10 Signs Your Cat May Need End of Life Care

A compassionate guide to recognising when it's time to say goodbye


Making the decision to euthanise a beloved cat is one of the most painful responsibilities we take on as pet owners. Cats are masters of hiding pain, and because they often decline gradually, it can be hard to know when they’ve had enough—or when their suffering has quietly begun to outweigh their comfort.

This guide is here to help you recognise the signs that your cat may be nearing the end of their life, and to reassure you that choosing euthanasia can be the kindest, most loving decision you make.


1. Loss of Appetite

Cats may go off food occasionally, but if your cat consistently refuses meals, shows no interest in treats, has to be tempted to eat or is rapidly losing weight, it may be a sign that their body is beginning to shut down. A cat who no longer wants to eat is often one who is no longer enjoying life. Cats can only cope for around 3 days with no food without becoming seriously ill.


2. Chronic Vomiting or Diarrhoea

Frequent vomiting or diarrhoea that doesn’t respond to treatment can lead to dehydration, discomfort, and weakness. If your cat seems unable to digest food or is constantly unwell, this may be a sign of serious, progressive illness.


3. Difficulty Breathing

Laboured, noisy, or shallow breathing is always a red flag. If your cat is struggling to breathe, panting at rest, or hiding to avoid exertion, this may indicate advanced disease or significant discomfort. Do not put off getting Veterinary advice, inability to breathe well is a major cause of suffering.


4. Withdrawing or Hiding More Than Usual

Cats often hide when they’re unwell, and a cat who spends most of the day in hiding, avoids affection, or no longer seeks out companionship may be in physical or emotional distress.


5. Mobility Problems

If your cat is struggling to stand, limping, falling over, or unable to get to the litter box, their mobility challenges may be causing distress or pain. Cats with arthritis, neurological issues, or muscle loss can suffer quietly for a long time.


6. No Longer Grooming

Cats are usually meticulous about grooming. If your cat is unkempt, matted, or smells unpleasant, it could be because they’re in too much discomfort to care for themselves. This loss of dignity is often a sign that their quality of life is deteriorating.


7. Incontinence or Trouble Using the Litter Tray

If your cat is having accidents, missing the tray, or appears distressed when trying to urinate or defecate, it may be a sign of pain, confusion, or mobility decline. Frequent accidents can also be stressful and confusing for your cat.


8. Changes in Personality or Behaviour

A cat in pain may become aggressive, irritable, withdrawn, or unusually clingy. Behaviour changes often indicate that something significant is happening physically or emotionally.


9. Chronic Pain That Can’t Be Managed

If your vet has tried multiple medications or therapies and your cat is still visibly uncomfortable, limping, restless, or vocalising, it may be time to consider whether ongoing treatment is truly helping—or simply prolonging suffering.


10. You’re Asking the Question

If you’ve begun wondering whether it’s time—or you’ve started quietly hoping for a natural passing—it’s often a sign that your instincts are recognising what your heart is struggling to accept.

You know your cat better than anyone. Trust your sense of their happiness, dignity, and peace.


Choosing a Peaceful Goodbye at Home

If your cat is showing several of the signs above, and their quality of life is declining, in-home euthanasia may be the kindest option. At home, your cat can stay in their favourite spot—free from the stress of travel or unfamiliar environments—and pass peacefully, surrounded by love.


You’re Not Alone

This decision is incredibly difficult, but you don’t have to make it alone. I offer free, no-pressure consultations to talk through your cat’s condition and help you decide if the time is near.

📞 Reach out today for a free consultation, or learn more about how gentle, in-home cat euthanasia works.

Choosing peace doesn’t mean you’re giving up—it means you’re putting your cat first, one last time.


Quality of life tool

To assist you in making an accurate assessment of your pet’s health, I have created an online tool. This tool will asks you to answer specific questions related to each area of concern. It takes about 5 minutes and will provide you with a recommendation according to the answers you provide.

Learn more
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10 Signs Your Dog May Be Ready for Euthanasia

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Life After Losing a Pet: Coping With Grief, Loneliness, and Letting Go