Senior cats frequently have multiple concurrent conditions requiring integrated management that prioritizes quality of life over normalization of individual laboratory values.
The management of multi-morbid senior cats requires a fundamental shift from disease-centric to quality-of-life-centric thinking. A cat taking five medications twice daily experiences substantial medication stress that may outweigh the benefit of normalized laboratory values. The welfare-positive approach asks not 'what does the disease require?' but 'what does this individual cat need to live comfortably?' Some cats thrive on comprehensive multi-disease management; others do better with focused treatment of the most welfare-impacting conditions while accepting suboptimal control of others.