Evidence-based approaches to managing feline chronic kidney disease to maximize quality of life and comfort in affected cats.
Feline chronic kidney disease is a welfare challenge that requires both skilled veterinary management and careful owner engagement. The condition progresses gradually, allowing proactive welfare management before severe suffering occurs. Key welfare considerations include ensuring adequate hydration, managing nausea and reduced appetite, controlling blood pressure, and maintaining phosphorus balance. Home subcutaneous fluid therapy, while initially intimidating, dramatically improves cat comfort and has been shown to extend survival time. Quality of life assessment using validated tools helps owners recognize when disease burden outweighs treatment benefits, supporting timely end-of-life decisions that prevent prolonged suffering. Palliative care approaches integrated with active management optimize cat welfare throughout the disease course.