I've had this decision once for a cat - and that was tricky enough. A 15 year old cat - a wonderful, wonderful cat. Good health all her life (and a good thing because she's very hard to give medicine to, hates vets), just a little arthritis. I get home, and according to my sister, she's been walking around with her head down, just about dragging her nose on the ground all day. Doesn't act like she is in pain, but also doesn't act like she is comfortable, definitely not herself.
I give it a few hours to see if she'll recover, then take her to the emergency vet. They run a blood test, and find what they were expecting - this behavior is a symptom of low (or high) potassium? and means her liver/kidney/something or other has shut down.
Treatment options:
1. Put her to sleep - it's only going to get worse, and fast.
2. Don't put her to sleep, don't treat it.
3. Treatment - give her injections and pills twice every day, special food, gain maybe 3-6 months of life for her - one very dedicated owner has gained over a year of life for their cat. This treatment has a 10% chance of working in a cat this age.
It's not an easy decision - there's quality of life, whether or not the treatment would succeed, etc. Option 2 - I would never do that - it's not right to torment her that way. So, option 3.... she always had a lot of dignity, a lot of self esteem - she wasn't my pet nor my possession, she was my friend, and an equal in her mind. Option 3 is unlikely to work, but what is worse to me is that I would be, in her mind, torturing her several times a day, every day, for the rest of her life. And I can't communicate to her why - and she still wouldn't be healed, she'd just be alive.
My choice was option 4. Since my Bella wasn't visibly in pain, I asked him to give her a potassium injection, the initial treatment, to see if it made any difference, and took her home for the night - made her a special bed on the sofa with a warm rice bag underneath (a great treat for arthritic cats - we did that for her regularly), tried to take care of her and make her comfortable. She didn't move once in the night - in the morning she was still there, still same position. I made her get up - she still couldn't lift her head, and I could see she wasn't comfortable (cat's don't tend to show pain - if you can see they aren't comfortable, they are probably in a fair amount of pain). That made the choice for me. I took her in and had her put to sleep (they were very nice about that - let me hold her, had a special room - I guess emergency vets get a lot of experience in this).
I just can't see how this level of detail, from the one real life case I was involved in, gets into a living will.
I give it a few hours to see if she'll recover, then take her to the emergency vet. They run a blood test, and find what they were expecting - this behavior is a symptom of low (or high) potassium? and means her liver/kidney/something or other has shut down.
Treatment options:
1. Put her to sleep - it's only going to get worse, and fast.
2. Don't put her to sleep, don't treat it.
3. Treatment - give her injections and pills twice every day, special food, gain maybe 3-6 months of life for her - one very dedicated owner has gained over a year of life for their cat. This treatment has a 10% chance of working in a cat this age.
It's not an easy decision - there's quality of life, whether or not the treatment would succeed, etc. Option 2 - I would never do that - it's not right to torment her that way. So, option 3.... she always had a lot of dignity, a lot of self esteem - she wasn't my pet nor my possession, she was my friend, and an equal in her mind. Option 3 is unlikely to work, but what is worse to me is that I would be, in her mind, torturing her several times a day, every day, for the rest of her life. And I can't communicate to her why - and she still wouldn't be healed, she'd just be alive.
My choice was option 4. Since my Bella wasn't visibly in pain, I asked him to give her a potassium injection, the initial treatment, to see if it made any difference, and took her home for the night - made her a special bed on the sofa with a warm rice bag underneath (a great treat for arthritic cats - we did that for her regularly), tried to take care of her and make her comfortable. She didn't move once in the night - in the morning she was still there, still same position. I made her get up - she still couldn't lift her head, and I could see she wasn't comfortable (cat's don't tend to show pain - if you can see they aren't comfortable, they are probably in a fair amount of pain). That made the choice for me. I took her in and had her put to sleep (they were very nice about that - let me hold her, had a special room - I guess emergency vets get a lot of experience in this).
I just can't see how this level of detail, from the one real life case I was involved in, gets into a living will.