Pet Loss and Grief: Identifying At-risk Pet Owners during the Euthanasia Process

Pet owners often experience complex and profound grief reactions when their animals are euthanized. Veterinary staff are increasingly being called upon to be aware of and to respond to the grief reactions of pet owners at this critical time. The objectives of this study were to identify pet owners who are most at risk of grief and to suggest veterinary interventions during the euthanasia process. A convenience sample of 409 pet owners whose animals had been euthanized in the past year took part in a survey. Variables of interest included pet and pet-owner demographics, pet-death characteristics, attachment to pet, and bereavement reactions. Stepwise multiple regression analyses were conducted to identify factors related to the three grief reaction subtypes: sorrow, anger, and guilt. Results indicated that attachment to pets was a strong predictor of feelings of grief/sorrow (p < 0.001) and anger (p < 0.001). Sudden death was also related to feelings of anger (p < 0.05). Cancer diagnosis was negatively related to feelings of anger (p < 0.05) and guilt (p < 0.01). The findings from this study provide additional insight into the complexity of grief following pet euthanasia. For veterinary staff, anticipating the needs of pet owners and supporting them through the grief process is an integral role. Understanding which pet owners are at greatest risk of grief is an important initial step, followed by empathic communications, sensitive interactions, and the provision of grief support.     

There for You: Attending Pet Euthanasia and Whether this Relates to Complicated Grief and Post-Traumatic Stress Disorder

ABSTRACT

Recognizing the deep relationship between grief and the loss of a companion animal, veterinarians and mental health practitioners often find themselves consoling pet owners both prior to and in the aftermath of pet euthanasia. Yet how does euthanasia influence this bereavement process? To explore this we examined, using a survey, the correlations between pet euthanasia, Complicated Grief (CG), and Post-Traumatic Stress Disorder (PTSD) amongst a diverse range of pet owners from the state of Hawaii. Participants (n = 236) completed a 37-item questionnaire, the Inventory of Complicated Grief Revised Short Form (ICG-R-SF), and the PTSD Checklist (PCL). Of the participants, 3.4% and 4.7% met the criteria for CG and PTSD, respectively. This paper explores and subdivides respondents into those who attended their companion animal’s euthanasia and those who did not. Our results indicate that physically attending a companion animal’s euthanasia is not correlated with CG or PTSD. As the experience of pet loss itself may be more indicative of psychological distress than whether or not the owner was present at the moment of euthanasia, veterinary staff need not dissuade pet owners from sharing their pet’s final moments.     

“They Burn Brightly,But Only for a Short Time”: The Role of Social Workers in Companion Animal Grief and Loss

The human–animal bond is a relational theory which describes the dynamic between humans and nonhuman animals that satisfies needs in each for companionship and emotional support, framing companion animals as valued family members. Social workers have historically ignored the central role companion animals play in the lives of their clients, adopting an anthropocentric view underpinned by human rights and social justice. However, the need for companion animal-inclusive practice features in recent social work literature. As companion animals are intricately woven into the lives of their guardians, it follows that their inevitable death brings a profound sense of loss and thus an opportunity for social work intervention. The aim of this research was to see if there was a role for social work practitioners to support grieving animal companion guardians. Qualitative thematic analysis was performed on 218 candid online responses to an article on the topic of losing a companion animal, from which four major themes were identified: strength of the bond, anthropocentrically disenfranchised grief, anticipatory grief in the context of euthanasia, and the need for professional support. This analysis demonstrates the strength of the human– animal bond, illustrates how the dominant anthropocentric hegemony disenfranchises this variety of grief and loss, describes the experience of anticipatory grief in the context of euthanasia, and identifies the need for professional support. Implications for social work practice are identified, with opportunities for social workers to exchange their anthropocentric approach for a biocentric view, provide support to veterinarians and other professionals, and to work toward challenging the social constructs, which disenfranchise companion animal loss.     

Exploring the Grief Experience Among Callers to a Pet Loss Support Hotline

The present study explored the grief experience among callers to the Ontario Veterinary College Pet Loss Support Hotline (PLSH). Summary notes (n = 75) of the conversations between callers and PLSH volunteers were qualitatively analyzed using content analysis. Major content categories emerging from the analysis include personal pet narrative; perceived support sources; grief experiences; relationship with pet; memorialization; grief coping strategies; grief triggers; decision to euthanize; and veterinary interaction. Findings support that pet loss grief is a broad, complex construct, which can be complicated by a pet owner’s perceptions that they have minimal social support sources and negative veterinary interactions. Pet owners involved in the current study appeared comfortable sharing personal stories about their pet’s death when asked. In addition, memorialization appeared to be widely used by PLSH callers and may have helped them cope with their loss. Importantly, the interaction with veterinary staff was identified to potentially aggravate or alleviate a pet owner’s grief experience. Implications for mental health counselors and veterinary staff are that asking pet owners to tell their pet’s story and explore their support network may have value following the loss of a pet. Also, effectively communicating about memorialization and grief coping strategies may be beneficial when talking to owners experiencing grief. Finally, there continues to be a need for curricula and continuing professional training courses for veterinarians and mental health counselors to address topics such as the human–animal bond, grief, euthanasia, and memorialization practices.     

Rates of euthanasia and adoption for dogs and cats in Michigan animal shelters

Estimates of canine and feline euthanasia at U.S. animal shelters—largely based on voluntary surveys with low response rates—make it difficult to estimate the population from which the euthanized animals derive. Estimates of euthanasia rates (animals euthanized per unit of population) have varied widely and been available only sporadically. This study used requirements of Michigan state law (Pet Shops, Dog Pounds, and Animal Shelters Act, 1969) for animal shelters to collect admission and discharge data for all 176 Michigan-licensed animal shelters. In 2003, Michigan shelters discharged 140,653 dogs: Of these, 56,972 (40%) were euthanized; 40,005 (28%) were adopted. This annual euthanasia rate is 2.6% of the estimated 2003 Michigan dog population. Michigan shelters discharged 134,405 cats in 2003: 76,321 (57%) by euthanasia and (24%) by adoption. The estimated ratio of euthanized cats to cats who had owners was 3.1%. Small shelters and privately owned shelters were associated with higher adoption rates. Comparison with historical information from the past 10 to 20 years suggests the number of companion animals being euthanized in shelters has decreased and that progress has been made in reducing the companion animal overpopulation problem.     

Impact of a bilingual mobile spay/neuter clinic in a U.S./Mexico border city

There are between 4 and 10 million dogs and cats killed annually in the United States. Although there are no accurate national estimates of the number of companion animals who are sterilized surgically. Approximately 26,000 companion animals are euthanized annually in El Paso County, Texas, located on the U.S./Mexico border. In an effort to determine if a readily available spay/neuter program would be cost effective and eventually help to lower the county's euthanasia rate, a mobile spay/neuter clinic began operation for a 5-month period in 2004, using a volunteer veterinarian and paid staff. Sterilizations performed totaled 1,108: 959 dogs (372 males and 587 females) and 149 cats (50 males and 99 females). The per companion animal sterilization cost of $15.13 ($27.83 had the veterinarian been paid) was considerably cheaper than the rate of $57 per companion animal achieved by a local voucher program contracting with private veterinarians to perform reduced-cost sterilizations.     

盐酸羟考酮注射液用于腹部全麻患者术后镇痛的有效性和安全性

目的:探讨盐酸羟考酮注射液用于腹部全麻患者术后镇痛的有效性和安全性。方法:选择2016年1月至2016年12月来我院治疗的择期全麻下行腹部手术的患者60例。按照治疗方法,采用随机数字表法将患者平均分为硫酸吗啡注射组(简称吗啡组)和盐酸羟考酮注射组(简称羟考酮组),每组30例。用药3、24、48 h后,采用VAS方法对患者进行疼痛评分。记录术后48 h内患者补救镇痛率以及患者对镇痛的满意度。记录72 h后患者恶心、呕吐等不良事件的发生情况。结果:镇痛48 h内的不同时间点,两组间VAS评分、补救镇痛率与吗啡组相比无显著差异(P0.05)。羟考酮组术后不良事件发生率为16.7%,显著低于吗啡组40.0%(P0.05),羟考酮组患者镇痛满意度显著高与吗啡组(93.3%vs.70.0%),差异具有统计学意义(P0.05)。结论:盐酸羟考酮注射液的镇痛效果与硫酸吗啡相当,且可安全有效地改善患者术后生活质量,提高患者满意度。     

Unwanted Horse Population in Illinois: Perceptions of Horse Owners,Non-Horse Owners,and Equine Industry Stakeholders

This paper presents the results of an investigation to determine perceptions, awareness, and knowledge of the unwanted horse population in Illinois from the viewpoint of horse owners, non-horse owners, and equine industry stakeholders. A questionnaire included items that pertained to knowledge of current legislation, equine background, current methods of controlling the unwanted horse population, and methods that respondents believe would reduce the unwanted horse population in Illinois. Results indicated that 58% of horse owners viewed horses as companion animals. Respondents perceived financial hardship to be the major reason why horses become unwanted. Current methods of managing unwanted horse populations were found to be ineffective. Reducing the costs of euthanasia and carcass disposal, allowing processing facilities to reopen in Illinois, and increasing the availability of gelding programs emerged as the most effective ways to manage the unwanted horse population. Results of this survey may lead to greater awareness of the unwanted horse population in Illinois. Furthermore, these results may lead to discussions about future legislation in the State designed to support and manage unwanted horses.     

Alberta euthanasia survey: 1. Physicians' opinions about the morality and legalization of active euthanasia.

OBJECTIVE: To ascertain the opinions of a sample of Alberta physicians about the morality and legalization of active euthanasia, the determinants of these opinions and the frequency and sources of requests for assistance in active euthanasia. DESIGN: Cross-sectional survey of a random sample of Alberta physicians, grouped by site and type of practice. SETTING: Alberta. PARTICIPANTS: A total of 2002 (46%) of the licensed physicians in Alberta were mailed a 38-item questionnaire in May through July 1991; usable responses were returned by 1391 (69%). RESULTS: Of the respondents 44% did believe that it is sometimes right to practice active euthanasia; 46% did not. Moral acceptance of active euthanasia correlated with type of practice and religious affiliation and activity. In all, 28% of the physicians stated that they would practice active euthanasia if it were legalized, and 51% indicated that they would not. These opinions were significantly related to sex, religious affiliation and activity, and country of graduation. Just over half (51%) of the respondents stated that the law should be changed to permit patients to request active euthanasia. Requests (usually from patients) were reportedly received by 19% of the physicians, 78% of whom received fewer than five. CONCLUSIONS: This survey revealed severely disparate opinions among Alberta physicians about the morality of active euthanasia. In particular, religious affiliation and activity were associated with the polarized opinions. The desire for active euthanasia, as inferred from requests by patients, was not frequent. Overall, there was no strong support expressed by the physicians for the personal practice of legalized active euthanasia. These data will be vital to those involved in health education and public policy formation about active euthanasia in Alberta and the rest of Canada.     

Equestrian Coaches' Understanding and Application of Learning Theory in Horse Training

ABSTRACT

To assess the knowledge of learning theory among accredited equestrian coaches in Australia, a 20-item questionnaire was distributed to all coaches registered with the National Coaches Accreditation Scheme in Australia (n = 830). Of the 206 respondents, 79.5% considered positive reinforcement to be “very useful,” yet only 2.8% correctly explained its use in horse training. When asked about the usefulness of negative reinforcement, 19.3% of coaches considered it “very useful,” with 11.9% correctly explaining its use. Punishment was rated “very useful” by 5.2% of respondents, although only eight coaches (5.4%) explained punishment correctly. Release of pressure was considered the most effective reward for horses among respondents (78.2%). These results indicate that many equestrian coaches lack a correct understanding of positive and negative reinforcement as they apply to horse training. Given that qualified coaches play a significant role in the dissemination of information on training practices, this highlights the need for improved education of equestrian coaches. Education to remedy this situation has the potential to enhance the welfare of horses through reduced behavioral conflict and improve training outcomes.     

Occupational Stress in Veterinary Nurses: Roles of the Work Environment and Own Companion Animal

ABSTRACT

Veterinary nursing has been identified as an occupation at risk for occupational stress and burnout, but a better understanding of job stressors and influencing factors is needed. The aim of this study was to examine occupational stress in a veterinary nursing population based on established work stress theories. This study sought to determine which environmental aspects of the work situation may be detrimental to well-being and which factors may operate to reduce job stress. A sample of South Australian veterinary nurses (n = 127) completed a postal questionnaire about their work environment (job demands and control, work social supports) and their psychological distress, work burnout, and job satisfaction, with a response rate of 76.5%. The potential influence of attachment to participants' own companion animals was investigated using the Owner Pet Relationship Scale. Hierarchical regressions then explored the contribution to psychological outcomes, of social support at work and attachment to own companion animal, after controlling for work load, exposure to euthanasia, contact with clients, work demands, and work control. While social support at work ameliorated occupational stress, attachment to companion animal was linked to decreased job satisfaction. Supportive interpersonal relations in the workplace have a key role in veterinary nurses' job satisfaction. Management skill training may have a role in the development of more satisfying workplaces for the veterinary nursing sector, which may have implications for the undergraduate and post-registration training of veterinary practice managers.     

Alberta euthanasia survey: 2. Physicians' opinions about the acceptance of active euthanasia as a medical act and the reporting of such practice.

OBJECTIVE: To ascertain the opinions of Alberta physicians about the acceptance of active euthanasia as a medical act (the "medicalization" of active euthanasia) and the reporting of colleagues practising active euthanasia, as well as the sociodemographic correlates. DESIGN: Cross-sectional survey of a random sample of Alberta physicians, grouped by site and type of practice. SETTING: Alberta. PARTICIPANTS: A total of 2002 (46%) of the licensed physicians in Alberta were mailed a 38-item questionnaire in May through July 1991; usable responses were returned by 1391 (69%). RESULTS: Although only 44% of the respondents considered active euthanasia morally "right" at least 70% opted to medicalize the practice if it were legal by restricting it to be performed by physicians and to be taught at medical sites. Even though active euthanasia is criminal homicide in Canada, 33% of the physicians stated that they would not report a colleague participating in the act of anyone, and 40% and 60% stated that they would not report a colleague to medical or legal authorities respectively. Acceptance or rejection of active euthanasia as a medical act was strongly related to religious affiliation and activity (p < 0.01). CONCLUSIONS: This survey about active euthanasia revealed profound incongruities in the opinions of the sample of Alberta physicians concerning their ethical and social duties in the practice of medicine. These data highlight the need for relevant modifications of health education policies concerning biomedical ethics and physicians'' obligations to society.     

CMA abortion survey.

Responses to the question as to whether abortions should be performed at the woman''s request during the first trimester of pregnancy were evenly divided. There was support for abortion on socioeconomic grounds, during the first trimester, from 61.5% of the respondents. Termination of pregnancy beyond the first trimester was supported by a majority of the respondents only in cases in which the woman''s life is in danger (73.9%) or in which there is evidence of a severe physical abnormality in the fetus (70.6%) or in cases in which the woman''s physical health is in danger (55.5%). Those who said they would not support abortion under any circumstances constitute, at most, 5.1% of the respondents. Support for the maintenance or the elimination of therapeutic abortion committees was addressed in two questions and in both cases the respondents were evenly divided. The responses to these two questions were compared and found to be logically consistent. Only physicians should perform abortions, and they should be performed in hospitals with the woman either as an inpatient or, during the first trimester, as an outpatient. The performance of first-trimester abortions in provincially approved abortion clinics was supported by 47.3% of the respondents. Of the 885 respondents who wished to see some amendment to the Criminal Code, 409 stated that the term "health" as used in the Criminal Code relative to the legal grounds for therapeutic abortion should be defined.     

The Correlates of Grief after Death of Pet

ABSTRACT

The correlates of degree of grief after death of dogs and cats were determined. With both animals, retrospectively reported grief was associated with present death depression and positive attitude toward pets. Grief after the death of a dog was associated with living alone at the time of death, higher death depression, and female gender. Grief after the death of a cat was associated with higher death depression, female gender, and was inversely correlated with the person's age at the time of the pet's death. These psychological and psychosocial variables were more associated with pet grief than behavioral variables such as amount of time spent with the pet.     

Attitudes among NHS doctors to requests for euthanasia.

OBJECTIVES--To explore NHS doctors'' attitudes to competent patients'' requests for euthanasia and to estimate the proportion of doctors who have taken active steps to hasten a patient''s death. DESIGN--Anonymous postal questionnaire, with no possibility of follow up. The survey was conducted from December 1992 to March 1993. SUBJECTS--All (221) general practitioners and 203 hospital consultants in one area of England. RESULTS--273 doctors responded to a question on whether a patient had ever asked them to hasten death. Of these, 163 had been asked to; 124 of these had been asked to take active steps to hasten death; 38 of 119 (32%) of these had complied with such a request (95% confidence interval 23% to 40%). This proportion represented 12% of all those who returned a completed questionnaire and 9% of all those who had been sent a questionnaire (95% confidence interval 6.3% to 11.7%). A larger proportion of the respondents (142/307 (46%)), however, would consider taking active steps to bring about the death of a patient if it was legal to do so. CONCLUSIONS--Many doctors face difficult decisions about euthanasia. For the benefit of both patients and doctors euthanasia should be discussed more openly.     

Pet Loss and Representations of Death,Attachment, Depression,and Euthanasia

Studies that have examined pet loss hypothesize that attachment, representations of death, and the belief in an afterlife for animals may influence owners’ bereavement and depressive outcomes. The following instruments were administered to 159 Italian participants recruited through snowball sampling: the Lexington Attachment to Pets Scale (LAPS), the Pet Bereavement Questionnaire (PBQ), the Testoni Death Representation Scale (TDRS), and Beck’s Depression Inventory II (BDI-II). Questions concerning pet euthanasia-related issues and the relationship between owners and veterinarians were also submitted to the participants. A path model was conducted, showing that the representation of death and the attachment to a pet had a direct effect on pet grief, which in turn had a direct effect on depression. The results show a positive correlation between the LAPS and PBQ factors, particularly with the PBQ factor Grief. The LAPS factors positively correlated with the TDRS representation of Death as a Passage and negatively correlated with the TDRS representation of Death as Annihilation. The LAPS People Substituting factor positively correlated with the total score and the Cognitive-Affective factor of the BDI-II. The PBQ factors positively correlated with the BDI-II, whereas only the TDRS Death as Annihilation factor positively correlated with the BDI-II. Belief in a transcendent dimension was associated with higher scores on the PBQ Guilt factor and the TDRS factors of Death as a Passage and Death as Change, whereas these beliefs were associated with lower scores on the TDRS factor Death as Annihilation.

The results indicated that the sensitivity of the veterinarian and a veterinarian who helps owners make conscious and informed decisions for their pet and choose the right time to perform euthanasia are important variables in the management of pet loss. However, these factors are not sufficient and psychological support should be improved to help owners better cope with grief.     

Loose housing of sows – is this good welfare?

Background

Mortality risk in Danish dairy cows has more than doubled since 1990 (from 2% in 1990 to 5% in 2005). Until now, registrations about dead cows in the Danish Cattle Database have not included information about whether the cow died unassisted or was euthanized.

Methods

We interviewed a random sample of 196 Danish dairy farmers that had reported a dead cow to the Danish Cattle Database in 2002 and 196 dairy farmers that had reported a dead cow in 2006. Our objectives were to evaluate the proportion of euthanized cows, changes in the behaviour of farmers regarding euthanasia of cows over the years and possible reasons for these changes.

Results

It seems that the threshold for euthanasia of cows among farmers has changed. Farmers generally reported a lower threshold for euthanasia compared to 5–10 years ago.

Conclusion

The threshold for euthanasia of cows has, according to the dairy farmers, become lower. This might have positive impacts on animal welfare as more seriously ill cows are euthanized in the herds and not put through a period of suffering associated with disease and treatment or transported to a slaughterhouse in poor condition.     

A Survey of Companion-Animal Owners Affected by the East Japan Great Earthquake in Iwate and Fukushima Prefectures,Japan

ABSTRACT

The unprecedented East Japan Great Earthquake in March 2011 impacted many humans as well as animals. To date, only national surveys that do not necessarily focus on the heavily impacted areas have been administered, and there is a lack of data on the situation for companion animals and their owners in these areas. This survey was administered between June and November 2012 to pet owners in Iwate (n = 140) and Fukushima (n = 149) Prefectures in north-eastern Japan, areas heavily affected by the disaster. It explored the types of disaster preparations for pets engaged in by owners; the situation on evacuation with pets; the use of, and need for, pet-related support after the disaster; and the associations between pet attachment and disaster-related behaviors of pet owners. In total, 41.2% (n = 119) of all respondents were able to evacuate with their pets, and evacuation rates were especially low in Fukushima. With the exception of preparation of pet food and other supplies, less than 50% of respondents engaged in different types of pet-related disaster preparations. Especially in Fukushima, those who evacuated with their pets were better prepared compared with those who could not. The rate of utilization of support was also low, with less than 50% of respondents utilizing each type of support, regardless of pet-evacuation status and area. The need for support was generally higher during the initial phase (immediately after the disaster; 30–40%) compared with the current phase (20–30%). However, in Fukushima the difference between the initial and current phases was not significant for both those who evacuated with their pets and those who could not. Bivariate analyses indicated mixed results for the association between disaster-related behaviors and pet attachment. Implications for future disaster-prevention measures are discussed.     

Euthanasia via CO2 inhalation causes premature cortical granule exocytosis in mouse oocytes and influences in vitro fertilization and embryo development

Generation of high quality mouse metaphase II oocytes is an integral part for efficient in vitro fertilization (IVF), and subsequent embryo production for reproductive studies and genome banking. The main objectives of this study were to investigate the impact of various euthanasia methods on IVF, embryo development, and subcellular structures of MII mouse oocytes. Following superovulation regimen, female mice were euthanized by high flow CO₂ (H CO₂), low flow CO₂ (L CO₂), or cervical dislocation (CD). The MII oocytes obtained from these mice were evaluated for subcellular integrity by assessing their cortical granules and F‐actin. Furthermore, fertilization and subsequent embryonic development competence up to blastocyst stage were also evaluated in vitro. The oocytes collected from females euthanized by CD resulted in significantly higher two‐cell development rates (p = 0.028) and subsequently lead to in higher embryo development rates (p = 0.027) compared with oocytes from females euthanized by L CO₂. The cortical granule integrity analysis revealed significantly higher rate of premature cortical granules exocytosis (PCGE) for L CO₂ group compared with CD and H CO₂ groups (p < 0.001). These data collectively suggest that CO₂ associated PCGE during euthanasia procedure is the main cause of decreased IVF rates and CD is the optimal euthanasia method for the purpose of obtaining good quality MII oocytes for mouse IVF and other reproductive studies.     

Deciding about mechanical ventilation in end-stage chronic obstructive pulmonary disease: how respirologists perceive their role

OBJECTIVE: To determine when respirologists approach patients with end-stage chronic obstructive pulmonary disease (COPD) to decide about the use of mechanical ventilation, what information they provide to patients and how they provide it. DESIGN: Self-administered national survey. PARTICIPANTS: All Canadian specialists in respiratory medicine; of 401 eligible respirologists, 279 (69.6%) returned a completed questionnaire. OUTCOME MEASURES: Timing and content of doctor-patient discussions regarding mechanical ventilation; physicians'' perception of their level of involvement in the decision-making process; and patient and physician characteristics that may influence decisions. RESULTS: Discussions were reported to occur most often at advanced stages of COPD: when the patient''s dyspnea was severe (reported by 235 [84.2%] of the respondents) or when the patient''s forced expiratory volume in the first second was 30% or less than predicted value (reported by 210 [75.3%]). A total of 120 respondents (43.0%) stated that they discuss mechanical ventilation with 40% or less of their COPD patients before an exacerbation necessitates ventilatory support. Most (154 [55.2%]) described the decision-making process as a collaboration between patient and physician; 83 (29.7%) reported that the patient decides after he or she has considered the physician''s opinion. Over half (148 [53.0%]) of the respondents indicated that they occasionally, often or always modify the information provided to patients in order to influence their decision about mechanical ventilation. CONCLUSIONS: Discussions with COPD patients concerning end-of-life decisions about mechanical ventilation are reported to occur in advanced stages of the disease or not at all, with patients'' input where possible. Information presented to patients is often modified in order to influence the decision. Future studies should explore ways to involve patients further in the decision-making process and to improve the process for both patients and physicians.