Vet360 Vet360 Vol 05 Issue 03 - Page 16

FELINE MEDICINE Feline CKD Therapeutic Goals Quality of life and maintaining the human-animal bond are the primary focus When it comes to therapeutic goals in manaing chronic kidney disease in cats, the target has moved. Yes, you still monitor and manage azotaemia, blood pressure and urine protein loss, but there’s a whole new realm of client-centered care that dictates how you set your goals. In real life, this looks like: • • • • Ensuring normal interactions with the family Ensuring normal day-to-day behavioural patterns Providing pain management Avoiding polypharmacy (see “The fallacy of polypharmacy in CKD”) The fallacy of polypharmacy in CKD Polypharmacy signifies using many drugs at the same time to treat one condition. Just because you can prescribe more medication to manage CKD vet360 Issue 03 | JULY 2018 | 16 doesn’t mean you should, says Dr. St. Denis says. This is because prescribing multiple medications may interfere with your primary therapeutic goals of maintaining the client-cat bond and quality of life. Pick treatments based on evidence-based medicine and known outcomes and those the client is willing to give. Avoid empirical treatments. Before adding a medication into a CKD cat’s daily regimen, ask the client, “How do you feel about this? How are you doing with your medicating?” When you’re working with a client to design a treatment plan for their CKD kitty, talk less and listen more. Advice from Fetch dvm360 speaker Kelly St. Denis, DVM, DABVP (feline), owner of Charing Cross Cat Clinic in Brantford, Ontario,will help you achieve these goals in your practice. Early Intervention Early intervention is key, and starting conversations