{"id":16510,"date":"2019-05-06T16:39:39","date_gmt":"2019-05-06T16:39:39","guid":{"rendered":"https:\/\/todaysveterinarypractice.com\/?p=16510"},"modified":"2022-02-21T14:44:09","modified_gmt":"2022-02-21T14:44:09","slug":"study-looks-at-veterinarian-attitudes-toward-euthanasia-of-pets","status":"publish","type":"post","link":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/news\/study-looks-at-veterinarian-attitudes-toward-euthanasia-of-pets\/","title":{"rendered":"Study Looks at Veterinarian Attitudes Toward Euthanasia of Pets"},"content":{"rendered":"

Euthanasia of pets. It’s one of the most difficult decisions a pet owner has to make, and there are often many complicating factors.<\/p>\n

When a patient is suffering without any hope of reversing the animal\u2019s condition, most veterinarians will recommend or support the decision for euthanasia. But there are times when a veterinarian refuses to end the animal\u2019s life, such as when they’re asked to perform \u201cconvenience euthanasia.\u201d This is the practice of euthanizing an animal because the pet has become too much trouble for the owner or they don\u2019t have the financial resources for the treatment needed. Veterinarians are also faced with a distressing situation when a pet owner won\u2019t consider euthanasia even when their beloved pet is suffering and the pet\u2019s illness or condition is completely hopeless. These are end-of-life situations that veterinarians struggle with in their practices.<\/p>\n

A 2018 study, Ethical Conflict and Moral Distress in Veterinary Practice: A Survey of North American Veterinarians<\/a>, which was published in the\u00a0Journal of Veterinary Internal Medicine<\/em><\/a>, took a look at euthanasia and explored its impact on career sustainability and well\u2010being among North American veterinarians. The study received 889 responses from veterinarians in North America.\u00a0Dr. Lisa Moses, a veterinarian at the Massachusetts Society for the Prevention of Cruelty to Animals-Angell Animal Medical Center and a bioethicist at Harvard Medical School, is the study\u2019s lead author.<\/p>\n

A majority of respondents reported feeling conflict over what care is appropriate to provide. Over 70% of respondents felt that the obstacles they faced that prevented them from providing appropriate care caused them or their staff moderate to severe distress. Seventy\u2010nine percent of participants report being asked to provide care that they consider futile. More than 70% of participants reported no training in conflict resolution or self\u2010care.<\/p>\n

Nearly 27% of vets across different practice types \u201csometimes or often\u201d received what they considered inappropriate requests for ending animal lives. Most vets had received such requests at least once; only about 7% had never received them. Almost 45% said it caused them or their staff a moderate amount of distress and 18.7% reported it caused them or their staff severe distress.<\/p>\n

Just over 75% said they never or only rarely carried out \u201cinappropriate\u201d euthanasia.<\/p>\n

In response to the study\u2019s question, \u201cHow often have you been asked to do something in the course of your clinical practice that feels like the wrong thing to do?\u201d 45.3% said \u201csometimes\u201d and 5.6% said \u201coften.\u201d Although approximately 25% of respondents said they never complied with these requests, 45% of respondents said they complied \u201crarely,\u201d 23.6% said they \u201csometimes\u201d did so, 7% said they \u201coften\u201d did so and less than 1% said they \u201calways\u201d did so. Sixty\u2010two percent of respondents stated that \u201csometimes\u201d or \u201coften\u201d they felt they could not \u201cdo the right thing.\u201d Many respondents in text comments cited financial constraints as the most common obstacle to doing what they felt was right, but some also cited external pressure from an employer or management policies.<\/p>\n

The study authors note, \u201cThe findings implicate moral distress in generating feelings of burnout and compassion fatigue, raising concern that moral distress may contribute to the development of mental health problems among veterinarians. We join other researchers in veterinary profession in urging that the roots of stress and poor well\u2010being in the veterinary community be fully explored and addressed by professional societies.\u201d<\/p>\n

Moral distress is thought to be one reason why veterinarians suffer professional burnout and compassion fatigue. Sixty\u2010nine percent of respondents said they felt they had moderate to severe amounts of distress as a result of not being able to provide care they thought was appropriate. When asked \u201cHow often have you felt distressed or anxious about your work?\u201d 35% of respondents reported \u201csometimes\u201d and 43% answered \u201coften.\u201d When asked how often they had been asked to do things that are outside of their skill set for financial or other reasons, more than 50% of respondents said that they \u201csometimes\u201d or \u201coften\u201d were so asked.<\/p>\n

Twenty\u2010six percent of respondents said their empathy for their patients had waned over time and 31% said that their empathy for pet owners had waned over time, and 60% of respondents said they feel like they have prioritized the needs of animal owners over their patients.<\/p>\n

When asked about coping mechanisms when they felt they could not do the right thing, 11% said they had sought unspecified professional help. And when asked about how they coped when \u201ca client refuses to do what you think is in the best interest of your patient,\u201d 9% of respondents indicated that they sought professional help. In both of these situations, over 75% of participants indicated that they discussed the situation with a partner, friend, or colleague, whereas approximately 20% responded that they \u201cdid nothing.\u201d<\/p>\n

On the other side of the coin are the clients who refuse to consider euthanasia and request \u201cfutile\u201d treatments for their animals. The respondents were nearly split evenly on the question, \u201cHave you ever refused to provide a treatment that you feel is futile?\u201d With 50.7% answering \u201cyes\u201d and 49.2% responding \u201cno.\u201d Nearly 55% of veterinarians reported that they \u201csometimes\u201d feel conflicted or upset because a pet owner refuses to do that they thought was in the best interest of the patient. More than half (57.1%) said they \u201csometimes\u201d recommend euthanasia to pet owners who have not brought up the topic and 85% said they have recommended euthanasia to pet owners who have stated they will not consider it.<\/p>\n

\u201cVeterinarians would benefit from training and support in managing the distress they inevitably will feel in their everyday work,\u201d the study authors conclude. \u201cOur findings indicate that, to date, such training and support have not yet happened. We hope our findings as well as future research will lead to supportive, positive changes that will make the practice of veterinary medicine sustainable, less damaging and, in the end, better for veterinarians, their patients, and staff.\u201d<\/p>\n

LEARN MORE<\/h3>\n

How to Handle Euthanasia In your Practice<\/strong><\/a> \u2022 Bridging the Gap Between Terminal Illness and Euthanasia<\/strong><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Sometimes, pet owners elect to have their animals euthanized because they can\u2019t or won\u2019t pay for treatment.<\/p>\n","protected":false},"author":11,"featured_media":16511,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"iawp_total_views":323,"footnotes":""},"categories":[342],"tags":[],"class_list":["post-16510","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-digital-exclusive","column-digital-exclusive","clinical_topics-news"],"acf":{"hide_sidebar":false,"hide_sidebar_ad":false,"hide_all_ads":false},"yoast_head":"\nStudy Looks at Veterinarian Attitudes Toward Euthanasia of Pets<\/title>\n<meta name=\"description\" content=\"Study: Issues related to euthanasia cause moral distress for veterinarians and vet schools need to do a better job in preparing their veterinary graduates.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, 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pet owners elect to have their animals euthanized because they can\u2019t or won\u2019t pay for treatment. And sometimes the animal is suffering and treatment would be futile but owners refuse to consider euthanasia. A recent study found that 69 percent of veterinarian respondents said they had felt moderate to severe distress about not being able to give animals what they thought was the right care. Almost two-thirds were bothered by inappropriate requests for euthanasia. 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