A first of its kind, this text serves as a handy desk reference to assist with chronic disease case management. What makes this book unique is that it provides not only a concise review of chronic diseases, but also an emphasis on the quality of life issues affecting both the patient and the caregiver.
The first section, in this author’s opinion, should be mandatory for all veterinarians, no matter how long they have been in practice. “Communication, Caregiving and Chronic Disease” highlights the importance of effective communication with clients and covers verbal and non-verbal cues.
The body of the text covers a multitude of specific chronic diseases from all body systems. Each chapter, written by a different specialist in their respective field, has a similar format and includes a succinct overview of the disease, including diagnosis and therapy, and ends with a quality of life evaluation. Most of the chapters are extremely well-written and easy to read. “Chronic Diseases of the Eye and Adnexa” and “Heart Disease” are notable for their thoroughness and inclusion of high quality photographs. “Managing Mobility” is especially helpful considering the importance of mobility in geriatric pets. It provides a thorough review of the emerging field of rehabilitation and sports medicine, including a look at the latest available diagnostics and integrative therapies.
The weakest chapter was, by far, “Chronic Kidney Disease.” Considering the prevalence of kidney disease in senior cats, this chapter was noticeably thin and dated compared to other topics in this text. For example, there is no mention of the implications of the renal biomarker symmetric dimet hylarginine (SDMA) or the use of calcitriol. Lacking also is a chapter on feline cognitive dysfunction, although the canine topic is covered. Following editions will benefit from more stringent editing to round out some topics and correct grammar and spelling mistakes.
The final topic, “Hospice Care and End of Life,” takes an in-depth look at the challenges and benefits of hospice care and euthanasia. It includes information on how to guide and support not only patients but clients as well through difficult end-of-life issues.
So often as veterinarians we focus on the patient and the disease, neglecting the physical and emotional toll on the caretaker. This text focuses on using expert communication to support the human-animal bond and will be an invaluable guide for the recent graduate. The structured layout and comprehensive review make it a beneficial resource for the seasoned practitioner as well.