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New Hospice Guidelines for Veterinary Professionals

June 18th, 2026 by Ima Admin

The Heaven at Home Pet Hospice team is delighted to share news from the International Association of Animal Hospice and Palliative Care (IAAHPC). The organization has released new Animal Hospice and Palliative Care Guidelines, dedicated to improving the quality of life for animals nearing the end of life and supporting the people who care for them. Developed by leading experts in the field, these guidelines are the essential resource for veterinary professionals looking to integrate hospice and palliative care principles into their practice.

“This represents a great framework to ensure that all pet parents can access quality care that provides dignity and a peaceful passing to their beloved companion animals,” said Dr. Laurie Brush, founder of Heaven at Home Pet Hospice and board member of the IAAHPC.

Members of the organization – including the Heaven at Home team – are intimately familiar with these guidelines through training and continuing education. By updating this set of guidelines, the organization hopes to share the framework beyond hospice-focused practices to all those involved in the veterinary profession. The goal is earlier intervention to reduce suffering and improve quality of life. Key concepts include:

  • The Ethical and Practical Framework: Understand the core principles of animal hospice and palliative care, including ethical considerations, pain management, and the role of euthanasia.
  • Pain, Suffering, and Quality of Life Assessments: Learn to assess and manage physical and emotional suffering, emphasizing quality of life assessments and individual patient needs.
  • Caregiver Support: Strategies for supporting caregivers through the challenges of caring for a dying animal, addressing mental health considerations, and facilitating bereavement support.
  • Integrative Care Approaches: Explore the integration of conventional medicine with alternative therapies to provide comprehensive care.
  • Legal and Professional Responsibilities: Guidance on the legal aspects of providing end-of-life care and maintaining professional standards.

The IAAHPC resource serves as a guide to delivering compassionate, ethical, and comprehensive care, ensuring both animal patients and their caregivers are supported during this critical stage of life.

“We’re excited to share this framework with our veterinary peers across Michigan to serve our collective goal of compassionate care for senior pets,” Dr. Brush said.

Access the Guidelines at IAAHPC

 


IAAHPC Hosts Webinar on the Future of Veterinary Hospice Care

June 4th, 2026 by Ima Admin

For the first time in the history of veterinary medicine, hospice and palliative medicine is on the path to becoming a board-certified specialty. Pet parents and veterinary professionals can help make that happen by learning more and engaging with the American Veterinary Medical Association’s feedback process.

To help educate fellow professionals and interested parties, the IAAHPC is hosting a special webinar:

From the Field to the Specialty Board: ACVHPM and the Future of Veterinary Hospice Care
Wednesday, June 10, 2026 | 1:00 PM Eastern
Free to attend | Open to all

About the Webinar

The American College of Veterinary Hospice and Palliative Medicine (ACVHPM) is a proposed Recognized Veterinary Specialty Organization currently petitioning the American Veterinary Medical Association (AVMA) and American Board of Veterinary Specialties (ABVS) for formal recognition. If successful, it would be the first board-certified veterinary specialty dedicated entirely to hospice and palliative medicine.

IAAHPC is proud to formally endorse this effort — and we want our members to be the first to understand what this means for our field, our patients, and our profession.

Join us for a candid conversation covering:

  • What the proposed ACVHPM is, and what it is not
  • How it differs from existing credentials like the CHPV and CPEV
  • What board certification would mean for veterinarians, veterinary teams, and the animals and families we serve
  • Where the petition process currently stands and what comes next
  • How IAAHPC is supporting the effort
  • What you can do right now to help

Your Hosts

  • Coleen Ellis, IAAHPC Executive Director
  • Aja Senestraro, DVM, CVPP, CHPV, CCRP, CAC-IVCA, CVA, CVCH, CTP, CVFT, CTCVMP, CMTPT, CFV Chair, ACVHPM Organizing Committee | Founder, Sea to Sky Holistic Veterinary Services
  • Tyler Carmack, DVM, CVA, CHPV, CPEV, CVPP, CVFT, CTPEP Vice-Chair, ACVHPM Organizing Committee | Director of Hospice & Palliative Care, Caring Pathways

Why This Matters for Veterinary Professionals

Veterinary professionals are committed to advancing the standard of care for animals at end of life. The practitioners behind ACVHPM are your colleagues, your friends, and in many cases your fellow IAAHPC members. This specialty college was built from the ground up by people who have been doing this work — often without formal recognition — for their entire careers.

Formal specialty recognition would mean that the compassionate, evidence-based, interdisciplinary care you provide every day is acknowledged by the veterinary profession at the highest level. It would create a clear pathway for the next generation of practitioners who want to dedicate their careers to this work. And it would give every pet owner seeking end-of-life care for their animal a way to find a veterinarian with verified, advanced training.

This is the moment our field has been working toward. We hope you will join us.

Register Here


Annual Flea & Tick Protection: What Senior Pet Parents Should Know

May 28th, 2026 by Ima Admin

As our dogs grow older, we become more thoughtful about every health decision we make for them. Parasite prevention is no exception. Fleas and ticks are more than just a nuisance—they can transmit diseases that may be especially hard on aging pets.

Recently, a new option has become available: a once-yearly flea and tick injection. While the convenience can be appealing, it’s important for pet parents—especially those caring for senior dogs—to understand both the benefits and the considerations.

Veterinarians now have access to an injectable flea and tick medication called Bravecto Quantum, which can protect dogs for 8–12 months after a single dose administered at the veterinary clinic.

The medication contains fluralaner, a member of the isoxazoline class of parasite preventives. These medications work by disrupting the nervous system of fleas and ticks after they bite, helping eliminate parasites before they can establish an infestation.

For many families, the idea of one visit and a full year of protection is a welcome change from monthly reminders and treatments.

“With incidences of Lyme disease skyrocketing in Kent County, tick vigilance and compliance is critical for both humans and canines,” said Dr. Laurie Brush, founder of Heaven at Home Pet Hospice. “As with every new medication, we don’t yet know how senior pets will react, and the risk with an annual injection is that you can’t undo it.”

 

Benefits of the Annual Option

  • A yearly treatment can help ensure your dog stays protected without worrying about missed monthly doses.
  • Fleas and ticks are active in many regions year-round. Continuous protection reduces the risk of infestations and tick-borne diseases like Lyme disease.
  • Some dogs refuse pills or lick off topical products. An injection handled by the veterinary team removes that daily challenge.

Important Considerations for Senior Dogs

While many pets tolerate these medications well, there are a few things to discuss with your veterinarian.

  • Medications in the isoxazoline family have been associated with rare neurologic effects such as tremors or seizures in susceptible pets.
  • The long-acting nature of the medication means it cannot be removed if a reaction occurs.
  • Older dogs may have underlying health conditions—such as liver, kidney, or neurologic issues—that should be considered when choosing any long-acting medication.

Choosing What’s Best for Your Dog

A thoughtful conversation with your veterinarian—considering your dog’s age, health history, lifestyle, and risk of exposure—can help you decide which prevention plan feels safest and most appropriate.

After all, protecting our pets from parasites is just one more way we help them stay comfortable, healthy, and enjoying their golden years by our side.

 

 


Video: Improving Mental Stimulation for Your Senior Pet

May 27th, 2026 by Ima Admin

What: Michelle Van Harn, LVT and hospice nurse at Heaven at Home, explains some of the many ways you can provide enrichment and mental stimulation for your senior dog.

Why It Matters: Certain behaviors in dogs were beneficial to their ancestors’ survival, with the most important being finding food. Allowing “free sniffing” during walks and providing various treat puzzles for them to solve helps them produce “happy” brain chemicals, leading to improved wellbeing.

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!


A Big Step Forward for Senior Pets — and the People Who Love Them

May 21st, 2026 by Ima Admin

AVMA Pet Hospice Specialty advocacy depicted by senior dog and call to action with pawprints and heartsIf you have ever sat with an aging dog or cat and wondered, Are they comfortable? Is it time? Am I doing the right thing? — you already understand why what is happening right now in veterinary medicine matters.

A national group of veterinarians is working to establish the American College of Veterinary Hospice and Palliative Medicine (ACVHPM) as the first formally recognized specialty in pet hospice and end-of-life care. And one of the leaders helping shape that effort is right here in West Michigan: Dr. Laurie Brush, DVM, founder of Heaven at Home Pet Hospice in Grand Rapids.

For senior pet parents, this is the kind of news worth paying attention to.

Why a New Specialty?

Veterinary medicine has specialties for cancer, cardiology, surgery, internal medicine, dermatology, and more. But when a pet reaches the stage where cure is no longer possible — or no longer what the family wants — there is currently no AVMA-recognized specialty dedicated to that part of the journey.

That gap is what the ACVHPM is being built to close. It would set rigorous training standards in:

  • Advanced pain and symptom management
  • Quality-of-life assessment for chronic and terminal conditions
  • Goals-of-care conversations and shared decision-making
  • Grief support for the humans in the room

In other words: the same level of care, comfort, and respect we expect in human hospice — formally established for pets.

A Local Voice in a National Effort

Dr. Brush has been practicing veterinary medicine since 1998 and founded Heaven at Home in 2012, when in-home hospice for pets was still rare in Michigan. She was among the first 100 veterinarians in the world to earn certification in animal hospice and palliative care from the IAAHPC.

Her involvement in ACVHPM brings more than a decade of in-home, family-centered hospice experience to the national table.

“Senior pets and the families caring for them deserve a profession that has trained for this moment with the same seriousness it brings to every other stage of life,” she says.

What You Can Do

Heaven at Home will be rolling out specific ways pet parents can support the recognition of ACVHPM in the weeks ahead — from sharing the story to signing on as public supporters of the effort.

You can help by sharing your thoughts with the AVMA before the August 13 deadline at this link: https://www.avma.org/blog/comments-sought-proposed-new-specialty – or to go directly to the comment form, visit: https://form.jotform.com/260904559098064


Help with Memorializing Your Pet

May 4th, 2026 by Ima Admin

What: Emily, an Aftercare Specialist at Heaven at Home, showcases some of the many ways you can keep your pet close after they’ve passed on.

Why It Matters: Pet loss is often “disenfranchised grief,” which can worsen feelings of loss. Heaven at Home clients often find that memorializing their pet and engaging in a ritual to celebrate what their fur friend meant in their lives helps with healing. Read the rest of this entry »


Mobility Aids for Senior Pets: Using a “Help ’Em Up” Harness with Compassion

May 1st, 2026 by Ima Admin

As pets enter their senior years—or face life-limiting illness—simple daily movements can become difficult and painful. Arthritis, muscle loss, neurological changes, or recovery from injury can all affect mobility. When your pet experiences difficulty standing up, walking across the room, or climbing steps, a “Help ’Em Up”–style harness is one of the most practical, humane tools you can use to support your dog’s independence and comfort.

Rather than lifting your pet awkwardly or risking strain on your own back, a mobility harness allows you to assist safely, evenly, and gently.

“In the sunset years, mobility support is about meeting your pet where they are—offering help when needed, and allowing rest when that feels right. But having a device on hand to help your beloved companion enjoy gentle walks outside or reach areas in your home they’ve loved will help keep them engaged and enjoying a higher quality of life,” said Dr. Laurie Brush, founder of Heaven at Home Pet Hospice.

Read the rest of this entry »


Video: Using a “Help ‘Em Up” Harness

April 3rd, 2026 by Ima Admin

What: Michelle Van Harn, LVT and hospice nurse at Heaven at Home, walks you through how to properly fit a Help Em’ Up harness on your senior dog.

Why It Matters: Products like the Help ‘Em Up She explains what the harness is used for, as well as how to adjust all of the clips and straps. She also shares some helpful “dos and don’ts.”

Want to learn more about types of assistive devices there are available for senior pets?Visit our Devices for Senior Pets Roundup

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!


The “Mystery Cancer” in Dogs – and How a Gene Discovery Is Changing the Story

April 1st, 2026 by Ima Admin

For many families, hemangiosarcoma feels like a thief in the night.

A healthy, happy dog goes to bed… and the next day collapses without warning. Pale gums. Weakness. A swollen belly. An emergency rush to the vet. Within hours, pet parents hear a word they’ve never heard before: hemangiosarcoma.

This fast-growing cancer of the blood vessels is one of the most aggressive cancers in dogs. It often hides silently in the spleen or heart until a fragile tumor ruptures and causes sudden internal bleeding. By the time it’s found, it has usually already spread. Read the rest of this entry »


Video: How To Medicate Senior Dogs & Cats

March 2nd, 2026 by Ima Admin

What: Michelle Van Harn, LVT and hospice nurse at Heaven at Home, shows you some helpful tips and techniques you can use to give medication to a senior dog or cat, especially if they’re being stubborn!

Why It Matters: As pets age, it’s likely they’ll need medication to improve their quality of life, manage pain, or fight infections. If a pet is resistant to taking this medication, it can create a stressful situation for you and the pet at least once a day, which then exacerbates their aversion to medication. Michelle’s tips can help turn the experience into no big deal, or even better, a positive one.

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!