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Video: Pet Quality of Life Scorecard

January 2nd, 2026 by Ima Admin

What: Michelle Van Harn, LVT and hospice nurse at Heaven at Home, introduces you to a few different ways of measuring your pet’s quality of life. Michelle explains how the scorecards work, contrasting them so you can see which best suits you and your pet, giving you the most accurate assessment.

Why It Matters: A Quality of Life scorecard is a snapshot in time of how your pet is doing, whether they have more good days or bad. While the Heaven at Home Pet Hospice team can assist you in assessing the quality of life of your senior pet, we can’t make the decision for you. Pet parents play a pivotal role in assessing a pet’s quality of life because they are direct observers of the day-to-day signals of their pet’s condition.

See the Pet Quality of Life Scorecard here.

For more videos about senior dog and cat tips, subscribe to Heaven at Home on YouTube or browse our Video Category in our Resource Center!


What to Expect During a Home Pet Euthanasia

January 2nd, 2026 by Ima Admin

Saying goodbye to a beloved companion is one of the hardest decisions a pet parent will ever
face. Saying goodbye at home can help make that farewell as peaceful as possible.

When a home euthanasia veterinarian arrives, your companion can stay in their favorite spot —
perhaps on the bed, nestled on a blanket, outdoors in the sunshine, even in your arms. Remaining
in a familiar environment helps minimize anxiety and allows your family to focus on what
matters most: surrounding your pet with love.

Your veterinarian will begin with a quiet conversation to explain the process, answer any
questions, and complete the legal paperwork. Many families choose to share memories, give
treats, or play calming music while preparing to say goodbye.

“We want them to find that deep sleep that’s going to allow for a peaceful passing as we aim to
make it a non-medical experience,” said Dr. Laurie Brush, founder of Heaven at Home Pet
Hospice.

The process begins with a sedation cocktail injected with a tiny needle to help your pet drift into
a calm, very deep, pain-free sleep – usually in 5 – 15 minutes.

Once your veterinarian is certain your pet is comfortable and completely unaware, and that you
are ready to say goodbye, the final injection is given. This medication travels to their brain and
tells them they don’t have to worry about breathing anymore and allows their heart to gently
stop. It is quick, painless, and marked by deep relaxation.

Some people wonder about the natural aspects of death – the eyes not staying closed, loss of
bowel or bladder control, etc. The veterinarian comes prepared to manage these issues deftly. Afterward, the veterinarian can gently transport your companion to our aftercare center for
cremation if you’ve selected that option. Your companion will be snuggled in a blanket on a
stretcher or in a basket. They will remain tucked in their blanket until it’s their turn to be placed
in the cremation cradle. Personalized memorial keepsakes such as paw prints, locks of fur or
nose prints are made. If private cremation is selected, ashes will be returned to you in an urn and
can be infused into keepsake jewelry or artwork you select to memorialize your bond.

Grief is a natural part of the process. Your veterinarian can connect you with pet loss support
resources and grief counseling. You’re not alone. You’ve given the greatest, most loving gift to
your companion – a compassionate, peaceful ending to their life story.


Video: How to Identify Pain in Cats

November 3rd, 2025 by Ima Admin

What: Michelle Van Harn, LVT and hospice nurse at Heaven at Home, explains how to recognize the subtle, often missable signs that your cat is experiencing pain. Pets generally don’t cry out when they are in pain, so as they age, we have to be vigilant and learn to spot the clues. Michelle also shares some easy, non-invasive ways to help manage pain symptoms in pets.

Why It Matters: We hear from our pet owners every day that they don’t want their cats to suffer. To have our cats live their best possible lives, we need to identify and, with the help of our vet, ameliorate their pain.

Read Our Post: “Kitty Grimace? Your Feline May Be In Pain!”.

For more videos about senior dog and cat tips, subscribe to Heaven at Home on YouTube or browse our Video Category in our Resource Center!


Honoring the Human–Animal Bond: IAAHPC and Heaven at Home’s Role in Advancing Pet Hospice & Palliative Care

September 29th, 2025 by Ima Admin

For many pet parents, our four-legged companions are not just animals—they’re family. When pets reach the later stages of life, families often face difficult decisions about how to provide comfort, dignity, and love during their final days. That’s where the International Association for Animal Hospice and Palliative Care (IAAHPC) and Heaven at Home Pet Hospice step in, with a shared mission: to support families and elevate end-of-life care for pets. Read the rest of this entry »


Video: How to Identify Pain in Dogs

September 25th, 2025 by Ima Admin

What: Michelle Van Harn, LVT and hospice nurse at Heaven at Home, explains how to recognize subtle signs that your dog is experiencing pain. Pets generally don’t cry out when they are in pain, so as they age, we have to be vigilant and learn to spot the clues. Michelle also shares some easy, non-invasive ways to help manage pain symptoms in pets.

Why It Matters: We hear from our pet owners every day that they don’t want their dogs to suffer. To have our dogs live their best possible lives, we need to identify and, with the help of our vet, ameliorate their pain.

You can download and print the Colorado State Acute Canine Pain Scale here.

For more videos about senior dog and cat tips, subscribe to Heaven at Home on YouTube or browse our Video Category in our Resource Center!


Video: Dog Bed Tips – Crucial Comfort for Senior Pets

September 5th, 2025 by Ima Admin

What: Our Hospice Nurse, Michelle Van Harn, LVT, gives you a quick primer on different styles and materials used in pet bedding, adding how each can help manage senior pet pain as well as some shortfalls to watch out for when making a selection.

Why It Matters: What kind of bed you provide for your senior pet can go a long way in managing any pain they’re experiencing. Simply selecting the right bed for your senior pet’s symptoms is a non-invasive way to increase comfort and possibly their mobility. It may also reduce the amount of pain medication needed.

For more videos about senior dog and cat tips, subscribe to Heaven at Home on YouTube or browse our Video Category in our Resource Center!


Ingredients of a “Good Death” For Your Senior Companion Animal – Quality of Life Assessment

August 29th, 2025 by Ima Admin

It’s difficult to imagine life without your senior pet, and making a decision to euthanize can be complex and heart-wrenching. However, as our beloved pets age, monitoring their comfort and happiness becomes an essential part of responsible, compassionate care. This monitoring ultimately helps ensure a golden final chapter and peaceful close to his or her life story. One of the most valuable tools available to pet parents is a Quality of Life (QOL) scorecard.

“This simple yet insightful tool offers a snapshot in time of your pet’s well-being, helping to guide thoughtful decisions as they approach their final life stage. You are your pet’s most important advocate. Your daily observations—the tail wags, the appetite dips, the moments of joy or discomfort—are what shape a complete picture of your pet’s life quality,” said Dr. Laurie Brush, founder of Heaven at Home Pet Hospice.
Read the rest of this entry »


How to Exercise Your Arthritic Senior Dog Safely

July 1st, 2025 by Ima Admin


As dogs age, it’s common for arthritis to slow them down. But that doesn’t mean your golden oldie has to give up the things they love. With gentle movement, you can help your senior dog feel better and stay active.

“Regular, low-impact exercise is essential for arthritic dogs. Exercise has been shown to reduce pain, improve muscle mass, and allow dogs to continue to do the things important to them,” said Dr. Laurie Brush, founder of Heaven at Home Pet Hospice.

“Gentle exercise is key.”

The trick is to choose low-impact activities that won’t put too much stress on painful
joints. Read the rest of this entry »


Should You Consider Adopting a Senior Pet?

May 9th, 2025 by Ima Admin

Adopting a senior pet can be one of the most rewarding, compassionate decisions you make. You know what you’re getting, they’re often already trained, and they’re calmer companions who, if left in a shelter, are at risk for early euthanasia.

“It’s important to make sure adopting a senior pet is the right match for your lifestyle and home. Older dogs and cats often need a little extra care, but they give back tenfold in love, gratitude, and companionship,” said Dr. Laurie Brush, founder of Heaven at Home Pet Hospice.
Here are four questions to help you make that assessment. Read the rest of this entry »


Leptospirosis Update: Urban Risk & Vaccine Recommendation

April 28th, 2025 by Ima Admin

Leptospirosis is a potentially fatal bacterial disease that affects dogs and is zoonotic, meaning it can be transmitted to humans. In the past, it was considered higher risk for animals in rural areas with access to warm, wet, stagnant areas such as standing water, mud puddles, and even swollen rivers and ponds, where it can linger for months after being shed by wildlife and rodents when they urinate.

Leptospirosis is most often transmitted to dogs through mucous-membrane (mouth, nose or eye) contact with the urine of infected animals and/or contaminated food, bedding, soil, or water. Dogs may also be infected through the bite of, or by eating, an infected animal. Raccoons, skunks, opossums, rats, cows, and pigs are all known carriers of the infection. Dogs can also become infected from close contact with another infected dog.

Historically, vaccination against leptospirosis was considered “non-core,” (elective) recommended primarily for dogs with specific risk factors or living in higher risk areas. However, recent developments have led major veterinary organizations, including the American Animal Hospital Association (AAHA) and the American College of Veterinary Internal Medicine (ACVIM), to reclassify the leptospirosis vaccine as “core” (essential) for all dogs.

“This shift underscores the importance of universal vaccination to protect canine health. Infection can lead to severe health issues, including kidney and liver failure, and can be fatal if not promptly treated. It can also be transmitted from animals to humans, posing public health concerns,” said Dr. Laurie Brush, founder of Heaven at Home Pet Hospice.

Early signs of Leptospirosis include:

  • Loss of appetite
  • Increase or decrease in urine production
  • Uncharacteristic inactivity
  • Vomiting
  • Diarrhea
  • Abdominal pain
  • Severe weakness and depression
  • Stiffness
  • Fever

Why Vaccinate Against Leptospirosis

  1. Increased Prevalence: Leptospirosis has been reported in diverse geographic
    regions including Michigan, affecting dogs of all sizes, breeds, and lifestyles,
    including those in urban areas.
  2. Improved Vaccine Safety: Advancements in vaccine formulations have enhanced
    safety profiles, reducing the incidence of adverse reactions.
  3. Expert Recommendations: Organizations like AAHA and ACVIM have updated their
    guidelines to recommend annual leptospirosis vaccination for all dogs starting at 12 weeks
    weeks of age, reflecting a consensus on the necessity of widespread immunization.