Pet Memorial

QUALITY OF LIFE Assessment

A gentle, guided assessment to help you understand your rat's comfort and wellbeing.

Not a diagnosis. This is a quiet space to reflect on what you are seeing, and help you know when to talk to your vet.

There is no wrong time to ask this question. If you're here, it's because you love your rat enough to put their comfort first. That already makes you a wonderful owner.

Based on the HHHHHMM Quality of Life Scale developed by Dr. Alice Villalobos, DVM, DPNAP. Originally designed for end-of-life care in veterinary medicine and widely used across species.
1

Hurt

Is your rat in pain? Can it be managed with medication?

5
Severe unmanaged pain No pain
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What to look for

Consider: Does your rat flinch when touched? Are they hunching, grinding teeth from pain, or reluctant to move? Is prescribed pain relief helping?

2

Hunger

Is your rat eating enough? Are they maintaining weight?

5
Refuses all food Eating normally
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What to look for

Consider: Will they eat favourite treats? Do they need hand-feeding or syringe-feeding? Have they lost noticeable weight? Are they interested in food but unable to eat?

3

Hydration

Is your rat drinking? How is their skin turgor?

5
Severely dehydrated Well hydrated
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What to look for

Consider: Do they drink on their own? Gently pinch the skin on their scruff. does it spring back quickly (hydrated) or stay tented (dehydrated)? Are you supplementing with water via syringe?

4

Hygiene

Can your rat groom themselves? What condition is their coat in?

5
Cannot groom, soiled, wounds Clean and well-groomed
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What to look for

Consider: Is their coat matted, stained, or rough? Are they sitting in their own waste? Do they have pressure sores or skin wounds? Can they reach to groom themselves?

5

Happiness

Does your rat show interest in life? Do they respond to you?

5
Withdrawn, unresponsive Bright, curious, interactive
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What to look for

Consider: Do they perk up when you open the cage? Do they still boggle or brux from contentment? Do they seek your hand or hide away? Are they interested in cagemates or enrichment?

6

Mobility

Can your rat move around? Can they reach food and water?

5
Cannot move without help Moves freely
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What to look for

Consider: Can they walk to their food bowl and water bottle? Can they climb or navigate ramps? Do they drag their back legs? Have you modified the cage to a single level for accessibility?

7

More Good Days Than Bad

Overall, does your rat have more good days than bad?

5
Mostly bad days Mostly good days
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What to look for

Consider: Think about the last week. How many days did your rat seem comfortable, interested, and like themselves? How many days were spent mostly sleeping, hiding, or in visible discomfort? Trust your gut. you know your rat.

Overall Score

35

out of 70

This tool is a guide to help you reflect. it is not a veterinary diagnosis. Always discuss your concerns with a qualified vet who knows your rat.

Blue Cross Pet Bereavement Support

Free, confidential support for anyone affected by the loss of a pet, or struggling with a difficult decision about their pet's future.

0800 096 6606

Free to call, 8:30am - 5:30pm weekdays

Support and Resources

The Ralph Site

Non-profit pet loss support community with forums and resources.

theralphsite.co.uk

Your Vet

Your vet knows your rat. They can help you think through quality of life with compassion and experience.

Rat Guide

Comprehensive rat health reference, including end-of-life care guidance.

ratguide.com

For your vet

Most vets are happy to treat rats but may not see them often. These references can help with end-of-life care decisions:

5 Things Every GP Must Know About Rats

  • Rats CANNOT vomit -- do NOT fast before anaesthesia. Fasting causes dangerous hypoglycaemia.
  • Almost all rats carry Mycoplasma pulmonis. Treatment manages symptoms but never eliminates the organism.
  • Enrofloxacin + doxycycline is the gold standard combination for respiratory disease.
  • Rats hide pain. Use the Rat Grimace Scale (NC3Rs) -- hunched posture, squinted eyes, teeth grinding.
  • Mammary tumours are extremely common and usually benign. Early excision is straightforward.

Tumour Management

Pain Management

  • NC3Rs: Rat Grimace Scale -- validated pain assessment tool (intervention threshold: RGS score 0.67/2)
  • Rat Guide: Gabapentin -- highly effective for neuropathic pain (30 mg/kg PO TID)
  • Meloxicam 1-2 mg/kg SC or PO q12-24h for musculoskeletal pain. Do NOT combine NSAIDs with corticosteroids
  • Foley PL et al. Clinical Management of Pain in Rodents. Comp Med 2019;69(6):468-489
  • Sotocinal SG et al. The Rat Grimace Scale. Molecular Pain 2011;7:55

Respiratory Escalation

General References

You can also show your vet this page on your phone.

Whatever you decide, know that you gave your rat a life full of love. That is enough. That has always been enough.