A Place to Start (When You Don’t Know Where to Start)

a place to start

This decision is not easy.  In fact, the question of whether to help end your pet’s suffering through euthanasia can be one of the most difficult decisions you will ever make. So many factors play a role in whether or not euthanasia may be the best option for your pet, and if it is, one of the most significant challenges can be deciding when to say goodbye.

Sometimes a pet shows clear signs of distress or suffering and a person may feel confident, though heartbroken, about making an appointment for euthanasia. More often though, quality of life indicators are less clear, and signs and symptoms can be quite complicated. Many pets have had a long journey into their old age and have declined slowly over months or even years. It seems that you look down one day and that perky, silly eight year old is all of a sudden a gray-muzzled, stiff 12 year old. Perhaps a pet can no longer walk or make it to the litter box, but they still joyfully chow down their treats and cuddle up for their nightly dose of affection. There are so many factors that play a role in quality of life, and what may be a clear sign to one person may be different for another. So, it’s no wonder that people feel like they just don’t know where to start.

Journaling
It is easy to feel overwhelmed when considering your pet’s quality of life and the many options available to you. It can be even more complicated when a pet’s condition changes week by week, or even throughout a day. Sometimes we become so focused on one behavior or symptom that it is hard to take a step back and see the big picture of their overall quality of life.

journaling pic

When this is the case, we often encourage people to keep a journal about their pet’s daily life. We’ve written about this tool before, but it’s good to be reminded of the helpful things you can do when making this decision. We often use the J-O-U-R-N-E-Y-S quality of life scale as a place to start. Here are some more questions to get you started:

  • How much did your pet eat today? How much water did they drink?
  • Did your pet do something that he or she enjoyed? How did you know they enjoyed it?
  • What concerned you about your pet’s behavior or condition today?
  • Was today different than yesterday? How?
  • Would you characterize today as a “good day” or a “bad day”?
  • Does your pet seem to improve with the medication they are taking?
  • On this day, or in this moment, how are you feeling about your pet’s quality of life?

You might start to see patterns to consider or to discuss with your pet’s veterinarian. For example, you may find that your pet feels best early in the day and becomes tired and uncomfortable by the end of the day. As part of the big picture perspective, you may want to consider whether your pet has had more “good days” than “bad days” this week, or whether they have done things they typically enjoy each day. Reading through your journal may help give you a different perspective and widen your view. Some people even find that reading written notes helps to give more of an “outsider’s perspective” – if you were hearing these notes from a friend or family member about their pet, how would you feel? What would you say to them?

“What If’s”
It can also be helpful to include “what if’s” in your journaling. What if my pet can no longer walk? What if my pet shows signs of distress in the nighttime, after my veterinary clinic’s office hours? What if I need to leave my pet in someone else’s care for a weekend? What if I elect not to euthanize and my pet dies naturally at home? What if their natural death process becomes painful for them? Considering these “what if’s” can help you develop a plan and feel as prepared as you can in case your pet’s condition worsens suddenly or your personal situation changes. Sometimes, considering the potential emergency or worst-case scenarios helps you see your pet’s situation in a new light. It is often better to make the decision a moment too soon, rather than a moment too late. 

MN Pets offers in-homeQuality of Life consultations if you’d like a veterinarian to assess your pet and guide you through these questions and create a plan. If you are unsure of what to do, give us a call at (612) 354-8500 if you’d like to speak with our support staff about your unique situation and go over the options available to you.

Download the MN Pets QOL Scale PDF here.

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On losing a friend

Chuck was a kitten that I had brought home to foster while working at a local humane society. He was a small, wobbling grey and white cotton ball with legs. His clumsiness was as endearing as his giant blue eyes, and I fell instantly in love. Chuck was estimated to be about 7 weeks old, but was considerably delayed in his development and was still relying solely on bottle feedings when I started caring for him. Despite his obvious setbacks, I was determined to help Chuck gain the strength that he would need to grow and thrive.

On Mother’s Day, May 11th, 2014, I went downstairs to feed Chuck at around 3am and found him unresponsive. The little kitten that I had fallen so in love with had died. I felt overwhelmed with grief, and at the same time embarrassed that I felt such a loss for a creature that I had just met a week before. I felt guilty that I had not gone downstairs an hour earlier, and replayed the previous days in my head and wondered what I could have done differently.

It’s been a yeChucks gardenar since Chuck died, and I think of him every day. We find that people all grieve differently, and it can be helpful to memorialize a lost pet in the way that makes the most sense for you. This can be pictures, mementos, or a ceremony for your lost pet. The best way for me to remember and honor Chuck’s short life was to build a small garden for him in my yard. “Chuck’s Garden” is a place for me to reflect, to visit, and to remember. I chose a beautiful hydrangea bush to plant over Chuck’s grave, and it’s by far the brightest bloom in the garden.

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Your Pet’s “Bucket List”

We found this delectable treat at www.livingbettertogether.com.

Do you have a bucket list of things you’d like to do in your lifetime? Lots of people do, but have you ever considered making a bucket list for your pet?

As our pets age and change, it’s easy to fall into a care-taking routine.  However, one of the healthiest parts of an older pet’s day isn’t the food she eats or the medications she’s given – it’s the stimulation, interaction and connections she’s experiencing.

Think about what your pet loves most – the people in his life, the foods he craves, the experiences that wag his tail. Does he love sweets? Include him in a family bonfire night and make him his own (chocolate-less) s’more. Does your indoor cat love to sit in the window and watch the birds fly by? Get a leash and harness and let her enjoy the outdoors with you. Maybe you’ve always wanted to bring your dog to the lake, but never got around to it – add it to the list.

Creating a bucket list can also give you a special way to truly cherish your pet’s final stages of life, and to focus on living each moment to its fullest capacity of life and love. The possibilities are endless, and you may find that this is one to-do list you don’t mind tackling.

Posted in Preparing for your pet's appointment | 4 Comments

The First Rule of Grief: There Are No Rules of Grief

time-slowingMost of us are aware of Elisabeth Kübler-Ross’ “five stages of grief”: denial, anger, bargaining, depression, and acceptance. Very often I hear clients say things like “it’s been over a month and I still can’t believe she is gone”, or “she died over a year ago – why don’t I feel acceptance yet?” This idea that we flow through a linear path, starting with loss and ending by embracing that loss, is so ingrained into our language and culture that it has helped shaped how we as a society grieve (or at least how we think we should grieve). In this magical five stage world where grief follows a neat, predictable path, a griever follows the rules, stays on the path, and they end up healed and happy. We know that pets are part of the family, so it would follow that we would progress through these stages in the same way after pet loss.

So, what’s wrong with this picture? Well… a lot, I think! Let’s break it down:

First, the five stages model was actually NOT developed for people grieving the loss of human or animal family member. Contrary to popular belief, the model was first inspired by Kübler-Ross’ work with terminally ill patients and their experiences of dying. When considered from that vantage point, some of the stages make much more sense. However; the model has become widely accepted by the general public and stretched to apply to the grief experience that results from the loss of a loved one.

Second, everyone is different, every grief experience is different, and every loss is different – in every way imaginable. Thinking of the grief process using this model undoubtedly excludes people who don’t fit into it (which, I would argue, is a lot of people). For many of us, losing a pet is already a painfully isolating experience because it isn’t always recognized as a “real” loss. Research has shown that the way humans grieve the loss of their companion animal is very similar to the ways that we grieve our human family members; however those ways don’t typically fit into the 5 stages box. Just because you don’t feel denial, anger, bargaining, depression and acceptance – in that exact order – after saying goodbye to your pet doesn’t mean there is something wrong with how you are grieving. You are grieving in exactly the way you need to be.

If this 5 stage idea is so outdated, misunderstood and exclusive, why do we still cling to it? Perhaps it gives us a framework and this feels good to us. It gives us an explanation – any explanation – for what we’re feeling and why we’re feeling it. It gives us hope. It gives us language to communicate with others. It is human nature to try to make sense of things, and it can be uncomfortable to admit that there are things we can’t possibly understand, things that are too complex, unpredictable, and even unfair. The death of an animal companion whom we’ve shared our days, our beds, our tears, our hugs and our milestones with brings painful and often unbearable emotions and it would be really nice if we could map those feelings out and know exactly what to expect…wouldn’t it?

What are we left with then, if there are no clear rules?

There are plenty other academic models for grief that make more sense, but maybe that’s for another day. In reality, what we are left with is a messy, unpredictable, painful, awkward and incomprehensible process that we have no choice but to push through. The hope is that we somehow get to where we are supposed to be a changed person, maybe even a better person. The important thing to remember is that there are no rules and we need to expect the unexpected. Your needs and your timeline are yours alone – you get to make the rules. If you ever feel uncomfortable with how your grief is progressing, it is important to seek professional support. While you are the only person that can process and define your grief, you don’t have to do it alone.

Posted in Grieving the loss of a pet | 2 Comments

Memorial Walk to Honor Your Pet’s Memory

A few months ago, during the coldest, gloomiest days of winter, someone had mentioned to me the idea of taking a memorial walk to remember and celebrate the life of a pet you’ve said goodbye to. The idea has been in the back of my mind for months, and now that the sun is out in full force and the flowers are blossoming, I thought it would be a good time to explore this idea.

One of the deeply heartbreaking aspects of pet loss is that there are very few outlets for us to express our grief and mourn our loss. There are no funerals, no public obituaries, rarely a grave to visit, and many people don’t have friends and family bringing casseroles over and helping with household chores. These activities and rituals typically exist when a human family member dies, but I don’t think we realize how helpful it all is until we experience a loss that lacks the same recognition. For many of us, the death of a pet is not a lesser heartbreak. There is that emptiness and loneliness that can only feel lighter with the help of time and shoulders to cry on, just like any other profound loss.

Because there aren’t the same types of traditions and rituals after pet loss, it can be helpful to come up with our own ways to memorialize and mourn. One idea to do this is to take a memorial walk – something that can include the whole family and can be especially meaningful for children.

So, what exactly is a memorial walk?

A memorial walk is a planned, intentional walk that you take to remember the life and memories of a pet who has passed away. You may want to choose a walking path that you took with your pet if you shared walks together, or you could plan to travel a path that is beautiful to you such as through a field, park or forest. Some things you could consider incorporating into your walk:

– Writing a letter to your pet and burying it somewhere along your walk

– Leaving small amounts of ashes at different points

– Bringing your family and taking turns reading a poem or memory each person wrote

– Leaving behind small objects that remind you of your pet, such as a treat, a well-worn toy, or a bell (remember to be mindful of the environment and your surroundings)

– Bringing a small bouquet of flowers and leaving a flower in different places throughout the walk

– Incorporating a meditative focus by paying special attention to how your body feels, what thoughts flow through your mind, and paying attention to your breathing pattern

The beauty of this ritual is that is can be whatever you’d like it to be. It can be public or private, individual or with the whole family, symbolic or meditative. In fact, sometimes the simple act of mindfully walking outdoors on a beautiful day can help you feel restored and more focused, which is important while you are healing after a loss. Even if your loss wasn’t recent, this may be a meaningful annual activity to honor your pet’s memory and the legacy they left in your heart.

Benefits of a memorial walk

There are many different ways people could benefit from a memorial walk, and each person will experience it differently. The act of intentionally setting aside time to reflect on your pet’s memory and the loss that you feel can be a powerful way to process your grief. So often, we feel pressured to “move on” or distract ourselves from the pain we’re feeling, but in reality, the best thing we can do for ourselves is lean into the pain and reflect on our experiences. A memorial walk can be a powerful way to bring awareness to our emotions, create a space for reflection and explore the benefits of a ritual.

If you have children or other family members, taking a memorial walk together is a wonderful way to set aside time for conversation. Allow your children to ask questions and recall memories. If your children were young when you got your pet, tell them the story of how they joined the family. Help them pick out objects or pictures to take on the walk. For kids, these tangible activities are a helpful way for them to process and express feelings that may be completely new and difficult to understand.

If you have another pet or a new pet, you may want to consider whether you’d like to include them on your walk, and if so, think about what meaningful ways you might do that. For some people, a memorial walk or other memorial rituals serve as a bridge that links the past and the present, the “what was” with the “what is”. If you have a new pet, you may have some feelings of guilt. Bringing them with you on your memorial walk might be a good place to start to explore those feelings and to remind yourself that you can love your new pet while continuing to cherish your relationship with your pet that you have said goodbye to.

Give it a try

I encourage you to consider trying a memorial walk; don’t be afraid to let your creativity come through and make it into whatever it is that you feel is most meaningful for you. There is never a one-size-fits-all way to remember a pet, but what is important is that you are able to create a space in your heart and in your life for your love and memories to live. No one’s grief has ever been healed by being pent up, ignored or forgotten. Sometimes I think we can be surprised by how freeing it feels to give our grief space to be acknowledged and felt, and finding a way to mourn our loss is a very important gift that we can give to ourselves.

Posted in Grieving the loss of a pet, Memorializing a pet | 4 Comments

How to Pack for an Unexpected Guilt Trip

At our monthly grief support group, I have the privilege to listen to people’s stories and hear what they are experiencing during their grief process. Last month, I noticed a common thread between the stories – the presence of a deep sense of guilt, no matter the circumstance in which their pet died. I found it compelling that so many different grief journeys included such a strong theme of guilt.

Why is it so painfully common to feel such tremendous guilt after a pet dies? Is there anything that can be done to move on from the feelings of regret and the intrusive “What Ifs”?

When a pet dies, it is completely natural and very common to experience feelings of guilt and regret. I often hear people say things like “What if I had thought to ask about it?” or “If only I had taken him to the vet sooner”.  While asking ourselves these questions is normal, many of these recurring thoughts or feelings are not based in reality and can become intrusive, quickly taking over and preventing you from healing. Many people blame themselves for their pet’s suffering or death because of things they did or didn’t do. However, in many instances, recurring feelings of guilt and thoughts of “What If” are our ways of trying to find an answer for something that has no answer:  “Why did my pet have to die?” When something devastating happens, it is easier to blame ourselves or someone else than to accept the scary reality that life is uncertain, and sometimes bad things happen for no reason and we aren’t able to control them. The truth is, even if you had never done a single thing wrong during your pet’s entire life, you would most likely still have moments of guilt and regret – it’s a part of human nature and it’s a part of losing a loved one.

Once we begin to understand that guilt is a normal part of grief, it’s important to break down that guilt into what is “usable” and what is better to let go. Sometimes there is value in asking ourselves what we could have done differently; doing so can help us grow and also plan for other pets in the future. For most of us however, the nagging thoughts of guilt are built upon things that are better let go. In the book When Bad Things Happen to Good People, Rabbi Harold Kushner writes, “An appropriate sense of guilt makes people try to be better. But an excessive sense of guilt, a tendency to blame ourselves for things which are clearly not our fault, robs us of our self-esteem and perhaps of our capacity to grow and act.”

For the things you wish you had done differently: acknowledge them, write them down, share them with others who can also learn from them, and then, most importantly, forgive yourself. Trust that you did everything you could have done with what you knew and had at the time. I try to remind people that when they were caught in the urgency of the situation, they made a decision based on something in their heart or gut in that moment. Show yourself compassion and trust in whatever it was that was leading you at the time. Of course hindsight brings new information and new perspectives, but ultimately, you need to forgive yourself for your regrets in order to heal.

In many cases, feelings of guilt become intrusive and begin to take over our thoughts and grief process. When you feel such thoughts taking over, try to stop them in their tracks. At the first thought of “I should have”, or “What if”, stop yourself. Some people find it helpful to repeat to themselves “I did everything that I could and I know that” or “I have no control over what happened” or “She knew how much I loved her” – anything that is meaningful for you and helps you to break the guilt thought cycle. It’s a lot like breaking a bad habit. After a while it will be easier to stop this unhelpful thought pattern and redirect yourself. It may sound simple or superficial, but it takes consistent work to break a habit and re-wire how you think.

At the end of the day, the most important gift you can give yourself while you are grieving is forgiveness. Be honest about your guilt – write it down, talk about it with someone you trust – and accept that guilt is another part of grief that needs to be faced and worked through. During your pet’s life, you loved them unconditionally and forgave them each time you saw a puddle on the floor or a garbage can knocked over. Right now, while your heart is aching, show yourself the same love and forgiveness that you always knew how to show them.

Posted in Grieving the loss of a pet | 3 Comments

Ways People Grieve Part II – Families

Grieving Styles
We all have our own unique way of expressing and working with grief – our own style.  In Ways People Grieve Part I, I’ve described how “instrumental” grievers experience grief primarily through thinking and doing, and how “intuitive” grievers, experience grief mainly through their emotions and through exploring those feelings.  You or someone you know may fall into the third category of griever, one who could be described as “blended”.  These are people who are able to move between the two.  Every style has its own advantages.

Resilient Families
It is sometimes easy to misunderstand what the different ways people grieve mean.  For instance, I have spoken with people whose families are concerned about them because they have not cried over a significant loss.  I’ve also worked with people who suffer from the perception that they do not love their pet as much as others do, for the same reason.  On the other hand you may find that you’re worried about your loved one because they are still crying weeks and months after a beloved pet has passed.  Understanding that different ways of expressing grief is perfectly normal and offering that generosity to your loved ones can help them to heal.

Some Things You Can Do
–          Understand that the way your loved one expresses their grief is not necessarily a measure of how much they loved the one who has passed.
–          You can help your family member by acknowledging that their way of grieving is valid and important.  If they express grief differently than others in your family, you can confirm for them that their way may be different, but it is in no way deficient.  Support their existing coping style without trying to change it.
–          When communicating with your family, you could try saying, “How does that land with you?”, or “How is that useful to you?”, or “How do you experience that?”  This avoids asking a feeling question of an instrumental griever or alternately a thinking question of an intuitive griever, which can be confusing for them.

Support
Intuitive grievers often need the support of community or groups.  They need to talk with family and friends and express their feelings to others, and often they need to cry.

Instrumental grievers often need to experience their grief more privately.  They need space and time to think and reflect about their loved one, to do things for or about their loved one, and to plan what action they need to take.

The grief process takes as long as it needs to, there is no prescribed amount of time in which it can be completed.  Often, just giving people support and space to do what they uniquely need to do, in an environment free from judgment and rich with respect, helps to lessen the burden.

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Ways People Grieve Part I – The Myth of Men and Grief

It is a common expression of concern for men to hear that “it’s important to express your feelings about this loss.”  The prevailing conventional “wisdom” is that men do not necessarily grieve well… that they could be better at expressing emotion.

In part, this is due to the fact that historically the field of psychology has primarily studied the ways women dealt with grief, and so tended to think of emotionality as the most effective way of working with grief, to the exclusion of most of the other ways people commonly experience it.  The widely held belief has been that there is only one way to grieve, and that way is to explore the emotional effects of your loved one’s death in order to resolve grief.

Reality Check
We now know that the evidence and literature no longer support this notion.  In fact, grief is manifested in many different ways; physically, emotionally, cognitively, behaviorally and spiritually.  Grief is a very individual reaction and people do the “tasks” of grieving differently, those differences are not necessarily better or worse, they are just different.

Men often have a more active way of grieving and women a more emotional way, but those differences do not always divide along lines of gender.   Another way to think about it is that some people grieve in a more “intuitive” way (many women) and others in a more “instrumental” way (many men).  Intuitive grievers experience strong emotional reactions, their facial expressions often reflect those emotions, and they primarily process their grief through the expression and exploration of their feelings.  Instrumental grievers experience their grief more cognitively and physically, and primarily express that through thinking and doing.  Intuitive grievers will often cry whereas an instrumental griever is more likely think about their lost loved one.  Shakespeare is said to have dealt with the grief of losing his 11-year-old son by writing plays, which is a good example of “instrumental” grieving.

How To Be Supportive
Instrumental grievers have often gotten the inaccurate message that the way they are grieving is inadequate, and in that way often feel disenfranchised.  Validating their way of dealing with their grief can be such a huge relief.  Let them know that you understand that they are dealing with the loss of their beloved pet in their own way and offer them your full support in doing that.  Instrumental grievers may benefit from “doing” things as it relates to loss.  End-of-life planning and caretaking, tasks related to companioning a pet through their final transition, helping to care for their body after death, and planning and preparing memorials are all “thinking” and “doing” tasks that may help them to experience their grief more thoroughly and to feel acknowledged, supported and appreciated in doing so in their own unique way.

Posted in Children and families, Grieving the loss of a pet | 1 Comment

Caring for the Caregiver

In many helping professions, we are taught to remember “the oxygen mask.” This common phrase refers to the rule of thumb of which flight attendants remind us — you must first apply your mask and attend to your well-being before you are effectively able to attend to others. Caring for ourselves as we care for others is one of the most essential things we can do.

As our pets navigate the aging process, they often lose their ability to do things that they had previously done, such as making it to the litter box or cleaning themselves. Our deep love picks up where our pets capabilities leave off and we begin to provide more and more intensive daily care. Somewhere between the many medication bottles, the carpet cleaning or the hand-feeding, we easily forget to properly care for ourselves – both physically and emotionally.

Research shows that caregiving – whether for a human or animal family member – can deeply impact our health and wellbeing. The exhaustion or stress involved in intense caregiving is often referred to as compassion fatigue, which can be characterized by feelings of negativity, over- or under-involvement in care, and difficulty coping with everyday expectations. It’s important to understand that feeling exhausted, depressed and even frustrated with your animal’s care is a normal and healthy response to the changes happening, but it is also important to take breaks to reflect on how you are coping and what you need.

You may be thinking “but, I can’t take a break from caring for my pet.”  You’re right in that caretaking is often a 24/7 undertaking and of course we aim to do whatever is possible to companion our animal through these changes. However, in order to provide our pet with the compassion and care that they need, it is essential to keep our own needs in focus as well. To start, try to enlist help from a supportive friend, family member or professional to share some of the responsibilities when possible. Take the time to tend to your health – eating healthy meals, getting some exercise, enjoying the sunshine on a beautiful day. Make a list and prioritize – focus on the here and now and save more trivial to-do’s for later.

When we take this time to care for ourselves, it allows us to cope with the changes of our pet’s old age and gives us the space to cherish the moments we have with them.

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Permission to Grieve, Part II (Permission to Heal)

From www.michelerutley.com

In addition to giving yourself permission to grieve, it’s just as essential to give yourself permission to heal.

That may sound obvious – isn’t healing the point? Healing and changing is part of the grieving process, but the moments in which the pain subsides or the days that pass without heartache can often bring feelings of guilt, as though you are forgetting about your pet. Sometimes it even feels as though the grief we feel is our last connection to our pet and as it lessens, we are moving forward in our lives without them. Keep in mind that grieving is arduous work and taking breaks to honor the pain, progress and healing that is taking place is part of the journey.

When it comes to grieving, each person is incredibly different and unique. What works for one person may not work for the next person. Try to tune in to how your body, heart and mind are impacted and to give yourself permission to feel what you are feeling, no more or no less, no more quickly or slowly.

Even through your heartache and tears, give yourself permission to be right where you are today.

Posted in Grieving the loss of a pet | 3 Comments