Quality Of Life Scale

 Click here to download Dr. Villalobos' Quality of Life Scale                                

     Quality of Life Scale1 
        The HHHHHMM Scale

Pet caregivers can use this Quality of Life Scale to determine the success of pawspice care. Score patients using a scale of 1 to 10.



H: 0 – 10 HURT – Adequate pain control, including breathing ability, is first and foremost on the scale. Is the pet's pain successfully managed? Is oxygen necessary?
H: 0 – 10 HUNGER – Is the pet eating enough? Does hand feeding help? Does the patient require a feeding tube?
H: 0 – 10 HYDRATION – Is the patient dehydrated? For patients not drinking enough, use subcutaneous fluids once or twice daily to supplement fluid intake.
H: 0 – 10 HYGIENE – The patient should be brushed and cleaned, particularly after elmination. Avoid pressure sores and keep all wounds clean.
H: 0 – 10 HAPPINESS – Does the pet express joy and interest? Is the pet responsive to things around him or her (family, toys, etc.)? Is the pet depressed, lonely, anxious, bored or afraid? Can the pet's bed be close to the family activities and not be isolated?
M: 0 – 10 MOBILITY – Can the patient get up without assistance? Does the pet need human or mechanical help (e.g. a cart)? Does the pet feel like going for a walk?  Is the pet having seizures or stumbling?  (Some caregivers feel euthanasia is preferable to amputation, yet an animal who has limited mobility but is still alert and responsive can have a good quality of life as long as caregivers are committed to helping the pet.)
M: 0 – 10 MORE GOOD DAYS THAN BAD – When bad days outnumber good days, quality of life might be compromised. When a healthy human-animal bond is no longer possible, the caregiver must be made aware the end is near. The decision needs to be made if the pet is suffering. If death comes peacefully and painlessly, that is okay.
*TOTAL= *A total >35 points is acceptable for a good pawspice

1.Adapted by Villalobos, A.E., Quality of Life Scale Helps Make Final Call, VPN,
09/2004,for Canine and Feline Geriatric Oncology Honoring the Human-Animal
Bond, by Blackwell Publishing, Table 10.1, released 2006.

2 thoughts on “Quality Of Life Scale

  1. I will use this wonderful quality of life scale when my dog is discharged from the hospital. Will you please review this history, and recommend a Pet Hospice service to help me care for him at home (Cotati, California)?
    My 11 y.o. Brittany Spaniel had an acute cervical disc expulsion/rupture on March 15, 2018. On March 16th, he had successful removal of all the disc material at UC Davis. The neurosurgeon thinks he will walk again, but that may take weeks to months. At present, he has tetraparesis, but is able to stand with support.
    He is able to eat a slurry of Ensure & his z/d canned food, but has had significant weight loss. Integrative Services will consult today, and tailored physical therapy will follow. As soon as I have contacted a Pet Hospice, I can begin planning for our return home. I’m staying in Davis until I can bring him home. Another concern is his safe transport, both
    to home from UC Davis, and then at home during his recovery.
    I would appreciate your recommendations for his care at home!

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