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Dog Quality of Life (HHHMMMM) Calculator

Evaluate your dog's well-being using the clinical HHHMMMM scale. Score each category from 0 (Poor) to 10 (Excellent).

.qol-input-group { margin-bottom: 20px; } .qol-label { display: block; font-weight: 600; color: #34495e; margin-bottom: 8px; } .qol-desc { display: block; font-size: 0.85em; color: #7f8c8d; margin-bottom: 8px; font-style: italic; } .qol-input { width: 100%; height: 45px; padding: 8px 12px; border: 2px solid #ecf0f1; border-radius: 6px; box-sizing: border-box; font-size: 16px; transition: border-color 0.3s; } .qol-input:focus { border-color: #3498db; outline: none; } .qol-btn { width: 100%; background-color: #27ae60; color: white; padding: 15px; border: none; border-radius: 6px; font-size: 18px; font-weight: bold; cursor: pointer; transition: background-color 0.3s; margin-top: 20px; } .qol-btn:hover { background-color: #219150; } #qol-result-box { margin-top: 30px; padding: 20px; border-radius: 8px; display: none; text-align: center; } .qol-score-val { font-size: 36px; font-weight: bold; margin: 10px 0; } .qol-interpretation { font-weight: 600; font-size: 1.1em; line-height: 1.4; }
Is pain controlled? Can the pet breathe easily? (10 = Pain free/Easy breathing)
Is the pet eating enough? Does it enjoy food? (10 = Excellent appetite)
Is the pet drinking? Are they getting fluids? (10 = Well hydrated)
Is the pet kept clean? No pressure sores or matting? (10 = Very clean)
Does the pet show joy? Wagging tail? Interaction? (10 = Very happy)
Can the pet stand/walk on its own or with help? (10 = Great mobility)
When bad days outnumber good days, QoL is suffering. (10 = All good days)

Understanding the HHHMMMM Quality of Life Scale

The HHHMMMM scale was developed by Dr. Alice Villalobos, a renowned veterinary oncologist. It provides a structured way for pet owners to assess their dog's well-being when facing terminal illness or old age. It shifts the focus from "is it time?" to "how is my dog feeling today?"

How to Interpret Your Results

  • Score 35 or Higher: A total score above 35 generally suggests that the dog's quality of life is acceptable and palliative care (hospice) is effectively maintaining their comfort.
  • Score Below 35: A score below 35, or a score of 0-3 in any single category, suggests that the dog's quality of life may be declining significantly. You should consult with your veterinarian to discuss pain management or end-of-life decisions.

Real-Life Example: Max the Golden Retriever

Imagine Max, a 14-year-old Golden Retriever with severe arthritis. His owner scores him as follows:

  • Hurt (6/10): Managed with meds, but slow to rise.
  • Hunger (8/10): Loves his treats and meals.
  • Hydration (9/10): Drinks plenty of water.
  • Hygiene (7/10): Needs help cleaning up after the yard.
  • Happiness (5/10): Doesn't play fetch anymore but likes head scratches.
  • Mobility (3/10): Needs a sling to walk on slick floors.
  • More Good Days (4/10): Has about 3 bad days a week.
  • Total: 42/70

In Max's case, while his mobility is a concern (3/10), his overall score of 42 suggests that with assisted mobility and continued pain management, he still has an acceptable quality of life for now.

function calculateQoL() { var h1 = parseFloat(document.getElementById('hurt').value); var h2 = parseFloat(document.getElementById('hunger').value); var h3 = parseFloat(document.getElementById('hydration').value); var h4 = parseFloat(document.getElementById('hygiene').value); var h5 = parseFloat(document.getElementById('happiness').value); var m1 = parseFloat(document.getElementById('mobility').value); var m2 = parseFloat(document.getElementById('moregood').value); // Validation if (isNaN(h1) || isNaN(h2) || isNaN(h3) || isNaN(h4) || isNaN(h5) || isNaN(m1) || isNaN(m2)) { alert("Please enter a valid number (0-10) for all fields."); return; } // Clamp values between 0 and 10 var inputs = [h1, h2, h3, h4, h5, m1, m2]; var total = 0; for (var i = 0; i < inputs.length; i++) { if (inputs[i] 10) inputs[i] = 10; total += inputs[i]; } var resultBox = document.getElementById('qol-result-box'); var statusText = document.getElementById('qol-status'); var scoreDisplay = document.getElementById('qol-score-display'); var adviceText = document.getElementById('qol-advice'); resultBox.style.display = 'block'; scoreDisplay.innerHTML = total + " / 70″; if (total >= 35) { resultBox.style.backgroundColor = "#e8f6ef"; statusText.style.color = "#27ae60"; statusText.innerHTML = "Acceptable Quality of Life"; adviceText.innerHTML = "Your dog's score suggests that palliative care and hospice are currently effective. Continue monitoring these metrics daily and keep in close contact with your vet."; } else { resultBox.style.backgroundColor = "#fdf2f2"; statusText.style.color = "#c0392b"; statusText.innerHTML = "Decreased Quality of Life"; adviceText.innerHTML = "A score below 35 indicates that your dog's well-being may be significantly compromised. It is recommended to schedule a consultation with your veterinarian to discuss your pet's comfort and end-of-life options."; } // Smooth scroll to result resultBox.scrollIntoView({ behavior: 'smooth', block: 'nearest' }); }

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