Ethical Challenges Posed by Advanced Veterinary Care in Companion Animal Veterinary Practice

Advanced veterinary care (AVC) of companion animals may yield improved clinical outcomes, improved animal welfare, improved satisfaction of veterinary clients, improved satisfaction of veterinary team members, and increased practice profitability. However, it also raises ethical challenges. Yet, wha...

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Autores principales:	Anne Quain, Michael P. Ward, Siobhan Mullan
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	advanced veterinary care standard of care companion animals veterinary ethics conflict of interest quality of life Veterinary medicine SF600-1100 Zoology QL1-991
Acceso en línea:	https://doaj.org/article/6fb3286879f64f2bbda744a0b50d687a
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spelling	oai:doaj.org-article:6fb3286879f64f2bbda744a0b50d687a2021-11-25T16:13:30ZEthical Challenges Posed by Advanced Veterinary Care in Companion Animal Veterinary Practice10.3390/ani111130102076-2615https://doaj.org/article/6fb3286879f64f2bbda744a0b50d687a2021-10-01T00:00:00Zhttps://www.mdpi.com/2076-2615/11/11/3010https://doaj.org/toc/2076-2615Advanced veterinary care (AVC) of companion animals may yield improved clinical outcomes, improved animal welfare, improved satisfaction of veterinary clients, improved satisfaction of veterinary team members, and increased practice profitability. However, it also raises ethical challenges. Yet, what counts as AVC is difficult to pinpoint due to continuing advancements. We discuss some of the challenges in defining advanced veterinary care (AVC), particularly in relation to a standard of care (SOC). We then review key ethical challenges associated with AVC that have been identified in the veterinary ethics literature, including poor quality of life, dysthanasia and caregiver burden, financial cost and accessibility of veterinary care, conflicts of interest, and the absence of ethical review for some patients undergoing AVC. We suggest some strategies to address these concerns, including prospective ethical review utilising ethical frameworks and decision-making tools, the setting of humane end points, the role of regulatory bodies in limiting acceptable procedures, and the normalisation of quality-of-life scoring. We also suggest a role for retrospective ethical review in the form of ethics rounds and clinical auditing. Our discussion reenforces the need for a spectrum of veterinary care for companion animals.Anne QuainMichael P. WardSiobhan MullanMDPI AGarticleadvanced veterinary carestandard of carecompanion animalsveterinary ethicsconflict of interestquality of lifeVeterinary medicineSF600-1100ZoologyQL1-991ENAnimals, Vol 11, Iss 3010, p 3010 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	advanced veterinary care standard of care companion animals veterinary ethics conflict of interest quality of life Veterinary medicine SF600-1100 Zoology QL1-991
spellingShingle	advanced veterinary care standard of care companion animals veterinary ethics conflict of interest quality of life Veterinary medicine SF600-1100 Zoology QL1-991 Anne Quain Michael P. Ward Siobhan Mullan Ethical Challenges Posed by Advanced Veterinary Care in Companion Animal Veterinary Practice
description	Advanced veterinary care (AVC) of companion animals may yield improved clinical outcomes, improved animal welfare, improved satisfaction of veterinary clients, improved satisfaction of veterinary team members, and increased practice profitability. However, it also raises ethical challenges. Yet, what counts as AVC is difficult to pinpoint due to continuing advancements. We discuss some of the challenges in defining advanced veterinary care (AVC), particularly in relation to a standard of care (SOC). We then review key ethical challenges associated with AVC that have been identified in the veterinary ethics literature, including poor quality of life, dysthanasia and caregiver burden, financial cost and accessibility of veterinary care, conflicts of interest, and the absence of ethical review for some patients undergoing AVC. We suggest some strategies to address these concerns, including prospective ethical review utilising ethical frameworks and decision-making tools, the setting of humane end points, the role of regulatory bodies in limiting acceptable procedures, and the normalisation of quality-of-life scoring. We also suggest a role for retrospective ethical review in the form of ethics rounds and clinical auditing. Our discussion reenforces the need for a spectrum of veterinary care for companion animals.
format	article
author	Anne Quain Michael P. Ward Siobhan Mullan
author_facet	Anne Quain Michael P. Ward Siobhan Mullan
author_sort	Anne Quain
title	Ethical Challenges Posed by Advanced Veterinary Care in Companion Animal Veterinary Practice
title_short	Ethical Challenges Posed by Advanced Veterinary Care in Companion Animal Veterinary Practice
title_full	Ethical Challenges Posed by Advanced Veterinary Care in Companion Animal Veterinary Practice
title_fullStr	Ethical Challenges Posed by Advanced Veterinary Care in Companion Animal Veterinary Practice
title_full_unstemmed	Ethical Challenges Posed by Advanced Veterinary Care in Companion Animal Veterinary Practice
title_sort	ethical challenges posed by advanced veterinary care in companion animal veterinary practice
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/6fb3286879f64f2bbda744a0b50d687a
work_keys_str_mv	AT annequain ethicalchallengesposedbyadvancedveterinarycareincompanionanimalveterinarypractice AT michaelpward ethicalchallengesposedbyadvancedveterinarycareincompanionanimalveterinarypractice AT siobhanmullan ethicalchallengesposedbyadvancedveterinarycareincompanionanimalveterinarypractice
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Ethical Challenges Posed by Advanced Veterinary Care in Companion Animal Veterinary Practice

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