Chronic kidney disease is the most common cause of death in older cats, and quality of life management is central to the welfare of affected animals through their illness.
CKD welfare management requires owners who can recognize subtle deterioration and respond with appropriate intervention. The condition causes nausea, dehydration, weakness, and ultimately uremic poisoning in advanced stages. Quality of life assessment is central to CKD management - the goal is maintaining good days and making timely euthanasia decisions when suffering becomes irreversible. Home subcutaneous fluid administration, appetite stimulants, anti-nausea medication, and phosphate binders all contribute to welfare maintenance. Regular veterinary monitoring allows early detection of deterioration and adjustment of management. End-of-life decision making for CKD cats requires open communication between vets and owners about welfare thresholds.