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Horse & Hound
|October 08, 2020
The toughest decision is often the kindest with an elderly or infirm horse. Kieran O'Brien MRCVS offers advice on making the hardest call

RECENT research found that less than one in 10 horses die of natural causes. For the remainder, a conscious and often agonising decision to end the animal’s life must be made by the owner.
A critical illness, such as incurable colic, or a major irreparable injury will carry an inevitability which eases the decision-making process. In the case of an old or infirm horse who is slowly but progressively declining, however, the call must be made in cold blood.
Often, owners want us, as vets, to nudge them towards a conclusion. This is not difficult if the horse is clearly suffering, yet in more marginal cases a frank conversation must be had in which together we weigh up all aspects of the horse’s life – both now and in the future. Euthanasia may then be decided upon or postponed until a later date. But the horse’s welfare must come first; when his life is becoming a burden, it is time to act.
We can objectively assess a horse’s quality of life by asking the following questions:
• Is his life reasonably normal?
He needs to be able to graze for most of the day, to get up and lie down unaided, and to walk and trot easily in the field – in the company of other horses who are respectful and do not bully him.
• Is he maintaining body weight?
A gaunt, angular appearance is often part of the ageing process. If a horse is correctly fed and provided with rugs or shelter in cold weather, however, he should still have reasonable fat and muscle cover.
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