Chronic kidney disease affects a majority of cats over 15 years and is a leading cause of death in older cats. Early detection and appropriate management significantly extends quality life years.
Chronic kidney disease welfare management is fundamentally about extending the period of good quality life before decline becomes welfare-limiting. Early-stage CKD cats can live years with excellent welfare through appropriate dietary management and regular monitoring. As disease progresses, the welfare focus shifts to managing the symptoms that compromise quality of life: nausea, inappetence, lethargy, and fluid imbalance. Subcutaneous fluid therapy at home allows owners to provide this management in a low-stress environment, significantly improving welfare compared to repeated clinic visits. Quality of life monitoring using validated scales helps owners and vets identify when welfare is declining and end-of-life decisions become appropriate.