Pet Quality-of-Life Assessment in Most of Philadelphia, Montgomery & Bucks County
Understanding when it may be time to say goodbye to a beloved pet is one of the hardest decisions families face. At Love & Dignity In-Home Pet Euthanasia, we provide tools and compassionate guidance to help you assess your pet’s comfort, happiness, and well-being. Our goal is to give you clarity as you consider whether continued care or tele-advice with end-of-life guidance may be the next step.
What “Quality of Life” Means for Pets
Quality of life refers to your pet’s overall well-being, including their ability to eat, move, and enjoy daily life without persistent suffering. For dogs, cats, and rabbits, this assessment can help families answer the painful question: Is it time to euthanize my pet?
Key considerations include:
- Pain and Comfort – Is your pet’s pain manageable, or are they suffering despite medication?
- Eating and Drinking – Are they maintaining appetite and hydration?
- Mobility – Can they walk, stand, or use the litter box without distress?
- Joy and Engagement – Do they still interact with family, toys, or surroundings?
- Good vs. Bad Days – Are bad days becoming more frequent than good ones?
If your pet is struggling in multiple areas, it may be time to have an open conversation about end-of-life care.
Pet Quality-of-Life Scales and Tools
Veterinarians often recommend structured tools to help families track their pet’s condition:

The HHHHHMM Scale
This tool evaluates Hurt, Hunger, Hydration, Hygiene, Happiness, Mobility, and More Good Days than Bad. By rating each area daily or weekly, families can see whether their pet’s comfort is declining.

Journaling Changes
Keeping a simple daily log of your pet’s eating, mobility, and mood can reveal patterns that aren’t obvious day-to-day.
For more resources, see the AAHA Quality-of-Life Assessment Tool and the AVMA End-of-Life Care Guide.
Signs a Pet’s Quality of Life May Be Declining
- Loss of appetite and noticeable weight loss
- Difficulty standing, walking, or using the litter box
- Chronic pain not relieved by medication
- Withdrawal from family or favorite activities
- Labored breathing, persistent coughing, or extreme fatigue
- Incontinence or frequent accidents indoors
When It Might Be Time to Consider In-Home Euthanasia
The decision to pursue euthanasia is deeply personal, but some guiding questions include:
- Is my pet’s suffering greater than their ability to enjoy life?
- Have their good days become outnumbered by bad days?
- Is pain unmanageable despite medication?
If the answer to these is yes, in-home euthanasia may offer a peaceful, loving option that prioritizes dignity. Learn more about what to expect from the process.
Love & Dignity: Helping Families Make Compassionate Decisions
At Love & Dignity, we understand the heartache of end-of-life decisions. Our goal is not only to provide in-home euthanasia but also to guide families through the journey with clarity, empathy, and respect.
If you are struggling with your pet’s quality of life, please know you don’t have to face this alone. We’re here to help with compassionate assessments, tele-advice guidance, and peaceful in-home care when the time comes.
