Chronic kidney disease is the leading cause of death in older cats, and welfare-centred management can significantly extend comfortable life expectancy.
Cats with CKD experience progressive loss of wellbeing as kidney function declines. Uraemic toxins cause nausea, lethargy, and reduced appetite, while hypertension can cause sudden blindness. Welfare-centred management focuses on controlling symptoms, maintaining appetite, and monitoring for pain. Regular veterinary monitoring allows timely adjustments to treatment and honest quality-of-life assessments to guide end-of-life decisions.