CANINE Golden Years

Canine Cognitive Dysfunction

8

By Karen Dugan Holman, BS, BSE, MS

There she was, my new foster dog. I had seen her shelter pictures, and she was
a beautiful, cream-colored retriever. I eagerly awaited my veterinarian to bring her to the lobby. Snowball slowly and stiffly rounded the corner, dragging her toenails, knuckling on the tile.
I took a deep breath, kneeled and embraced her. My heart filled with warmth as she melted in my arms. I felt her tense muscles relax. Her soft, freshly bathed coat seemed to fill the room with the scent of warm oatmeal cookies. From that moment, we were bonded.
Snowball was my first foster “hospice” dog. I knew what to expect and had been down the “golden years” road too many times to count.
My dad used to explain to me, “If you look into your dog’s eyes, you can see your soul. You will know if you have done your job well.” He passionately instilled in me the need to treat my dogs with respect and compassion, regardless of the age or breed.
Snowball was to be no different. No matter what was ahead, the best was yet to come for Miss Snowball.
Being knowledgeable with realistic expectations can help you be prepared for life with a senior dog. What can you expect as your dog enters the golden years?
Senior dogs experience changes in their bodies in similar ways to humans. Eyesight and hearing wane, joints begin to ache and stiffen, and behaviors may change.
Changes in your dog’s gait and posture and movement problems are indicators of an aging neuromuscular system. Pain, metabolic disease and sensory loss modify the animal’s perception of its environment and the ability to react. Cognitive impairment may increase anxiety and reduce ability to cope with new situations.
According to Charles McWilliams, DVM, owner of Jenks Veterinary Hospital, “Aging is not a diagnosis.” He often listens as owners describe their dog’s behaviors and physical problems as just “old age.” In McWilliams’ experience, the most common aging complaints include mobility and behavioral issues.
Most can be treated, but the first step is determining the cause of the changes in your pet during this season of life. Begin with a senior dog examination with your veterinarian to establish a health baseline on which to judge progression or regression.
Can a dog have dementia or Alzheimer’s disease? Like Alzheimer’s in humans, dogs can have a progressive disease called Canine Cognitive Dysfunction or Cognitive Dysfunction Syndrome. It is estimated that 14% of dogs older than eight show some symptoms, and 68% of dogs aged 15-16 have symptoms of cognitive impairment.
McWilliams describes CCD as a diagnosis of exclusion. There is not one specific test to rule out CCD.
First, your veterinarian should rule out possible medical causes of the changes, such as pain, hormone issues, sensory function changes, inflammation, neoplasms, autoimmune disorders, organ deficiency or failure, and infections. Behavioral changes are considered markers of cognitive function and reflect a decrease in function of the brain areas responsible for memory and learning.
McWilliams recommends treating CCD using a multimodal approach, including management, enrichment, nutrition, pharmacology and routine geriatric veterinary examinations.
Dogs with CCD are not cured, but the condition can be managed. They can lead comfortable and enriched lives.
It will require careful supervision and specific management to ensure they are kept safe. They can be prone to accidents, often due to falls or wandering off.
The environment should be kept as consistent as possible. Do not move furniture around, and maintain the dog’s normal routines (mealtime, bedtime and bathroom breaks).
A firm, warm bed will help keep their joints from aching while they rest. Placing dog beds and food and water bowls in a variety of locations in the house allows disoriented dogs to find them while wandering. All staircases, decks, swimming pools or other dangers should be blocked off.
A breakdown in house-training may emerge. Remember, the dog is not lazy or trying to be bad; he may have forgotten the routine. Belly bands and doggie diapers may be needed to prevent house-soiling.
Cataracts are a common eye disorder in older dogs affecting their vision, especially in the dark. Night lights throughout your home can help them as they move through what they perceive as dark areas. Modification of the environment can maintain your dog’s quality of life.
It is important to keep senior dogs active and enriched. Any positive reinforcement-based training, exercise and social engagement (supervised) can support the mental fitness of an aging dog.
It is important to know your dog’s limitations. Do not push them to do anything overly strenuous. Modify physical exercise to reduce pain. Provide activity feeding (Buster Cube, KONG toys, Toppl) to keep their brains challenged.
Nose work, FitPAW training and retraining behaviors they may have forgotten are great ways for you to spend quality time with your aging dog. Of course, don’t forget lots of love and affection.
Enrichment of the environment and comfort are key for all aging dogs.
Providing the building blocks to support decreased cognitive function is necessary, McWilliams explains. One medication that is widely prescribed for dogs with CCD is Anipryl (selegiline hydrochloride). It has been shown to slow the progression of CCD and improve the affected dog’s brain function.
Melatonin, a hormone, can be given to dogs who are struggling with their sleep cycles. Prescription diets like Canine B/D, Hills Pet Nutrition have been found to improve performance on a number of cognitive tasks after two to eight weeks.
Stem cell transplants have been reported to be highly effective at decreasing or stopping the progression of CCD. A variety of studies suggests a high intake of fruits and vegetables, vitamin E, C and Omega-3 fatty acids have decreased the risk for cognitive decline.
Senilife is a nonprescription supplement your veterinarian may recommend to combat behavioral changes associated with brain aging.
McWilliams recommends older dogs have a geriatric examination every six months. This includes blood and urine tests to rule out physical conditions that can be treated, as well as the effects of medications being used.
Open communication with your veterinarian will help you to maintain the welfare of your aging dog.

Karen and Maddie

My Maddie, a frosty-faced black Labrador Retriever we rescued from a shelter as a small, flea-ridden puppy, has reached 13 years old in a blink of an eye.
With multiple knee surgeries, she is struggling with mobility. We continue our slow, meandering walks through the grass to retrieve the morning paper. The sun sparkles in her gray muzzle.
She has given much of her life providing comfort and love to humans as a licensed therapy dog. She has never lacked empathy toward people, and now, it is her turn for pampering.
She is warm on my feet as I write this piece but needed a little help getting up on my bed to snuggle. I do look in her eyes, and although filled with cataracts, she lets me know I have done my job well. My heart is filled with warmth once again.
Happy Tails, Karen.

Some behavioral changes associated with CCD:
• Forgetting where their water bowl or other items are
• Irritability
• Staring at walls or becoming disoriented; they may seem
lost or confused
• Barking or whining at what seems to be nothing
• Change in sleep patterns
• Decrease in play or exploration
• Forgetting housetraining
• Seeking attention, touching, following owner; becoming
withdrawn
• Displaying behavioral changes, such as fear, destructiveness, phobias, anxiety when separated from owner
• Becoming reactive to what used to be familiar
• Stereotypical behaviors, such as pacing
• Decrease in learning or memory

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