from https://www.dvm360.com/view/feline-ckd- ... -your-shot - it's addressed to vets, rather than owners.When managing cats with chronic kidney disease (CKD), yes, you still monitor and manage azotemia, blood pressure and urine protein, but there's a whole new realm of client-centered care that dictates how you set your goals. These days, quality of life and maintaining the human-animal bond are the primary focus.
In real life, this looks like:
Ensuring normal interactions with the family
Ensuring normal day-to-day behavioral patterns
...
Giving our beloved pets as normal a life as we can, to be a cat, and to be part of our family. Making quality of life our absolute priority, and understanding that interference to help make them feel better physically can, for some cats, have other damaging side effects to their quality of life. I know as cat owners we all do, but I know I'm not alone in feeling guilty sometimes when I choose to turn down a perfectly good treatment. I guess this article is professional permission to give these points the high priority they sometimes need.