Canine Quality of Life (HHHHHMM Scale) Assessor

Evaluate your dog’s comfort, dignity, and wellbeing across the 7 recognized domains developed by veterinary oncologist Dr. Alice Villalobos to guide objective, compassionate senior and hospice care decisions.

Rate each domain from 0 (Severely Compromised) to 10 (Optimal Comfort & Function):

1. Hurt (Pain Control & Respiration) 8 / 10

Is pain managed effectively? Can dog breathe comfortably without respiratory distress?

2. Hunger (Eating & Appetite) 7 / 10

Is dog eating adequately on their own or with gentle encouragement? Refusal to eat is a key indicator.

3. Hydration (Fluid Intake & Turgor) 8 / 10

Are mucous membranes moist? Does the pet drink freely or maintain hydration via fluids?

4. Hygiene (Cleanliness & Soiling) 7 / 10

Can pet be kept clean, brushed, and free from decubitus ulcers (bedsores) or urine scald?

5. Happiness (Mental Joy & Family Interaction) 8 / 10

Does pet wag tail, greet you, engage with toys, or express alertness vs depressed withdrawal?

6. Mobility (Movement & Independence) 6 / 10

Can pet rise without distress? Can they walk or eliminate outside with assistance or slings?

7. More Good Days Than Bad (Two-Week Trend) 7 / 10

When bad days consistently outnumber good days, canine companionship quality is severely impacted.

🩺 Palliative Care Assessment & Next Steps

Pain & Physical Comfort

Emotional & Social Bond

Veterinary Guidance

🩺 Palliative Care Assessment & Next Steps

Pain & Physical Comfort

Emotional & Social Bond

Veterinary Guidance

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