr. Garrett. A formalized type of memorial can

      be particularly helpful to children. “We have to show children that

      bereavement is a loving process of remembrance,” says Dr. Sife.

      After the death of a cat, some people want another cat right

      away while others may never be ready for another pet. Each person

      has a different timeframe. But cats seem to have their own timeframe

      and often our “next” feline love chooses us. It’s not uncommon for

      owners to say that the deceased cat “sent” the new one. If that

      happens—rejoice, and enjoy your new friend, not as a replacement

      but as a legacy to her memory. After al , other cats need you, and such

      unselfish love should not be wasted.

      Death is a natural process. It wil come despite our best efforts to

      delay the inevitable. But it does not have to be scary, or painful, or bad

      —dying can, in fact, be a beautiful, loving experience for both you and

      your cat. “We are the best memorials that we can create for our pets,”

      says Dr. Sife. “If we can make our lives better because of them, that is

      a wonderful tribute.”

      Comfort Zone

      Memorializing your cat can be a comfort to you and tribute to her life.

      Memorials can be expensive purchases, such as a grave marker, or

      something as simple as creating a scrapbook ful of memories. There

      is no right or wrong way, and creative remembrances that are

      individual to your cat wil mean the most.

      Write a letter or poem to your cat. Tributes can be posted at

      Rainbow Bridge or other sites. She can even be honored in a

      “virtual” pet cemetery.

      Donate money in your pet’s honor to a worthy animal

      organization.

      If your friend is grieving, send a note of sympathy. Hal mark

      launched its Pet Love Greetings line in 1995 that includes

      sympathy cards, and other cards are also available. You could

      purchase a blank card with a cat il ustration on the front and

      send a personal note.

      Commission a portrait from an animal artist

      Inscribe a headstone, grave marker, or other keepsake with

      your cat’s name. Pet memorial slate stepping stones, custom

      engraves slate and glassware for pet memorials, and photos of

      your special cat can be made into wal plaques.

      Make a paw print impression. Kits are available that include

      molding clay that’s baked in the oven.

      Caskets, boxes, urns and containers for cremation remains are

      another option. You may wish to save the pet’s tag, lock of fur,

      toy, or cremated ashes.

      Golden Moments: Midgie’s Legacy

      Five-year-old Midgie came to live with Wendy Braun of Albany, New

      York, ten years ago. The frightened black and white cat lost her owner

      and needed a new home. It took a little over a month to bring the

      beautiful cat out of her shel , and then Midgie claimed Wendy as her

      special person.

      When chronic medical problems required Wendy to be

      hospitalized, Midgie refused to move from the door until she returned.

      Wendy says it made an important difference in her wel being. “I

      believe Midgie was sent to me,” she says, and as each year passed,

      the bond between the two became stronger.

      Then last April, Midgie began wheezing, and the veterinarian

      diagnosed asthma. “I told myself medication would take care of her.

      But something told me she didn’t have a whole lot longer to live,” says

      Wendy.

      Wendy’s brother recommended she put the cat to sleep, and get a

      healthy cat that needed a home. “But she was my best friend,” says

      Wendy. The cat had been there for Wendy during her own il nesses,

      the death of close friends, and an extremely traumatic separation and

      divorce. Their deep love and special relationship made the thought of

      losing Midgie even more difficult. “It was the first time in my whole life

      that I cried,” says Wendy. She was determined to support her friend

      during this time of need.

      Midgie fought being medicated, so Wendy devised creative

      schedules and a treatment box that the cat readily accepted. Wendy

      also learned to value the affection they shared during crises as much

      as the love felt during the peaceful times. “That’s a hard lesson to

      learn when you’re frightened,” says Wendy.

      Eventual y the cat stopped fighting and relaxed. “It was a whole

      different love. She literal y put herself in my hands,” says Wendy, stil

      moved to tears at the memory. Knowing the end was near, Wendy

      asked her veterinarian what to expect. “I had never seen an animal

      die, and Midgie didn’t need me being hysterical,” says Wendy. “She

      needed to draw on the love that I had for her rather than my fear.”

      Midgie died at home, in Wendy’s arms, and felt her friend’s love

      until the end.

      Dealing with the aftermath was difficult because other people didn’t

      understand or support her feelings. Wendy chose to honor the cat’s

      memory, despite what others thought. She took three days off from

      work, sought out grief counselors, posted to Internet message boards

      to talk about her loss, and slowly the pain grew less as she began to

      dwel more on happy memories.

      A box with a picture of a tuxedo cat that looks like Midgie holds

      her ashes, and has a place of honor in Wendy’s office. The

      medication box the has become a planter memorial to the cat, and

      Wendy is making a scrapbook to hold pictures, a lock of her fur, and

      special favorite toys, like a feather Midgie loved.

      “Cats bond with us at a level that most human beings don’t get to.”

      Wendy knows that Midgie wil always be a part of her heart. “I miss her

      quiet steadfast, peaceful mature nature. Even though it’s sad she’s

      gone, I’ve learned to enjoy her legacy,” says Wendy. Midgie taught

      Wendy how to grieve, and then heal without giving up on love. “You

      can love in death as wel as life.”

      PART TWO: A-to-Z HEALTH CONCERNS

      ARTHRITIS

      Arthritis is a degenerative disease of the joints. It’s caused by

      inflammation and degradation of the cartilage that results in

      increasing pain that interferes with mobility. Unlike dogs, cats with

      arthriti
    s often show few if any symptoms until the condition has

      become severe, says Kathleen Linn, DVM, an orthopedic surgeon at

      the University of Wisconsin (now at Western Col ege of Veterinary

      Medicine, University of Saskatchewan, Canada). She attributes that to

      the cat’s lighter weight and athleticism. “Cats are very good at

      protecting things that hurt. They can have terrible arthritis on X-rays

      and you’d never know.”

      Because of their habit of hiding infirmities, cats are less likely

      to be diagnosed with arthritis—but that doesn’t mean they aren’t

      suffering, says Dr. Little. You just have to look for the condition. “I see

      a lot of cats with arthritis,” she says. “In the past it was attributed to

      getting old, when in reality Kitty may not want to go down three flights

      of stairs to get to his litter box because his hips hurt. We have to start

      realizing there may actual y be a medical reason that can be treated,

      instead of just blaming it on old age.” Recent surveys suggest up to 75

      percent of senior cats suffer from some degree of arthritis.

      Morris Animal Foundation has funded a pilot study at the

      University of Montreal to look at both the behavior and anatomy of cats

      to diagnose the disease. Dr. Eric Troncy, professor at the University

      of Montreal says MRI is much more sensitive in showing structural

      changes in the limbs of cats, which can help veterinarians identify joint

      disease. In animals with the disease, the normal cartilage cushion in

      the joint breaks down, and the bones rub against each other, but the

      resulting damage may not be visible on traditional X-rays.

      Cats with arthritis walk differently and put more weight on their

      unaffected limbs. The researchers wil develop a pain scale and a

      quality-of-life scale with gait analysis and telemetered locomotor

      activity monitors. This is the first study designed to validate both the

      objective and subjective pain of feline arthritis, and may lead to more

      effective diagnosis and treatment.

      Senior Symptoms

      Cats rarely vocalize from pain. “They’re very stoic creatures,” says Dr.

      Linn. “Owners frequently don’t think their animals are in pain until

      they’re having a real y tough time getting around.”

      Overal reduction in activity, sleeping a lot, and simply not

      moving at al , especial y in the morning. Movement warms up the

      joints and mobility often improves later in the day.

      Reluctance to jump up onto, or off of the couch, the bed, or the

      countertop, or use the stairs.

      Failure to groom

      Limping or holding up a paw or leg

      Specialized tissue cal ed cartilage cushions the ends of the

      bones that form joints, and al ows the bones to move freely against

      each other. A joint capsule encases the cartilage and contains a fluid-

      producing membrane that lubricates and maintains cartilage health.

      The natural motion of the joint pumps this synovial fluid where it’s

      needed.

      Injury to the cartilage from trauma, such as broken bones,

      predisposes the cat to arthritis as he ages. Damage and inflammation

      develop when the bones fit imperfectly in the joint and erode the

      cartilage when they rub together. Damaged cartilage releases

      inflammation-causing enzymes, which interferes with elasticity, and

      the ability of the joint capsule to nourish and repair itself. The resulting

      pain causes cats to stop moving, and that causes even more damage

      when loss of motion reduces the distribution of the synovial fluid.

      Loose or torn tendons are more common in dogs but can also

      occur in cats. Tendons and ligaments normal y hold the bones in

      place, and tears cause joint instability that leads to arthritis. For

      example, a torn anterior cruciate ligament can cause knee instability

      that eventual y results in arthritis.

      It’s hard to say which cat breeds are more prone to arthritic

      changes because no specific studies have been done. Greater weight

      places more stress on the joints, so larger cats such as Maine Coon

      cats and those that are overweight tend to have more arthritis. Any cat

      can develop it, though, and they become more prone the older they

      get.

      The most common area affected is the hip, which may

      develop as a consequence of dysplasia. This is a

      developmental disease in which the hip joints do not fit

      correctly. Lightweight and athletic cats often compensate and

      may never show problems, but as they age, they’re more likely

      to experience discomfort. Elbows, back, and knees also may

      develop arthritis. Affected cats typically have trouble keeping

      themselves well groomed because it hurts them to stretch and

      flex to reach everywhere.

      Arthritis usually is diagnosed based on symptoms and X-

      rays. Once arthritis is diagnosed, therapy consists of any one

      or combination of surgery, physical therapy, medical

      management (drugs), weight control, and acupuncture.

      Nonsurgical Treatment

      James L. Cook, DVM, an orthopedic surgeon at University of

      Missouri, recommends a triad approach to the nonsurgical

      management of arthritis. This includes weight control, exercise, and

      pain relief such as medication, acupuncture or other therapies.

      The first thing to realize is that a cure is not possible. Arthritis won’t

      get any better once the damage has been done. But the severity of the

      symptoms can be lessened. “Our goals are to decrease pain,

      increase function, and increase quality of life and slow down

      progression,” says Dr. Cook.

      Owners have to monitor the cat’s treatment in order to measure

      success. Improvements can be subtle, so keep a chart that logs and

      compares progress of symptoms, says Dr. Cook. That record helps

      the veterinarian decide if a particular therapy is helpful or not, and

      adjust the treatment accordingly. Since you live with your cat, and are

      more closely attuned to his wel being, your input is vital to helping the

      cat maintain quality of life. “The last thing I want to do is change things

      that may be working,” says Dr. Cook. You can use a form such as the

      Arthritis Report Card to keep track of the cat’s status.

      Age-Defying Tips

      Arthritis almost always develops as a result of joint injury earlier in life,

      so prompt repair or treatment prevents problems later. Once your old

      cat has any degree of arthritis, you can slow down the progression

      and even reverse some of the signs, says Michael G. Conzemius,

      DVM, a veterinary surgeon at Iowa State University.

      Keep kitty active. Low-impact exercise is ideal to help keep

      joints from stiffening. Entice him with a treat or ribbon lure to

      keep him moving.

      Keep cats thin. Added weight puts more stress upon joints.

      Regular exercise along with a reduced-calorie “senior” diet

      helps reduce or control weight.

      Weight Control

      “Weight loss for cats is important,” says Dr. Linn, and is probably

      the most critical aspect of the triad approach. “A lot of cats look like

      basketbal s and always have a hard time getting around,” she says.


      “Weight loss is almost always the first and most important thing.”

      Great care must be taken with reducing diets, though, because a

      crash diet in cats can cause life-threatening liver problems cal ed

      hepatic lipidosis, or fatty liver disease. If the cat is already at a good

      weight, he should maintain it, says Dr. Cook. “We give owners the little

      Purina body condition score, and tel them we want them somewhere

      around a 4 or 5, which is the leaner ideal on that scale.”

      Exercise

      The second part of the triad is moderate exercise. “It’s better for

      them to get up and move around than to just lie around the house al

      day,” says Dr. Linn. Dogs are easier to exercise, and swimming is

      considered an ideal activity for loosening arthritic joints. Cats, though,

      rarely care for water sports and may also be reluctant to walk on a

      leash. “Slow walks on a leash is fairly low-impact. It doesn’t bang on

      the joints,” says Dr. Linn.

      Even old cats can learn new tricks, though. Choose a figure-8 style

      harness and get the cat used to the idea first simply by petting him

      with the leash and harness. This helps him associate pleasant things

      with the equipment and also identifies them with his own comforting

      scent. Leave the halter and leash out in the room for him to sniff and

      investigate at his leisure. Try to entice him into a chase game with the

      end of the leash--if he identifies it with a toy, it won’t seem so scary.

      After a day or two, fit the halter on the cat, leave on for a minute,

      reward him with a game or treat, and then remove it. Repeat this

      exercise several times a day over the next few days, gradual y

      increasing the amount of time he wears the halter. Final y, hook on the

      leash, pick up the end, and fol ow your cat around the house. Once

      he’s used to this, you can begin to guide him with gentle tug-releases

      on the leash to keep him moving. A halter and leash al ows your cat to

      be safely walked around the house or even in the backyard, which

      may inspire him to exercise a bit more to investigate al the new

      smel s and sights.

      Teaching a reluctant cat to accept the halter and leash takes quite a

      bit of patience. A more painless method capitalizes on the cat’s own

      instincts. “About the most useful way to get a cat up and moving is to

      play,” says Dr. Linn. “Find something she wants that gets her attention

     


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