ABSTRACT
While previous content focused on steward experiences that follow animal companion death, this chapter discusses the complexities and psychological stressors that may occur during the period of anticipatory mourning, when there is realization of impending death but the loss has not yet occurred. The rise of hospice programs within veterinary medicine due to technological and treatment advances now offer stewards life-extending options, increasing the likelihood that this period may become a more frequent occurrence for animal companion stewards. This uncertain time may be both rewarding and highly stressful for stewards as they seek to extend their companion’s life, whose needs have now escalated beyond what was considered when the animal was first adopted. Differences between the services embedded in human vs. animal hospice programs are explored, along with additional stressors emanating from the lack of sufficient staff to offer. Other associated steward stressors are identified, such as lack of health insurance, respite opportunities, communicated directive regarding the animal’s wishes, and the stressors associated with more intense and frequent steward caregiving. While intensified involvement in animal caretaking may enhance the human-animal bond, it could also result in premature detachment, resentment, or disgust, erasing memories of previously shared activities when emotional or mental health support is lacking during this period. Although highly compassionate, veterinary clinics are neither trained nor staffed to support mental health needs. Therefore, the period of anticipatory mourning is another issue that could benefit from clinical awareness and treatment. A case study is presented that describes the challenges and potential resolutions of this period. The Animal Companion Bereavement Questionnaire is again referenced as an instrument that can support the associated stressors, and also help begin the process of legacy creation.
