DM1 Pt7-9 Chronic Pain Flashcards
What is the most common cause of chronic pain in older cats?
Osteoarthritis (OA) or degenerative joint disease (DJD) is a common cause of chronic pain in older cats, especially in the hip and elbow joints.
What makes diagnosing DJD-related pain in cats challenging?
Cats don’t go for walks like dogs, so mobility impairments (e.g., reluctance to jump or move) are harder for owners to detect.
What are common signs of mobility impairment in cats with DJD?
Signs include reluctance to jump, use a cat flap, or move around as they usually would.
Which class of drugs is licensed for managing chronic pain in cats?
NSAIDs are the only licensed drugs for managing chronic pain in animals, though other unlicensed drugs are used.
What nursing considerations are important for cats with DJD on NSAIDs?
Ensure the cat is hydrated to reduce the risk of renal side effects, and check when the last NSAID dose was given to adjust dosing.
How should cages be prepared for cats with DJD?
The cage should be large enough for easy movement, with low-sided litter trays and food/water bowls that are easy to reach.
How should handling be adjusted for cats with DJD?
Be gentle when handling or moving cats with DJD to avoid exacerbating their pain. During surgery, avoid unnatural joint positions.
What other causes of chronic pain in cats are recognized besides DJD?
Chronic pain can also result from dental disease, lower urinary tract disease, and phantom limb pain following limb amputation.
What are the risks of firm restraint or handling in cats with DJD?
Firm restraint or unnatural positioning can worsen joint pain, especially during procedures or surgery.
What should be monitored in the peri-operative period for cats with DJD?
Both acute and chronic pain should be managed during the peri-operative period, especially in cats with DJD.
