Wednesday, March 5, 2014

Euthanasia: A Double Edged Sword

I said that I would talk about issues in veterinary medicine and one topic that affects everyone from pet owners to veterinarians is euthanasia. If you want to be in the field you HAVE to learn how to handle it and how to deal with euthanasia, you CANNOT avoid it no matter how much you want to. Some people change their careers/fields because of euthanasia.
         
When I first started my job at where I work as an LVT now, I had never witnessed a euthanasia and never had one of my own pets euthanized. I didn’t know what to expect.  I started out as a receptionist and at first my job was just filling out the form and cashing them out in the room. Even that was too much for me. My first week I cried during each one. It just hits you when you walk in that room, even as a receptionist and you see the bond between the pet and owner and the pet is about to pass on.

Eventually you adapt to these situations but it wasn’t until a good year that I finally became comfortable with euthanasia. I hate to use the word “comfortable” or “ok” when talking about euthanasia because even though it the act of humanly ending an animal’s life. You are still taking away that animal’s life and I don’t ever want to truly be “ok” or “comfortable” with that. Yes, euthanasia may be the best and most humane option in some cases but it is important to always be sensitive towards this decision.

I used to always think how could owners make the decision to euthanize their pet? It just seemed to cruel to me, even if the pet was suffering. It wasn’t until one of my professors, who was very influential on me, said that “deciding euthanasia for your pet is one of the most selfless decisions an owner can make for their pet.” I never thought of it that way but it really is true. It really is selfish to make a pet suffer and live a poor quality of life just because YOU want to still be with him/her. I have slowly come to terms with euthanasia and have realized the importance and necessity of it in veterinary medicine.

With that said, there is the other side of consciousness where you become so used to euthanasia that it doesn’t even phase you anymore. Sometimes I reach this point while working in emergency/referral medicine, it just becomes so repetitive that sometimes I don’t even realize that these animals are no longer here anymore. It is especially scary when I hear HUMAN cases that sound so suffering and terminal and I think “why don’t they just euthanize?” And I’m like WAIT because they don’t euthanize in human medicine and I quickly realize that it is scary how “comfortable” you can become with this topic.

The next few paragraphs are from a proposal I wrote for a paper I wanted to write on euthanasia and the effects of it on veterinary staff. 

          Euthanasia is a very touchy subject and should not be taken lightly.  Many healthy animals are euthanized every day due to cost concerns, behavioral problems, accidents, overpopulation, not enough shelter/homes, etc.  Not only is this an issue of too many healthy pets not having homes and as result euthanasia is selected as a solution.  This is also an issue of what effects constant exposure to euthanasia has on veterinary professionals in the field.  When I say veterinary professionals, I am primarily talking about veterinarians, but also veterinary technicians, veterinary assistants, and receptionists.  Veterinary professionals often do not ultimately have the final say in euthanizing an animal.  It is the client’s choice whether the pet is old and suffering and it is “time,” or the client simply does not want the pet anymore for various reasons and chooses to end its life.  When veterinary professionals are exposed to this over and over they must develop a coping method, whether it is a positive or negative method. 
Studies show that workers in this situation are at risk for high blood pressure, ulcers, depression, unresolved grief, substance abuse, and suicide. (Pierce)  Research has also shown that veterinarians have high suicide rates, four times higher than the general public.  (Pierce)  “Veterinarians have a proportional mortality ratio for suicide approximately four times higher than the general public and around twice that of other healthcare professions.” (Bartram and Baldwin)  Possible factors that contribute to these high suicide rates are the rigorous undergraduate work it takes to get accepted into veterinary school, the stressful graduate level learning, the availability of lethal drugs to veterinarians, high stress environment of being veterinarian, and the desensitization to euthanasia from constant exposure to it. 

          Although animals are not humans and cannot literally be compared to them, people who work in the veterinary field often view pets/animals as their children.  Their job is to take care of these animals and very empathetic towards them.  This is a psychological quality of many people in the field that may contribute to how euthanasia affects them, where euthanasia mat be viewed differently and have different effects by a person who has no feelings towards animals.  

It is very important to recognize euthanasia and have a support system that you can turn to when you start to become emotionally drained. This field is very emotional and mentally draining and it's important to stay healthy and stable while working through these situations!

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