As companion animals live longer, managing the ageing process with attention to quality of life becomes increasingly important. Evidence-based geriatric care improves welfare significantly.
Extending lifespan without maintaining quality of life causes more suffering, not less. Geriatric companion animals require proactive pain management, cognitive support, adjusted nutrition and environmental modification. The HHHHHMM scale (Hurt, Hunger, Hydration, Hygiene, Happiness, Mobility, More good days than bad) provides a structured framework for families facing end-of-life decisions. Palliative and hospice care for companion animals is a growing field that enables comfortable final stages. Euthanasia when quality of life cannot be maintained is a welfare gift, not a failure.