Caring for geriatric cats requires proactive management of multiple concurrent conditions and careful quality of life assessment as the end of life approaches.
Geriatric cats with multiple conditions require integrated management addressing each condition while maintaining overall quality of life. The interaction between conditions including hyperthyroidism masking CKD, or dental disease reducing food intake and worsening weight loss, requires holistic assessment. Quality of life deteriorates gradually, requiring regular reassessment to identify when medical management can no longer maintain acceptable welfare. Euthanasia to prevent prolonged suffering is both the legal and ethical option in veterinary medicine. Supporting owners through end-of-life decisions with clear quality of life frameworks is essential veterinary responsibility.