The dog is in constant pain that cannot be controlled with medication or treatment
The dog can no longer eat, drink, or keep food down
The dog cannot stand, walk, or move without severe distress
The dog has repeated seizures that are worsening or not responding to treatment
The dog is struggling to breathe or has frequent breathing crises
The dog has lost interest in all activities and no longer enjoys life
The dog cannot control urination or bowel movements and is severely distressed
The dog has a terminal illness with no reasonable treatment options left
The dog has more bad days than good days
The dog is no longer able to rest comfortably
The dog is showing signs of extreme anxiety, confusion, or agitation that cannot be relieved
Your veterinarian says recovery is unlikely and suffering is increasing
Caring for the dog has become a constant struggle to prevent suffering
You feel the dog’s quality of life has become unacceptable