Quality of Life

  • Date Format: MM slash DD slash YYYY
  • Mental Status - ie: circling/repetitive movements, confusion or disorientation, decreased responsiveness, less interaction with family, changes in sleep pattern, excessive barking or vocalization.
  • * General Activity Level - ie: changes in activity level, increased stiffness or limping, difficulty climbing stairs or jumping up, tremors or shaking.
  • Appetite – ie: altered appetite- changes in eating or drinking, weight change, difficulty chewing or swallowing, drooling, severe bad breath (sign of periodontal disease).
  • Defecation – ie: difficulty in passing stool, diarrhea, constipation, having accidents
  • Urination – ie: painful or straining to urinate, having accidents, incontinence, increase in frequency/amount to urinate.
  • * Overall Well-Being – ie: happiness, less enthusiastic greeting or behavior, pet stops normal grooming behavior, skin or hair coat changes, lumps, bumps, swellings or wounds that won’t heal, seizures, coughing that increases in frequency or severity, tremors or shaking.