Pet Owners’ Expectations for Pet End-of-Life Support and After-Death Body Care: Exploration and Practical Applications

Pet Owners’ Expectations for Pet End-of-Life Support and After-Death Body Care: Exploration and Practical Applications

Abstract

 

Pet owners caring for a pet during the end of its life are faced with aftercare choices and decisions. This study, through the use of an online anonymous survey, explored the perceptions and expectations of United States (US) pet owners regarding end-of-life issues, with a focus on after-death body care. Participants living in the US who were the current owners of at least one cat or dog, had a regular veterinarian, and had made end-of-life decisions for at least one pet were recruited for the study. Survey respondents included 2043 dog and/or cat owners (41.4% male, 57.9% female) of which 68% had made cremation decisions and 32% had made burial decisions for at least one pet in the past. The majority of these owners indicated they preferred to work with a specific crematory (43%) or cemetery (70%) and over 95% of these owners reported feeling it important to work with their preferred after-death body care service. In terms of guidance, most owners indicated they rely on their veterinary team to help them with end-of-life decisions and orchestrating arrangements on their behalf with tertiary pet aftercare services/companies. Participants indicated being more likely to use veterinary staff for pet death and dying as well as after-death body care and memorialization than any other source. When asked about these after-death body care conversations, 73% indicated they need 20 minutes or less. Participants expressed significant concern over several aspects of after-death body care (e.g., body mislabeling, type of container used for short term and long-term storage). Results of this study create the foundation for practical, ethical after-death body care recommendations to help guide veterinary teams acting on their clients’ behalf.

Introduction

 

Many people view their pets as family members and therefore, it is not surprising that the death of a pet is often accompanied by significant grief. For some individuals, the intensity of the grief experience due to the death of a pet is similar to that experienced with a human loss. Typically, when a human family member dies, survivors engage in traditional funeral rites and rituals. These often include meeting with a funeral director, choosing body disposition options, hosting a funeral or memorial service, and writing an obituary. In contrast, the death of a pet does not typically have similar procedures or rituals that allow owners to express their grief.In contrast, the death of a pet is often disenfranchised; defined as a loss that is not supported or validated by society. Oftentimes, the griever does not receive the emotional support they need from family or friends; instead often being the recipient of comments that minimize their loss. Veterinary professionals, however, can play a key role in supporting pet owners during their time of loss by validating their grief.

The time prior to death, whether human or animal, typically involves end-of-life (EOL) decisions and care. Much has been written about human end-of-life care and decision making, with an increasing emphasis on the positive aspects of preplanning as a way to create an “appropriate death” – a death which one chooses for him/herself. Recommendations include completing advance directives (a written statement of a person’s wishes regarding medical treatment), as well as prearranging funeral services and plans for body disposition. Preplanning can help ensure people have a voice in their own EOL decisions, as well as reduce the stress on their families, helping them to make more informed decisions at a time when they are not in crisis. Similarly, there are many published recommendations that promote EOL conversations and decision-making for pet owners. Yet, these resources typically focus on medical treatment with far fewer that contain information about after-death body care options. Bishop et al.,for example, discussed the need for veterinarians to talk to owners about post mortem body disposition, including how the body will be temporarily stored (e.g., refrigerated, frozen) as well as final body disposition (e.g., cremation, burial, etc.). Similarly, Ellis recommended that veterinary professionals educate themselves on body care options and the nuances involved in each option.

While many aspects of EOL planning for human and pet death are similar, euthanasia is a uniquely veterinary medicine-related EOL option, and in fact, one of the most common procedures conducted by veterinary teams. Previous research suggests that owners are generally quite satisfied with the euthanasia appointment and procedure, including the decision to be present, how the euthanasia was performed, the level of compassion showed by the veterinarian and staff, the level of privacy offered, and feeling informed and prepared. Less is known, however, about owners’ preferences for their pet’s body care after euthanasia.

The veterinarian is the owner’s primary source of information about their pet’s after-death body care, evidenced by the fact that approximately 90% of pet owners expect their veterinarian to discuss their pet’s after-death body care with them.Without these conversations, many pet owners may be unaware of their choices (e.g., cemetery burial, alkaline hydrolysis, choice of urn, legality of home burial, funeral services hosted by the crematory, etc). Owners who are not informed of their options may feel angry or believe they missed out on the opportunity to choose the ideal way to memorialize their pet. In addition to final disposition, owners are also concerned about what happens to their pet’s body after death and the timeliness of events. For example, previous studies suggest that owners who choose cremation want assurance they will receive the remains in a timely manner and that the remains they receive are actually from their own pet.

Although owners expect the veterinarian to discuss aftercare and bereavement, they do not expect their veterinarian to take on the role of funeral director or counselor. Yet, many veterinarians are reluctant to broach EOL subjects for a variety of reasons. These include concern that initiating EOL issues may be perceived as premature by the owner or uncertain whether the owner wants to discuss the topic.Others worry that EOL conversations will require too much time or feel they have not been adequately trained to have these conversations. Additionally, some veterinarians do not feel they can adequately answer owners’ questions about after-death body care processes once the pet leaves their hospital. This reluctance to address EOL issues is even evident on veterinary hospitals’ websites. A recent review of 500 US veterinary hospital websites found only 160 (32%) include any reference to euthanasia, and even fewer (103; 20.6%) mention after-death body care. Of those that reference body care, the majority include information on cremation (95.1%), with far fewer (36.9%) mentioning burial. Veterinarians reluctant to discuss EOL issues can benefit from utilizing alternative sources of EOL information in the form of brochures, handouts, and books; resources found to be appreciated by many owners.

Despite the growing body of literature on pet EOL issues, there are many unanswered questions including what pet owners want in regards to their pet’s after-death body care, and what they expect from their veterinary team during their time of loss, including after-death body handling and storing. This study was designed to help answer these questions and thereby offer guidance to veterinary and pet aftercare professionals in regards to clients’ needs pertaining to after-death body care conversations, support, and logistics.

Materials and Methods

 

An online, anonymous, cross-sectional survey was developed using Qualtrics (Qualtrics, Inc., Provo, UT). When developing this survey, the decision was made to use the more traditional terms “pet” and “owner” instead of “companion animal” and “guardian” because it was felt that, while the terms “companion animal” and “guardian” are becoming more commonplace, they are still not as universally recognized as the terms “pet” and “owner.” Therefore, to be as inclusive as possible when surveying the public, the more traditional terms were deemed most appropriate. The survey was designed, reviewed, and tested by the co-investigators, their colleagues and pet owners. The survey was pilot tested by 30 individuals for ambiguity and/or potentially missing or inappropriate response options with revisions made based on these results. The study was approved by the Colorado State University Institutional Review Board (IRB # 20-9995H). Survey respondents were recruited June 25, 2020-July 10, 2020 through Amazon’s Mechanical Turk (MTurk; Amazon Inc., Seattle, WA) platform, an open online marketplace providing access to potential survey respondents in which survey respondents receive small monetary compensation for completing surveys. Diversity of participants recruited through MTurk is higher than typical Internet samples or American college-based samples, and the quality of data collected meets or exceeds the psychometric standards considered acceptable in published research in the social sciences.

In order to minimize the influence of geographic and cultural differences on respondent data, the survey was made available only to responders residing in the United States. Adult (18 years or older) participants who were the current owners of at least one cat or dog, had a regular veterinarian, and had made EOL decisions, as an adult, for at least one pet were recruited for the study.

Demographic information (age, gender, ethnicity, and profession (veterinary related, animal/pet related, neither)) was collected. Participants were asked if they had made a decision to have a pet cremated or buried, and if they responded positively, they were asked follow-up questions pertaining to specific after-death body options. Next, participants were asked to indicate to what degree they rely on their veterinarian for recommendations, supplies, and several types of pet care, with responses including viewing their veterinarian as a primary source, one resource of many, not a source at all, don’t know, or not applicable. They were then asked to indicate how much input they would like from their veterinarian when making choices about their pet’s care (with options ranging from minimal to maximum input). Additional communication questions included asking participants how likely they would be to use several potential information sources to learn about their pet’s death and dying process and after-death body care/memorialization. Information source options included veterinarian/veterinary staff, animal/pet professionals, friends/family, internet, and pet death related resources (e.g., crematory/cemetery staff). The timing of communication regarding after-death body care and memorialization was queried, with choices including never, while the pet is still healthy, and after the pet’s death. Next, they were asked to indicate how much time they felt they would need with their veterinary team to discuss after-death care options and how they would like to receive this type of information (e.g., review in veterinary hospital, given material to view later). Additionally, participants were asked how much information they would like about the different aspects involved with pet death; options included wanting all the details, wanting general information only, or preferring to be told what to do. Pet owners were also asked what level of planning they prefer regarding after-death body care and memorialization with options including wanting everything in place well ahead of time to waiting until after their pet’s death.

Another set of questions asked participants how important they view several aspects of after-death body care (e.g., how the body is stored immediately after death) and what option they most prefer (e.g., individual burial, cremation, etc.). Next, they were asked to indicate their concern level with several aspects involved with after-death body care. Examples include “that my pet might be mislabeled or lost” and “the type of container my pet is stored in permanently” and whether their veterinarian has toured the recommended aftercare facility. Final questions included views on veterinarian compensation for after-death body care and interest in pet loss support resources. Lastly, they were queried as to whether they would have done anything different regarding EOL decisions for their pet. The survey ended with an open-ended question to give participants an opportunity to provide additional thoughts about what they would like from their veterinarian regarding after-death body care. Data were analyzed using SPSS (IBM, Armonk, NY).

Results

 

Respondents who did not own a pet, did not have a regular veterinarian or had never made EOL decisions for a pet were not included in analysis; leaving a sample size of 2043. Because everyone did not answer every question, the total responses for each question have been noted.

The mean age of respondents was 39 (±12.8) years; median = 36 years. Respondents included 1121 (54.9%) dog owners, 454 (22.2%) cat owners, and 468 (22.9%) owners of at least one dog and one cat. The majority of respondents were female, White, and not employed in veterinary or animal-related professions. Most pet owners reported visiting their veterinarian at least 1-2 times a year and having made EOL decisions for 5 or fewer dogs or cats (Table 1).

Crematories and Cemeteries

 

Participants were asked if they had ever made decisions regarding cremation or burial. A total of 1398 (68.4%) had made cremation decisions, of which 43.2% (594/1374) indicated a preference to work with a specific crematory. For the majority of these owners, being able to work with their preferred crematory was important (very important – 243, 40.9%; moderately important – 326, 54.9%). Only 25 (4.2%) reported it was not important. Six hundred fifty-five participants (32.1%) reported they had made burial decisions, of which 457 (70.2%) reported preferring a specific cemetery. Most of these owners reported it was important to them to use their preferred cemetery in the future (very important – 179, 39.2%; moderately important – 256, 56.0%; not important – 22, 4.8%).

Perceptions About After-Death Body Care

 

Participants were asked to indicate their agreement level using a 5-point Likert scale (1 = does not describe me at all and 5 = describes me very well) with 2 statements reflecting personal views about the importance of after-death body care (n = 2042). The first statement read: “I feel that my pet’s quality of life is critically important but after my pet dies, I am not overly concerned about after-death body care” to which 1094 (53.6%) indicated it does not describe them well (selected 1 or 2), 482 (23.6%) indicated they felt neutral (selected 3), and 466 (22.8%) reported it described them very well (selected 4 or 5). When asked to indicate their agreement level with the statement “I feel that my pet’s quality of life is critically important and also feel strongly about how best to care for my pet’s body after they die,” 1151 (56.4%) said the statement described them very well (selected 1 or 2), 433 (21.2%) said they felt neutral (selected 3) and 458 (22.4%) said it did not describe them well (selected 4 or 5).

Pet owners were next asked to indicate their preferred after-death body care option (n = 2031) to which the most frequently chosen options included traditional flame cremation (820, 40.4%) or individual burial at home (708, 34.9%). Other options endorsed less frequently included individual burial at a cemetery (217, 10.7%), memorial body donation (66, 3.2%), mass burial (53, 2.6%), alkaline hydrolysis (water-based cremation) (38, 1.9%), no preference (65, 3.2%), other (12, 0.6%), or don’t know (52, 2.6%).

The impact of religious or spiritual beliefs was queried through a series of questions pertaining to the death and dying process (euthanasia decisions), after-death body care (burial, cremation, etc), and memorialization (pawprints, urn, etc.) (n = 2031). For each of these questions, approximately 25% of respondents noted that their religious or spiritual beliefs had a significant impact (Table 2).

Next, participants indicated their concern level (using a 5-point Likert scale with 1 = not concerned at all and 5 = very concerned) to several statements regarding after-death body care. For example, owners were asked how concerned they are that their pet might be mislabeled or lost (to which 1021, 52.6% reported high concern) and how their pet is physically handled by other people after death (1113, 57.2% reported high concern). See Table 3 for a full list of concern items and responses.

Several follow-up questions were asked to provide additional insight regarding the concern-related statements. For example, owners were asked to indicate their views of several options for body storage immediately after death but before burial or cremation using a 3 point scale (unacceptable, neutral, or acceptable) (n = 2017). Options included blanket/shroud (rated acceptable by 1334, 66.1%), trash bag (rated acceptable by 314, 15.6%), designated cadaver bag (rated acceptable by 1065, 52.8%), and casket (rated acceptable by 1034, 51.3%) (Table 4).

When asked about a preference regarding the period of time in which a deceased pet should remain at a veterinary hospital before being transported to a crematorium or cemetery (n = 2017), the most common response was a preference for less than 24 hours (527, 26.1%). Other common responses included “had not thought about it” (409, 20.3%), ok with the most convenient time for veterinary hospital, crematory or cemetery (369, 18.3%) and a preference for no more than 1-2 days (365, 18.1%). Less common responses included no preference (258, 12.8%), no more than 3-4 days (65, 3.2%) and 5-7 days (24, 1.2%).

Communication Regarding Pet Death, Dying and After-Death Body Care

 

The next segment of the survey focused on pet owners’ preferences regarding communication and support by their veterinarian in relation to death, dying and after-death body care. The first set of questions explored the degree to which pet owners rely on their veterinarian for a wide range of services. They were asked if their veterinarian was the primary resource, one resource of many, or not a resource, for several services including preventative care (primary resource: 1211/2013, 60.2%); emergencies (primary resource: 1182/2009, 58.8%); grooming (primary resource: 209/1756, 11.9%); boarding (primary resource: 222/1705, 13.0%); pet medications (primary resource: 1163/1982, 58.7%); recommendations for pet food (primary resource: 383/1961, 19.5%); recommendations related to pet death and dying (primary resource: 974/1995, 48.8%); and recommendations related to after-death body care and memorialization (primary resource: 762/1966, 38.8%).

Participants were next asked to indicate how likely (using a 5 point Likert scale with 1 = not at all likely to 5 = extremely likely) they would be to use potential sources of information including veterinarian/veterinary staff; animal/pet professionals (e.g., dog day care, groomers, pet sitters etc.); friends, family and other pet owners; internet (websites, blogs, etc.); or pet-related resources (crematory/cemetery staff, doula/chaplain, etc.) as a resource for information about pet death and dying as well as after-death body care and memorialization (n = 2031). Participants indicated being more likely to use veterinarians and veterinary staff for pet death and dying as well as after-death body care and memorialization than any other source (Table 5).

After assessing the likelihood of using veterinarians are an information resource, pet owners were asked to indicate how much information they want from their veterinarian in regards to preventative/wellness care, serious illnesses (e.g., cancer), accidents, EOL issues (if and when to euthanize), and after-death body care (n = 2042). Options included a spectrum of choices from “I typically want minimal input from my veterinarian, I typically know what I want” to “I typically do not need to hear the details; I want my veterinarian to make decisions for me.” These results are detailed in Table 6. Related, pet owners were then asked when they would prefer to have conversations with their veterinarian about after-death body care and memorialization options (n = 2023). The most common answer was “after my pet becomes sick but before death” (822, 40.6%), followed by “during my pet’s death, such as during a euthanasia appointment” (458, 22.6%), “when my pet is still healthy” (315, 15.6%), “after my pet’s death when I’ve had time to process the loss” (191, 9.4%), “never” (161, 8.0%), “don’t know” (61, 3.0%) and “other” (15, 0.7%).

When asked to indicate their preferred level of planning regarding their pet’s after-death body care and memorialization (n = 2023), the most common response was “I would likely discuss things with others before my pet died, but not make any decisions until during or after the death” (endorsed by 906, 44.8%), followed by “I would like to make sure everything is in order well in advance of my pet’s passing” (endorsed by 563, 27.8%), “I would likely wait until my pet has died before making any decisions” (endorsed by 486, 24.0%) and I don’t know (68, 3.4%).

When asked how much time pet owners would like with their veterinary team to discuss after-death care options (e.g., types of aftercare, cost of services, memorialization, body handling) (n = 2023), the most common response was 5-10 minutes (667, 33.0%), followed by 11-20 minutes (549, 27.1%), 21-30 minutes (300, 14.8%), 1-5 minutes (253, 12.5%), more than 30 minutes (152, 7.5%), and don’t know (102, 5.0%). The next set of questions asked how pet owners would like veterinarians to share information about after-death body care options (with an option to select all that apply), to which 1449 (71.6%) indicated they prefer to review and discuss after-death body care options together in the veterinary hospital, and 1116 (55.2%) indicated they would like to be given after-death body care materials to view/read at home later.

Related to the previous question, participants were asked how important they feel it is that their veterinarian visit/tour the recommended aftercare facility (n = 1914). Responses ranged from very important (692, 36.2%), moderately important (915, 47.8%), to not important (307, 16.0%). Pet owners were then asked to choose which of the 3 financial compensation related statements they felt best matched their beliefs about veterinarians and compensation for after-death body care arrangements. The statements included “Making arrangements for after-death body care can be very taxing to veterinary teams and they should be generously compensated” (385, 19.2%); “If a veterinarian is helping to make arrangements for after-death body care, some financial compensation seems appropriate (1248, 62.2%),” and “Only the after-death body care service (e.g., crematorium, cemetery) should be compensated, not the veterinary team” (374, 18.6%).

To ascertain the amount of information pet owners want to know about the death/dying process, they were asked to indicate their preference for the level of detailed information wanted regarding several death/dying and aftercare aspects (n = 2020). Options included “I want all the details,” “I want general information but I don’t need all the small details” and “I would prefer to just be told what I need to know.” The death and dying aspects assessed included the dying process; what happens to their pet after-death while still at the veterinary hospital (before being transported to cemetery or crematorium); what happens to their pet at the cemetery or crematorium; and options to memorialize their pet. With the exception of “what happens to my pet at the cemetery or crematorium,” the most common response was “I want general information but don’t need all the details.” For this statement, the most common response was “I would prefer to just be told what I need to know.” Results are summarized in Table 7.

One of the final questions asked participants to indicate how likely they would be to utilize a variety of pet loss related resources and options if they were available. These options included support groups (in person and virtual/video), private counselor, books, online resources, and funeral or memorial service. Participants reported being most likely to use recommended books and online resources (See Table 8). Lastly, participants were asked, upon thinking back on decisions they have made regarding after-death body care for their pet(s), if there are things they would do differently (n = 2008). The majority (1800, 89.6%) said no, they would not do anything differently while 208 (10.4%) reported they would have done something different. When asked to explain, the most common responses involved the desire to be better prepared and informed about the process and all the possible options for death and dying decisions as well as after-death body care.

Discussion

 

The results of this study provide insights into how pet owners feel about EOL issues pertaining to their pet, including after-death body care preferences and the role they would like their veterinarian to play during this process. Nearly half of respondents reported that they look to their veterinarian as their primary resource for pet death and dying support. Furthermore, nearly 40% of respondents reported viewing their veterinarian as the primary resource for after-death body care and memorialization (higher than pet food/nutrition recommendations); while only 16% reported that they are likely to use professionals directly related to the pet death care industry (pet crematory/cemetery staff, death doulas, etc.) These results suggest that pet owners expect their veterinary teams to be informed about local after-death body care options and memorialization and be willing to have EOL conversations.

Knowing when to broach conversations around after-death body care and memorialization can be challenging for veterinary teams. This study found that 41% of pet owners would like to talk about aftercare options when their pet becomes terminally ill, but before the death event itself (euthanasia or natural death). Some pet owners feel it acceptable to discuss after-death body care while their pet is still healthy, suggesting that it may be beneficial for some clients to broach the subject during geriatric visits before their pet becomes gravely ill. Talking about the death of a pet and memorialization options is complicated. The fact that nearly 10% of respondents reported wanting time after the death to think about what they want for their pet suggests the potential of negative consequences when owners feel rushed or forced into making decisions before they are ready. Nearly 45% of pet owners, when queried about when they would like to discuss after-death body care with their veterinarian, indicated they would likely not make any decisions until during or after the death of their pet, but 28% said they would like everything finalized well in advance. This suggests that a significant number of pet owners could benefit from preplanning.

Over half of the respondents indicated they were concerned about after-death body care, similar to results from previous studies. When asked what after-death body care option they preferred, the majority indicated traditional flame cremation. These results are not surprising given the prevalence of this option in veterinary medicine. It is unclear how many pet owners would choose differently if provided information about other options. Other aspects of after-death body care that can impact owners’ decisions are religious or spiritual beliefs. These beliefs were reported to have a significant impact on aftercare decisions for approximately 25% of respondents. While perhaps less important to some, it is suggested that those who feel strongly about integrating their beliefs into their choices be invited to do so. Their preferences are ideally identified during preplanning or through inquire during the euthanasia procedure.

The responses to a series of questions related to after-death body care concerns illuminated several areas worth noting. For example, over half of the respondents shared their concern over the mislabeling of their pet’s body. Certainly, veterinary personnel have the potential to make mistakes; there are many moving components to the daily operations of a working veterinary hospital and mistakes are possible regardless of intent. Yet, the utmost care should be taken to minimize error risks. One potential solution may be to shift more responsibility to pet aftercare companies who can work directly with pet owners to decrease the veterinary hospital’s workload and risk of error. A substantial number of pet owners also reported concerns about how their pet’s body is physically handled after death, including body holding time, direct body containment, and storage. When asked, the most common response regarding a preferred holding time was less than 24 hours. When applicable, veterinary hospitals are advised to share these preferences with local aftercare providers to facilitate expedient collection times, including same day, if possible.

When it came to sharing their preferences on how their pet’s body should be contained, the most popular response was in a blanket or shroud. This reflects behavior in-line with the human-animal bond; similar to tucking the body in a sleep-like state or how the owner may want to care for the body themselves. The use of designated cadaver bags or pet caskets was chosen as acceptable by just over half of the respondents. With 85% of pet owners indicating trash bags are unacceptable, it is suggested that veterinary teams select holding containers that align with clients’ expectations.

After-death body care options are plentiful in many parts of the United States. If veterinary teams want to support their clients in these decisions, it is suggested they become knowledgeable about available options and package the information in an easy to understand manner. When asked, over 80% of respondents reported feeling it important for their veterinary team to visit any aftercare facilities they recommend. First-hand knowledge of local aftercare facilities has also been deemed important by the American Veterinary Medical Association, which in a recent publication, stated that veterinarians are to perform due diligence in selecting aftercare providers. Touring local facilities at least once a year helps to ensure that the level of care within these facilities matches the hospital’s standards. It is important to note that veterinarians can be held liable for any wrongdoings or neglect by the aftercare companies with which they choose to work. To avoid such responsibility, some veterinary hospitals have decided it best for the pet owner to work directly with the aftercare company. This arrangement with aftercare facilities can also be beneficial to clients, given the fact that, as supported by these results, many pet owners have a preference for a specific crematory or cemetery. At a minimum, it is suggested that whenever possible, teams should ask clients which aftercare company they prefer. Giving pet owners a choice can be empowering, thereby reducing the sense of helplessness often felt during pet loss.

If veterinary teams want to facilitate after-death body care and memorialization themselves, this study revealed that nearly 72% of pet owners would like to learn about options through conversations in the hospital. The remainder indicated a preference to be sent home with literature or access to other materials for later review. Pet owners are likely best supported with a combination of both. Hospital website space dedicated to aftercare options, including links to aftercare companies, as well as offering printed informational materials are practical, yet underutilized ways to educate pet owners on available options.

In terms of talking to veterinary teams about after-death body care and memorialization, nearly 75% of respondents indicated that they would like 20 minutes or less to review available options, although a minority did indicate they would likely need more than 20 minutes. Without knowing exactly how much time a client may need to discuss options, the first step to streamlining these conversations may be to ask about previous experiences, preferred crematory/cemetery companies with which they want to work, and whether they would like to speak directly with aftercare companies to make arrangements. Partnering with pet aftercare companies to help with these conversations and provide printed literature may be useful.

When pet owners were asked how much detail they wanted regarding information about aftercare, the common response was a desire to be told general information rather than all the details, however a sizable minority indicated they wanted to know the details. The topic in which owners were most likely to want all the details was memorializing options (45%). This suggests that a significant number of owners want to carefully review such options and that time spent reviewing aftercare options with pet owners is best facilitated by asking owners the level of detail they prefer.

A feature of this survey, not previously assessed, pertained to owners’ perceptions regarding financial compensation of veterinary teams for assisting with after-death body care preparation. Respondents were asked how they feel charges should be set for aftercare support, with 62.2% agreeing with the statement “If a veterinarian is helping to make arrangements for after-death body care, some financial compensation seems appropriate.” An additional 19% thought generous compensation was appropriate while an equal number (19%) reported feeling that “Only the after-death body care service (e.g., crematorium, cemetery) should be compensated, not the veterinary team.” What was not identified is what monetary amounts equal “appropriate” or “generous”; an area for further research. Setting the price for aftercare services can be difficult. One option is for veterinary teams to assess how often owners are unable to afford the type of aftercare they want. If owners routinely must choose, based on cost, something other than their preferred option (e.g., communal/group cremation rather than private cremation), the veterinary team may want to either lower their fees to more closely align with the aftercare company’s fees or determine if the pet owner would be better off handling arrangements on their own. Regardless of the implemented solution, increased pricing transparency is suggested to minimize risk of damaging the client-hospital relationship.

One of the last areas assessed was the likelihood of using, when available, pet loss related resources. A substantial number of respondents indicated they were extremely interested in support groups, reading books, utilizing online resources, and participating in funeral or memorial services. This provides deeper insight into the importance of informing pet owners about available support options, especially when the loss of the pet is recent and the need to understand and navigate grief is high. Distribution of printed pet loss literature is a reasonable way of assuring every pet owner has some level of grief support.

Based on these results, we offer the following practical recommendations to veterinary teams seeking to enhance pet owner support in after-death body care. As increasing numbers of veterinary hospitals are choosing to include EOL services in-house, it is critical these services are conducted in a manner that minimizes the potential for error and best aligns with pet owners’ needs and expectations. To this end, the following ethical aftercare recommendations were designed to encourage all veterinary teams to practice veterinary medicine in a benevolent, ethical manner; one that preserves and enhances a positive veterinary image by prioritizing pet owners’ preferences when making decisions about aftercare policies and procedures.

Ethical Aftercare Recommendations:

  • Dissemination of Information:
    • Take the time needed to address owners’ aftercare concerns and options (typically 5-20 minutes)
    • Ask owners if they have a preferred crematory/cemetery and respect their decisions
      • If owners have no preference, present a choice of local pet aftercare options
    • Provide written explanations of aftercare services/offerings including cost considerations (e.g., aftercare company brochures, website links)
    • Utilize proper forms (e.g., crematory authorization, burial forms, etc.) to reduce liability risk and increase transparency
  • Procedures
    • Follow pet owners’ choices closely
      Use respectful, designated cadaver bags or containers (e.g., caskets, shrouds) in-line with state mandates
    • Perform procedures with due diligence (e.g., procedural checklist, use technology to track body, etc.) to prevent mistakes
      • Properly label bodies immediately (i.e., within 30 minutes of appointment completion)
      • Submit pet information to aftercare companies as soon as possible (i.e., within 1 hour)
      • Ensure pet bodies leave the hospital with proper labeling and instructions
    • Partnering with aftercare companies
      • Visit local pet aftercare facilities annually to familiarize yourself with their offerings and policies and ensure they meet industry standards
      • Encourage aftercare companies to:
        • Provide emotional assistance to pet owners (i.e., grief support facilities for visitations/services, etc.)
        • Obtain bodies as quick as possible (e.g., within 24 hours)
        • Demonstrate high quality body handling standards (i.e., proper containment and cleanliness; respectful conduct with or without owners present)
        • Play an active role in pet owner education and preplanning

Conclusions

 

This study examines pet owners’ preferences and expectations related to EOL and, specifically, after-death body care; offering insights for veterinary teams on how best to support their clients during these times. Limitations to this study include the fact that the data collected represents the views of US pet owners willing to take an online survey regarding EOL issues and may not be generalizable to other populations. The survey was not available to owners who do not have internet access and was limited to those able to complete a survey in English. Further research and the establishment of best practices are warranted in several areas including: preplanning conversations, the holding process of deceased pets, the process of returning ashes to owners, the creation of memorial keepsakes, payment for aftercare services, and EOL services for other species besides dogs and cats. Additionally, exploration regarding the potential benefits and challenges of veterinary hospitals partnering with pet aftercare companies/services could be of use.

The results of this study suggest that most pet owners are concerned about their pet’s aftercare and want their veterinary team to help guide them through the process. A veterinary team’s handling of deceased pets is a blend of hospital-mandated protocols, in accordance with space and personnel logistics, and the desire to compassionately prepare the pet’s body for disposition. Pet owners hold a high level of trust in the veterinary team to properly carry out their wishes, with respect, accuracy and efficiency. In conclusion, this study introduces the concept of ethical aftercare, derived from the foundational premise that pet owners want their beloved pet’s body to be cared for in a respectful manner. It is imperative that veterinary teams properly inform and deliver on promised aftercare services in a manner befitting pet owners’ trust.

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Resource Link :

Pet Owners’ Expectations for Pet End-of-Life Support and After-Death Body Care: Exploration and Practical Applications

By: Kathleen A. Cooney, Lori R.Kogan, Summer L. Brooks, Coleen A.Ellis

Link: https://www.sciencedirect.com/science/article/pii/S193897362030101X?via%3Dihub

All My Children Wear Fur Coats with Peggy Hoyt

All My Children Wear Fur Coats with Peggy Hoyt

Peggy Hoyt and Coleen Ellis Interview

Two Hearts Pet Loss Center with Coleen Ellis

by Coleen Ellis

You’ll love this interview! Pet lovers Peggy Hoyt and Coleen Ellis spend a bit of time talking about all aspects of caring for spoiled little creatures, and how their lives enrich our lives. Listen through to hear so many elements of being a good pet parent, and loving these precious animals through so many phases of life, and into a beautiful ending. Enjoy!

Source: Buzzsprout

Great Bend Tribune Pawnee County

Great Bend Tribune Pawnee County

Pawnee County native who has received national recognition has authored a book that provides information on how to remember and honor pets when they die.

Coleen Ellis of Greenwood, Ind., is the daughter of Ann Ellis and the late Larry Ellis of Rozel. She is a Pawnee Heights High School graduate.

Her book, “Pet Parents: A Journey Through Unconditional Love and Grief,” provides
essential information for pet owners on what to do when their pet dies and how to find a pet loss provider who is reputable and compassionate.

“I’m proud to share this information with my home state,” Ellis said. “I’m proud to be from Pawnee County and am so appreciative of the lessons I learned and the education I received. That part of my life shaped who I am today.”

Ellis and her husband, Chris Burke, are parents to two children, Brian and Amy; and three dogs, Ellie Mae, Crisco, and Rudy.

Several family members of the 1987 Fort Hays State graduate reside in central Kansas — a grandmother Anne Dreiling, Odin; aunt Judy Jenisch and uncle Jerry Jenisch, Great Bend; aunt Sharon Dreiling and uncle Gary Dreiling, Hoisington;
aunt Jane Dreiling and uncle Dennis Dreiling, Claflin; and aunt Judi Welch and uncle Lynn Welch, Pawnee Rock.

Ellis is the owner of Two Hearts Pet Loss Center in Greenwood, Ind. She believes the book is an important resource for anyone who works with bereaved pet owners,  including funeral homes, veterinarians and grief specialists.

“I wrote this book so that pet parents will know that it’s OK to mourn the loss of a beloved pet,” she said.

“I want them to know their various options. But just as important, I want both veterinarians and death-care professionals to understand the trauma involved with
losing a beloved pet. It can be as devastating as losing a human family member.”

The book provides various tips, including:
• Ideas on how to celebrate the special bonds people share with pets.
• Checklists to choose the right cremation provider or funeral home.
• Stories that show how pets can be honored in life and in death.
• How death-care professionals, veterinarians and others can better serve pet parents.
• Resources to help children cope with the loss of a pet.
• Resources to help people remember their pets. In 2004, Ellis founded Pet Angel Memorial Center, the first stand-alone pet funeral home in the United States.

In April 2009, she founded Two Hearts Pet Loss Center, a consulting business that
guides people who want to provide pet death care services to their communities.

She has previously worked for Forethought Financial Services, the nation’s largest insurance and trust provider to the funeral industry for funding funerals in advance.

Ellis’ book has received favorable reviews

Pet Parents: A Journey Through Unconditional Love and Grief is a must-read for anyone that is a pet lover and, anyone who has lost or is approaching the loss of their ‘fur  baby,’ ” said Roberta Knauf, pet funeral director, Hermitage, Pa. “The stories are heartwarming and the information about the entire pet loss industry is priceless.”

Author Joe Dwyer wrote “Shelby’s Grace,” a story about an abused dog that is rescued.

“Pet Parents,” will go a long way to assist our goal of making the lives of our animal companions matter in life and in death,” Dwyer said. “When people read “Pet Parents,” they will enhance their knowledge of what these beautiful creatures mean to our society.”

Robyn Kesnow is a registered veterinary technician.

“The stories and information shared in this book will change the way we honor and memorialize our pets and bring a new level of dignity to a previously neglected part of loving and living with pets,” Kesnow said. “Read it, share it and keep it on the shelf for when you’re ready to take action.”

The book is available as a hard copy or in an eBook format. For information, access the web site www.twoheartspetlosscenter.com or search for the book on iUniverse at  http://www.iuniverse.com/Bookstore/BookDetail.

Inside: ICCFA 2011 Convention & Expo Program

Inside: ICCFA 2011 Convention & Expo Program

 A Bright Future

• Cremation Coaching Live!

• Pet Loss Professionals Conference

• Green services

• Embalming

• Cemetery infrastructure

• Ethics

• Finances

• Management

• Marketing

• Social media … & much more!

• Andrea Vittum on starting a green burial section

• Coleen Ellis on starting a successful pet service

• Poul Lemasters on what to tell families about scattering

• Julie Burn on alkaline hydrolysis

• Todd Van Beck on the importance of attitude

• Hayden Burrus & Tim Deutsch on endowment care funds

• Dan Isard on reducing cremation liability

• Nancy Weil on laughter in the office

• Recalling the ICCFA’s progress with Joe Budzinski at the helm

• Book reviews

Pet advocate honored by veterinary center

Pet advocate honored by veterinary center

Greenwood resident Coleen Ellis, founder and president of Pet Angel Memorial Center in Carmel, has received the 2006 PETS Award, an honor presented annually by Indianapolis Veterinary Emergency Center (IVEC).

Ellis was recognized during IVEC’s 8th annual Original Pet Carnival, an event that attracted more than 700 people – most accompanied by their pets – to IVEC’s southeastside location, 5245 Victory Drive, earlier this month.

The PETS – Professional Excellence Through Service – Award was created by IVEC to recognize individuals or organizations demonstrating outstanding community  service, dedication, love, and commitment to companion animals.

Ellis, who founded Pet Angel Memorial Center two years ag o, was honored for her tireless work in behalf of owners who are dealing with the loss of a pet. A veteran of the human deathcare industry for more than 15 years, Ellis recognized the need for a similar business focusing on end-of-life matters for animals – particularly as more  people consider their pets to be members of t he family.

Last summer, Ellis and Pet Angel orchestrated a Service of Honor tribute for Arco,  the Marion County Sheriff Department’s K9 officer who died in the line of duty. The tribute, held at the Warren Performing Arts Theatre, attracted K9 corps personnel from throughout the state as w ell as the general public.

Past recipients of the PETS Award include the Marion County Sheriff Department’s K9 Corps; the Humane Society of Indianapolis; Indiana Pacers mascot Boomer; Joni Michels of Fox 59 Morning News, and Brad Haberman, founder & publisher of Indianapolis Pet Quarterly.

IVEC is Central Indiana’s original 24/7/365 emergency and critical care clinic for pets. It is well-known for its PET-E-911 emergency call line.

7 dos and don’ts for starting pet death-care services

7 dos and don’ts for starting pet death-care services

More funeral homes, crematories and cemeteries are looking at pet services as a possible new revenue stream, but what does it take to run a successful pet death-care business?

Many organizations are intrigued by the idea of extending their service offerings to include pets, but are unsure about exactly how to make a pet service successful.

What are the differences in how you offer your services when you’re handling pets rather than people? What is the same? Is there a single business model you have
to follow? I have talked with many people in funeral service who are interested in the
pet side of the business. I’ve outlined below some of the areas I get questions about and others I’ve noticed in reviewing what some in our industry are doing.

This list is of course not exhaustive, but it covers several of the most basic factors people need to take into consideration if they want to start a pet business that will serve families well, build positive relationships with families and reflect well on their company’s brand.

Dos and don’ts
1. Do consider alternatives to simply making arrangements with veterinarians.

It can be tempting when you’re branching out into a new area to look around and say to yourself, “Well, this is what everybody else is doing, so that’s what I should do, too.”

The problem is, traditional pet death care service as it has gone on for years has been based on running a truck route, picking up animals from veterinarians, taking them to the crematory and returning the remains to the veterinarian. This offers you no actual contact with families, no chance to show them the excellent service you provide. This offers you no actual contact with families, no chance to show them the excellent service you provide.

I think there’s another way to handle this business, one that speaks to the way our society views pets today. Pets have become part of the family. Pet parents aren’t reluctant to say, “It’s my baby.”

Pet parents want their “children” treated like family. They want to say farewell with the same dignity and respect they would give human family members.

So think about how to set up a business that’s about providing experiences to pet parents, rather than about becoming the low bidder on the veterinary contract.

You can market directly to pet parents and establish relationships with them that will benefit the human side of your business.

That’s not to say you don’t want to also build relationships with veterinarians in your area. I think you do want to be a resource for them and let them know about the services you offer, since they already have relationships with the people you want to serve.

But at the end of the day, the pet parents are the ones with the checkbook, and they’re the ones who want a meaningful experience of saying goodbye.

It’s our role as death-care providers to educate them on what their options are, since it’s even more true on the pet side than on the human side that consumers “don’t know what they don’t know.”

When your human loved one dies in a hospital, the doctor doesn’t handle the funeral home arrangements, doesn’t show you a casket booklet and tell you to pick one out. To me, having the veterinarian handle arrangements for your animal loved one is just as odd. Not to mention that veterinarians are not trained to help families through the grief process.

2. Do design facilities and services for pets as well as their people.

You want to welcome animals into your facility, and that means designing them accordingly. There will be “accidents” by animals who either aren’t potty-trained or are nervous, so that means no carpeting and no upholstery, either, since you want to be able to allow the animals to sit on the chairs. Any fur or dander left on a chair can easily be cleaned off if the chair is not upholstered.

There will be times when people who aren’t really used to pets come in to support a friend or family member who has lost a pet. Even though they’re on “our turf,” so to speak,  you want your pet facilities to be as comfortable as possible for them, which means you don’t want fur and dander all over the place.

In any case, you should make sure your facility gets a thorough cleaning every morning before opening for business. Dust baseboards and shelves—every place dust, fur and dander can accumulate.

3. Do hire employees who are pet parents.

Don’t simply ask potential employees if they have pets; there’s a difference between pet owners and pet parents. A pet owner who sees that dog or cat as just an animal is not a  pet parent.

A pet parent has furry children. People who work at a pet facility don’t necessarily have to have experienced the loss of a pet, but they absolutely must understand what it’s like  to truly love a pet.

If you come to my house to pick up my beloved pet and you’re not a pet parent, first of all, you’re not going to empathize with what I’m feeling.

You’re also going to treat my pet’s body differently. If you’re not a pet parent, you’re likely to see that animal’s body as a carcass. A pet parent will understand the love I had for my furry child and handle the body with dignity, respect and care—the same way I would.

There is a huge difference in the way pets and pet parents are handled when employees are not pet parents.

4. Do remember to treat pets like family.

There will be pets as well as pet parents coming into your facility. Just as you would offer the family water or coffee and some cookies, you need to offer pets water and treats.

Always remember that you’re trying to create relationships with pet parents, and that means treating their pets right. You want people to feel comfortable bringing their pets in with them just to say “hi,” or for a visitation or funeral for another pet.

Pet parents like it when other people find their four-legged children lovable. We like it when other  people want to spoil them with treats or little toys. Keep that treat jar handy
and maybe have some little tennis balls or other small toys on hand, too.

5. Do add pet-centric events to your community outreach program and become your community’s pet loss resource.

You’re trying to reach out to pet parents, and one way to do that is to sponsor petcentric events such as adoption fairs, pet blessings, pet-food donations for the local shelter, an event for National Pet Memorial Day, pet photos with Santa—the list is endless.

Reach out to veterinarians, shelters and other pet-centric people and organizations to co-sponsor events. Make yourself known to the doggie daycares, the kennels, the doggie bakeries, the grooming businesses.

Staff a booth at pet-centric events held by others. You need to get out there and educate your community about how you can help them when their pet dies.

And don’t forget to examine your traditional outreach efforts for ways to let people know about your pet services. See if the Rotary Club, the Lions Club and other groups that look for speakers would like to hear you talk about how people are celebrating their pets’ lives and memorializing them.

I’d like to have a dime for every time I heard someone say, “I wish I had known this was available when my pet died.” It’s our responsibility to get out there and let people know about our services.

Don’t forget social marketing. Have a Facebook page. Make it easy for people to contact you with questions, and to see what other people are doing to memorialize their babies.

6. Do offer a wide range of memorialization options.

Sometimes I see pet facilities where they’re displaying a handful of urns and a couple of necklaces. That’s not nearly enough.

Pet parents want to remember and honor their pets, but they don’t know what is available unless you show them.

I strongly urge you to show them lots and lots of ways to memorialize. And make sure your offerings are up to the standards you maintain on the human side of the
business.

Show them large urns—family urns, if you will—and explain they can use them for several pets. You’re likely to serve families who have the cremated remains of one or more pets at home already, pets they did not have a chance to memorialize. In a family urn, “everybody lived under one roof in life, and now they can live under one roof in death.”

Show them cremation jewelry and explain that it can hold either cremated remains or fur or a photo so they can carry their precious pet with them all the time.

Show them lots of personalization.

In the pet world, the dates may be the “gotcha” (adoption date) and the death date, rather than the birth and death date. Regardless, just as in human death care, ask people to tell you about the “dash.” “Tell me about your pet. Tell me about his life. If you had to think of one statement that summed up your pet, what would it be?”

I’ll never forget one woman saying to me that her little dog Greta was “my little Peter Pan mixed with Dennis the Menace.” And that’s what we put on everything: “Greta—Peter Pan mixed with Dennis the Menace.”

7. Do provide service.

Sometimes I hear people who have experienced the loss of a pet say, “I won’t get another dog (or cat). I won’t go through that again; it hurt too much.”

What that tells me is that they weren’t able to mourn that loss, to memorialize that beloved pet. Maybe their family and friends weren’t pet parents and didn’t understand what they were going through, didn’t validate their feelings of loss.

That’s something we can do for pet parents. By helping them mourn their loss, by validating their feelings, we provide a true service, just as we do on the human side. Providing service is what builds relationships, and that’s what should attract many on the human side of the business to the pet side: providing additional services to their families and building stronger relationships.

What all of these recommendations come down to at the end of the day is making sure you have the service components in place, you have the value offerings in place and you are really and truly going to help every family have the experience they need to have to honor their pet.