Chronic kidney disease (CKD) is the most common cause of death in older cats, and welfare management throughout its stages profoundly affects quality of life.
Chronic kidney disease in cats is a welfare challenge that requires sustained, compassionate management. The disease causes significant discomfort - nausea, mouth ulcers, weakness, and poor appetite - that, if untreated, severely diminishes quality of life. With good veterinary care, however, many cats maintain excellent welfare for extended periods. The pillars of CKD welfare management are controlling nausea and appetite, managing phosphorus intake through diet, maintaining hydration, and monitoring blood pressure. Home administration of subcutaneous fluids is manageable for most owners and can markedly improve cat wellbeing. Regular IRIS staging and honest quality of life assessment help owners and vets make appropriate, timely decisions.