End of life care if never an easy process for pet parents. For folks that are not sure how to decide when the time has come that their pet is having more bad days than good days we offer in home consultation to assess quality of life. For pets with terminal disease we offer hospice care to help keep them comfortable as long as their owners feel they still have adequate quality of life.

We offer at home euthanasia and veterinary hospice care to make the experience as stress free as possible for both the pet and the family that loves them. Every pet receives sedation and pain medication so they are very relaxed and pain free for the entire process. Once your pet is sleepy we then administer IV anesthesia so they are completely unaware when euthanasia is administered. We have developed this process so that we can ensure that your pet is peaceful, pain free and experiences no stress during the process. We offer at home euthanasia, veterinary hospice care and pet cremation for dogs, cats and horses living in Fort Bragg NC, Spring Lake NC, Fayetteville NC, Hope Mills NC, Raeford NC, Dunn NC, Southern Pines NC, Aberdeen NC, Pinehurst NC, Cameron NC, Lillington NC, Sanford NC, New Hill NC, Fuquay Varina NC, Angier NC, Whispering Pines NC, Seven Lakes NC, West End NC, Bunn Level NC, Anderson Creek NC, Vass NC, Carthage NC, Parkton NC, Moncure NC, Pittsboro NC, and surrounding areas in the Sandhills.

We ask that you have a thick, comfortable blanket for your pet to lay on. Our entire focus is making the experience as peaceful as possible for pets and their owners so we like to have the pet wherever they are most comfortable which sometimes means the backyard under a favorite tree, on the couch or another favorite resting area. If your pet is still eating, please have their favorite foods on hand so they can snack on them as they receive their sedation and become sleepy. If they are able to stand, please take them outside to urinate within an hour of the appointment time. Pets with a full bladder will often urinate when they become deeply relaxed from their sedation if they are not given the chance to eliminate prior. If your pet is unable to stand or it would be painful for them to do so, please have a thick towel under them so they can maintain their dignity and not soil themselves as they become deeply relaxed from the sedation and pain medication.

Following euthanasia, owners may elect to bury their pet at their home or elect for cremation service. For those that want to have their pet cremated we arrange this service and provide careful transportation to the crematorium. Pet owners will then be contacted by the crematorium when their pet’s remains are ready.

The cost for in home euthanasia is $195 plus home visit travel (based on distance from our home office). This includes sedation/pain medication so your pet is completely relaxed and not feeling any pain, IV catheter, IV anesthesia, peaceful euthanasia and clay paw print. Please text or email us your address so we can let you know the home visit fee for your area.     910-225-4838    peakperformancevet@gmail.com

Cremation cost includes transporting your pet from your home to the crematorium. Dr. Commerford will make all arrangements on your behalf so you do not need to worry about logistics in your time of grief.

General cremation with no remains returned $99 for pets up to 100 lbs.

Private cremation with urn $199 for pets up to 100 lbs. Pet owners that select this option will have their companion cremated individually and elect to have remains are placed in an engraved wooden urn OR a biodegradeable urn with a Carolina Pine tree seedling. A unique identifier accompanies your beloved throughout the entire process and is checked several times throughout the process to confirm identity.

For pets over 100 lbs private cremation is $235 

The following is borrowed from veterinarypartner.com

The euthanasia decision for a beloved pet may be one of the most difficult choices you must face during your entire lifetime. It is hard to make a life-ending determination like this for someone who cannot tell you what his wishes are and yet a judgment call must be made. There are emotional issues such as guilt, grief, and uncertainty as well as financial and/or time commitment matters in choosing to treat or not treat an illness. Family members with differing opinions or philosophies may be involved. The decision process is arduous and everyone dreads its necessity.

When is the Right Time?
As much as we hate to admit it, caregivers have limitations of what they are capable of doing and some pets are not willing to cooperate with the treatments that will help them recover. There is a point where all the love, attention, therapies, and special foods are just not enough. Saying goodbye is emotionally devastating enough without having to suffer through uncertainty in your decision.

Some people will tell you that you will simply “know” when it is time but this idea is not really fair. Determining someone else’s life quality is not completely intuitive. Fortunately, some criteria have been developed to help make evaluating life quality a little more definable.

  • Does he still enjoy his favorite activities? The elderly pet does not necessarily need to continue chasing balls or jumping after Frisbees but he should enjoy sleeping comfortably, favorite resting spots, your company, etc.

  • Is your pet eating? Basically, quality life involves eating or at least interest in food. An animal that is hungry has vitality that must be considered, though this is not the only consideration.

  • Is your pet comfortable? The pet should be free of debilitating pains, cramps, aches or even the psychological pain that comes from the development of incontinence in an animal that has been housebroken its entire life.

Dr. Alice Villalobos, a veterinarian who started a quality of life program for terminal pets called Pawspice, has published a scoring system for life quality called the HHHHHMM scale (see scoring system below). Having a quality of life inventory is helpful in seeing your pet’s situation in a more objective light.

Quality of Life Scale. Score patients on each of the following categories using a scale of 1 to 10,  10 being the highest quality of life.

HURT - Adequate pain control, including breathing ability, is first and foremost on the scale. Is the pet's pain successfully managed? Is oxygen necessary?

HUNGER - Is the pet eating enough? Does hand feeding help? Does the patient require a feeding tube?

HYDRATION - Is the patient dehydrated? For patients not drinking enough, use subcutaneous fluids once or twice daily to supplement fluid intake.

HYGIENE - The patient should be brushed and cleaned, particularly after elimination. Avoid pressure sores and keep all wounds clean.

HAPPINESS - Does the pet express joy and interest? Is the pet responsive to things around him or her (family, toys, etc.)? Is the pet depressed, lonely, anxious, bored or afraid? Can the pet's bed be close to the family activities and not be isolated?

MOBILITY - Can the patient get up without assistance? Does the pet need human or mechanical help (e.g., a cart)? Does the pet feel like going for a walk? Is the pet having seizures or stumbling? (Some caregivers feel euthanasia is preferable to amputation, yet an animal who has limited mobility but is still alert and responsive can have a good quality of life as long as caregivers are committed to helping the pet.)

MORE GOOD DAYS THAN BAD - When bad days outnumber good days, quality of life might be compromised. When a healthy human-animal bond is no longer possible, the caregiver must be made aware the end is near. The decision needs to be made if the pet is suffering. If death comes peacefully and painlessly, that is okay.

*A total over 35 points represents acceptable life quality

Adapted from Villalobos, A.E., Quality of Life Scale Helps Make Final Call, VPN, 09/2004, for Canine and Feline Geriatric Oncology Honoring the Human-Animal Bond, by Blackwell Publishing, Table 10.1, released 2006.