Chronic kidney disease (CKD) is one of the most prevalent conditions in older cats. Managing it well requires balancing treatment effectiveness with quality of life throughout the disease course.
CKD management in cats requires ongoing welfare assessment alongside clinical monitoring. A cat whose blood values are stabilised but who refuses food, hides constantly, and has stopped grooming is not thriving despite biochemical improvement. Quality of life scales validated for cats — assessing appetite, mobility, hygiene, happiness, and pain — help owners and vets make decisions that prioritise the cat's experience rather than only laboratory values. Subcutaneous fluid administration, often delegated to owners for home management, reduces the stress of clinic visits and helps maintain hydration. Appetite stimulants, anti-nausea medication, and careful dietary management contribute to maintaining the positive welfare that is the goal of chronic disease management. End-of-life decisions should be guided by sustained quality of life assessment, not crisis management.