Palliation of a Juvenile Canine with dilated cardiomyopathy: A case report on the human-animal bond

Abstract

Abstract Background: Veterinary hospice and palliative care for juvenile patients present unique clinical and emotional challenges. This case report describes the end-of-life journey of “Ollie”, a 16-month-old English Setter diagnosed with dilated cardiomyopathy (DCM). It highlights the central role of the human-animal bond, caregiver empowerment, and interdisciplinary collaboration in achieving a peaceful death. Methods: Following diagnosis, the attending veterinarian from Rest Your Paws, an Australian in-home veterinary hospice service, collaborated with the caregiver to develop a palliative plan. Care strategies addressed physical symptoms, emotional needs, and enrichment while minimising stressful clinic visits. Interventions included medication adjustments, caregiver education, and provision of a comfort kit. Psychosocial support resources and grief counselling were also offered. Results: Ollie remained engaged and interactive throughout much of palliation, participating in daily enrichment activities such as short car trips and socialisation with calm canine companions. His quality of life was initially rated 4/5, later declining to 3/5 with appetite loss, lethargy, and evening restlessness. On 16 April 2024, following a brief decline, he was euthanised peacefully at home with his caregiver and her mother by his side, using a sedation-first protocol. The caregiver expressed relief and gratitude, emphasising the importance of compassionate communication, practical support, and meaningful ritual in honouring Ollie’s life. Conclusions: Juvenile palliation demands a holistic approach that extends beyond medical stabilisation. Empowering caregivers, integrating enrichment, and preparing families for crisis situations help to optimise quality of life and support the grieving process. This case highlights both the importance of caregiver preparedness around emergency medications and the potential role of digital monitoring tools in strengthening home-based clinical oversight. Above all, compassionate end-of-life care ensures that even the hardest goodbyes are marked by comfort, dignity, and love, preserving the human-animal bond.