• Is my pet still experiencing enjoyment in daily activities such as eating, receiving affection, playing, or spending time outdoors?

• Have they stopped eating or drinking independently, or are they only doing so with encouragement?

• Do they appear uncomfortable for most of the day, even when they are resting?

• Are they still able to move around comfortably, or do they struggle to stand, walk, or reach essential areas such as their bed or litter tray?

• Have there been noticeable changes in their behaviour, such as hiding, increased vocalisation, irritability, or withdrawing from interaction?

• Recently, do the difficult days seem to outnumber the good ones?

• Do they appear confused, unsettled, or distressed, particularly during the night?

• Am I continuing treatment primarily for their wellbeing, or because it is difficult for me to let go?

One final question — often the most difficult to consider:

If this were someone else’s pet, what guidance or advice would I offer them?

We often extend greater compassion and clarity to others than we do to ourselves. If imagining the situation from an outside perspective brings clarity, it is often worth trusting that quiet understanding.