Cat - Older Care - General Tips

There are now more pet cats than dogs in Britain. Increasingly, with improved nutrition, health care and management changes, more and more of these cats are living to greater ages.

Why should we treat old cats differently to young cats?

1. With advancing age body functions change.

   As cats age all of their body systems are affected:

   Reduction in exercise may result in reduced muscle tone, which may further reduce the cat's ability to jump, climb or exercise. This may also lead to a stiffening of the joints.

   When coupled with a reduced metabolic rate (common in older individuals), lack of exercise can result in a fall in energy requirements of up to 40%. If a cat maintains a good appetite its daily food intake must therefore be reduced to prevent excessive weight gain.

   Inappetance (lack of desire to eat) may be encountered, since the senses of smell and taste become dull with age, and periodontal (dental) disease is common.

   Gut function and the ability of the intestines to absorb nutrients are reduced in older animals.

   Thirst may also be decreased, causing an increased risk of dehydration, especially when combined with concurrent renal insufficiency (which is common in older cats).

   Most specific nutrient requirements are not yet determined for older cats. However, many older cats may have illnesses such as kidney disease or diabetes, which may require a specific special diet to be fed.

2. With advancing age medication must be given with ever increasing care.

   Changes in physiology not only affect food absorption, they also affect the way many drugs are metabolised. Liver and kidney disease occur commonly in older cats. When coupled with mild dehydration these can result in reduced clearance rates and marked elevations in drug concentrations circulating within the blood. When treating geriatric patients the dose and dosing intervals of some drugs may therefore need to be altered.

Does my old cat still need to have regular booster vaccinations?

Although little is yet known about the feline immune system, it is generally assumed that with age immune function may deteriorate. This may in turn result in a reduced ability to fight infection. Regular booster vaccinations are generally recommended and prompt treatment of disease is essential.

My old cat becomes very distressed when we try to medicate her. Should we keep trying when it upsets her so much?

This is something you should discuss with your vet. There is no simple answer to this question; it depends on whether the treatment may lead to a cure, or whether it is aimed at controlling clinical signs. It also depends on how ill the cat is, and on how distressing it finds the disease for which it is being treated. Once the patient's quality of life can no longer be maintained it is important that euthanasia is performed as compassionately as possible, in order to prevent the cat from suffering.

What diseases do old cats suffer from?

The major diseases seen in older cats are hormonal disorders (such as hyperthyroidism and diabetes mellitus), kidney disease, neoplasia (cancer), infections (e.g. feline immunodeficiency virus [FIV]), periodontal disease and arthritis.

It is important to remember that older patients often have more than one disease at a time, diagnosis and treatment may be complicated by the concurrence of multiple interacting disease processes.

While it is true to say that 'old age is not a disease', it is important that we pay particular attention to our older cats, so that if they do develop disease we can recognise it, and treat it early, and so maintain their quality of life for as long as possible.

What can I do to make my old cat as happy as possible?

Most cats age gracefully and require few changes to their general regimen. Since older cats do not generally respond well to change, if changes must be made it is important they are introduced slowly.

Elderly cats should have easy access to a warm, draft free bed, situated where the cat can sleep safely without fear of disturbance.

It is advisable to feed older cats on a highly palatable, possibly reduced protein diet, with a high water content, on a 'little and often' basis. They should always have easy access to fresh drinking water. If they continue to want dry biscuits, a small daily helping may help to maintain their dental hygiene.

As cats age some show a reduced ability to control urination and the passing of bowel motions. To reduce the risk of 'accidents' it may therefore be necessary to allow access to an indoor litter box.

Older cats should have regular health checks.

My vet mentioned a Geriatric health care programme, what does this entail?

The aim of any geriatric health care programme is to maintain the quality of the patient's life and to slow the progression of age-related disease. Programmes will include regular and thorough physical examinations, and may also include analysis of the urine to assess for diabetes and the concentrating ability of the kidneys, blood pressure measurement (since high blood pressure is also common in older cats) and in some cases also blood tests to assess kidney and liver function and thyroid hormone levels. Body weight should be recorded regularly and booster vaccinations should be given annually.