Cognitive dysfunction syndrome (CDS) is the canine equivalent of dementia and causes significant welfare impact in ageing dogs and their owners.
Dogs with CDS experience confusion, anxiety, and loss of previously acquired behaviors. Disorientation and abnormal sleep patterns cause distress and disrupted rest for both dog and owner. House soiling from a previously reliably toilet-trained dog may trigger owner frustration and reduced interaction quality. Dogs with CDS may vocalize repeatedly, particularly at night, indicating distress. Environmental enrichment, consistent routine, and medical management can slow progression and maintain quality of life. Welfare assessment in CDS focuses on the degree of distress, ability to enjoy positive experiences, and physical comfort. End-of-life timing decisions are particularly difficult given gradual progression.