 
        
              When a pet’s quality of life becomes poor, the question “are they suffering” often arises. If, after discussing disease treatment, 
              palliative care and hospice options, a family wishes to proceed with euthanasia, the process will be more comfortable for the pet, 
              and permit more grieving privacy for the family, if it is performed at home. 
              
              
              The Process
              
              
              For the euthanasia procedure, a sedative injection is given to your pet which will relax them, stop their pain and help them 
              sleep. This initial injection may sting for a moment, but then they can rest.  Sometimes we will give a second sedative injection 
              after about ten minutes to help them in to a deeper sleep, usually pets are not bothered  by the second injection.  Often people 
              note it is the most relaxed and comfortable their pet has been in a long time.  Once they are sleeping, Dr. Amy can make a paw print
              in clay if you would like.
              
              
              When you are ready to say goodbye, the final injection of the euthanasia drug will be given.  If administered intravenously, this 
              drug will stop the heart within seconds to a minute.  If the veins are difficult to access (for instance, due to low blood pressure 
              often accompanying final illness), the drug can still be administered via different routes into body. In this case, the heart may 
              undergo a more gradual slowing, and ultimately will stop after several minutes. You can expect the entire process from our arrival 
              to your pet’s passing will take approximately 1 hour.
              
              
              Where we can perform euthanasia
              
              
              The process of saying goodbye and euthanasia can be done anywhere in the home, such as in a favorite pet bed or chair, outside in 
              the yard, or while being held on a person’s lap.  Some people wish to have all of the family or close friends present, other people 
              wish for privacy during this time, it is a very personal decision.  
              
              
              After my pet has passed away
              
              
              After Dr. Amy has listened to your pet’s heart and confirmed their passing, you will be given an opportunity to be alone with them 
              for a time if you wish. If you have chosen private or non-private cremation, we will take your pet’s remains with us at this time 
              to be cremated.
              
              
              Some families may choose to make their own arrangements or to bury their pet in a special location. A discussion regarding after
              care options will occur during our phone appointment discussion or before the euthanasia, during the paperwork portion of the visit.
              
              
              Children
              
              
              Families with young children will need to decide if they should or should not be present for the euthanasia.  This will depend on
              each child’s temperament and understanding of the situation, for some it will be better to say goodbye beforehand and make arrangements 
              for their care during the procedure.
              
              
              Sometimes not all older children (or adults) in the family want to be present for any of the process, or for the final injection, 
              and that is fine.  We respect any and all feelings regarding this situation, there is no single correct way to feel or behave when 
              we are grieving.
              
              
              Children should have an age appropriate explanation beforehand of what will happen to their pet, as the loss of a family companion 
              can be confusing and frightening if they puzzle it out themselves.
              
              
              There are many books available to help explain pet loss to young children, such as “When a Pet Dies” by Fred Rogers (Mr. Rogers), 
              “I’ll Always Love You” by Hans Wilhelm, “The Tenth Good Thing About Barney” by Judith Viorst, and “Saying Goodbye to Lulu” by Corinne 
              Demas.