art by Cal Meyer

Cats and boxes are a purrfect combination.  An enclosed space like a box can be a safe place, help keep a cat warm and give him a vantage point to ambush “prey” (unfortunate insects, catnip mice…). Boxes are also popular with other animals – big cats are often given boxes for enrichment at zoos and refuges; dogs also like boxes to play in but some may tend to chew the box up!

Cats will also sit on just about anything, comfortable or not. Anyone who does craft projects well knows that once the fabric is out to be cut, a cat will be sitting on it soon enough. Years ago, cats sat on newspapers if you tried to spread the paper out on the table – nowadays, they park on computer keyboards. Some of this is attention-seeking behavior – Zelda only lets me type so long Sunday mornings before she gets up on my desk and threatens to contribute to the post if I don’t take her for her morning walk.

In 2009, the USPS came up with the Christmas slogan, “If it fits, it ships”.  A few years later, a variant of the slogan became an Internet cat meme: “It it fits, I sits”.  This gave rise to posts of cats in all sort of places, from egg cartons and shoeboxes, to bowls and sinks.

The Internet exploded again in 2017 as people used tape to outline squares on the floor for their cats to sit in. Cats were “trapped” in all manner of taped shapes, with cat experts offering explanations ranging from cats reacting to new smells (from the tape) to survival instinct, where the cats must investigate something new (the taped square) to determine if it poses danger to them.  Some felt that the taped square offered the cat a sense of security, much like a real box.

The phenomenon did not stop here – in 2020, during the COVID pandemic, a woman in the Philippines photographed stray cats practicing “social distancing” – the cats sat on circles painted on the ground 6 feet apart outside a food market.

cats and boxes: optical illusions


It is not surprising that cats in taped squares became the subject of a research study investigating cats’ responses to optical illusions. In a two month study in June-August of 2020, researchers at Hunter College enrolled over 500 cat owners to participate in a study to assess cats’ responses to a taped square, a Kanizsa square (which gives the illusion of a square), and a control figure.

Enrolled owners were sent booklets containing pairs of these shapes that they affixed to the floor.  The owners then took videos of their cats’ responses to the shape-pairs and submitted the videos to the research team.  They were to do this once daily for 6 days.

The results found that of the 30 cats that completed all six trials of the experiment, only nine of them “participated”, that is, sat in one of the shapes. These cats were just as likely to sit in the taped square as the Kanizsa square. Only once did one of the cats choose to sit in the control shape.

What does this tell us about cats? Are they susceptible to the optical illusion of a square? Do they recognize it as a square? I think more research will have to be done:

  • Only 9 out 30 cats actually sat in the shapes.
  • Cats are not as tall as we are and don’t see well close up. Can they see the squares from their vantage point?
  • I, for one, would like to know how many cats will voluntarily sit in a taped outline – I tried leaving a hula hoop out on the floor to see if any of my four cats would voluntarily sit in the circular outline. I did not have any takers!

This study is the first to use “citizen scientists” (the owners) to observe the cats in their home environments, thereby avoiding stress-induced behaviors that cats can exhibit in unfamiliar settings, such as a laboratory.

Back to cats and boxes…


Cats are practical. They prefer their owners to their owners’ T-shirts. I feel that they would prefer a physical box to a taped outline. A box is a great source of enrichment – it can be a bed, a den, it can be place to hide while ambushing a toy mouse going by. Shelter cats acclimate to their surroundings more quickly when provided a box to hide in.

Boxes that are too small to allow a cat to hide may make him feel good by putting physical pressure on his body, like when we wedge ourselves in the corner of the sofa watching a favorite TV program.  Pressure on soft tissue has been shown to promote relaxation and reduce anxiety in both humans and animals.

So, make sure your cat has a safe place – a place he can call his own, a place that is secure, secluded, a hiding place to retreat to, warm in the winter, cool in the summer. It can be a cardboard box in a closet or in a secluded corner!

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Identifying signs of cat dementia is not always straightforward. In the hubbub of daily life, behavior changes can be subtle and go unnoticed until they are more severe.

Changes in behavior can indicate if your cat’s mental state has changed. The acronym VISHDAAL summarizes the behavior changes we need to observe to care for our senior cats.

V = changes or increase in vocalization
I = changes in interaction with us and other pets
S = changes in sleep-wake cycle: restlessness, night time activity
H = housesoiling
D = disorientation and confusion
A = changes in activity
A = anxiety
L = learning and memory

Three cats – three outcomes


rupert, 18 year old neutered male siamese

Cat on sailboat


I had two senior Siamese cats when I had my first child.  A first-time mom, I was frazzled, dealing with the completely new experience of parenting and was not paying as much attention as I should have to my cats.

One day, an acquaintance asked why one of the cats, Rupert, was sitting on the kitchen counter, in a corner, facing the wall. I had been aware that he did that sometimes but when I paid closer attention, I found that he would eat in the morning, use his litter box and then spend the day on the counter, facing the wall. He would come down to eat, drink, and use the litter box but always returned to the counter.

Behavior Changes – signs of cat dementia?

  • I – Rupert was no longer interacting with us.
  • D – He seemed confused and “out of it” – sitting on the counter all day
  • A – His activity had changed – he did not move much from the counter

Diagnosis:

Rupert had lost quite a bit of weight, although he was eating well. My vet diagnosed him with hyperthyroidism, which was a new disease in cats at that time.

Outcome:

Use of radioactive iodine to treat the disease was pioneered about 10 years earlier but it was not commonplace. Surgery was an option but at 18 years of age, Rupert was not a good candidate for surgery and we elected euthanasia due to his declining Quality of Life.

The Takeway:

I suspect that Rupert had moderate to severe cat dementia. The symptoms were most likely apparent earlier and I just did not recognize them. Nowadays, drug therapy for hyperthyroidism is readily available – methimazole is an FDA approved treatment for hyperthyroid cats. Perhaps treatment of the hyperthyroidism would have reduced the symptoms of cat dementia enough for Rupert to have had some more time with us.

Athena, 16 year old spayed female


Athena had been slowing down over the past year, was not eating as well and was spending most of her time sleeping. We had provided her with steps to access window perches and our bed; we also provided her with a heated bed.

Behavior Changes – signs of cat dementia?

  • I – Although still willing to play, Athena was interacting less with us; she had previously been a “nosy, busybody” kind of cat.
  • A – Athena no longer went on her daily walk and was less active in general

Diagnosis:

Diagnostic blood work did not show any significant changes over the past year. Athena did not show other signs of cat dementia and would still learn new tricks when hungry for treats.

X-rays showed moderate to severe arthritis in one of her hips and knees. We decided to treat her arthritis pain with the drug gabapentin.

Outcome:

Treatment for her arthritis pain has been a game changer for her; her activity level has increased, her appetite has increased, and she is back to “being in your face” when she wants something.

The Takeaway:

Regular checkups and treatment of chronic conditions can make you and your cat happier! Some symptoms typical of dementia may be due to treatable, medical conditions.

Marley, 15 year old neutered male

cat with food puzzle
Marley works the Poker Box, a food puzzle.

Marley is a friendly, affectionate cat with good health overall. In the past several months, Marley showed some of the behavior changes that we need to monitor in senior cats.

Behavior Changes – signs of cat dementia?

  • I – Marley had become more clingy than usual and more interactive
  • D – He seemed confused when playing the nightly game of “treat toss” – he seemed to forget that he was chasing a treat!
  • A – He did not want to walk outside with us (which he has been doing for years).
  • A – He seemed anxious and a little fearful. His interactions with the other cats became timid.

Diagnosis

Marley’s senior exam and blood work did not reveal any abnormalities other than a slight decline in kidney function which could be expected at his age.

Marley appears to have some mild cat dementia. Since these changes were mild, we decided to try SAMe, a dietary supplement. SAMe has been shown to be effective at reducing symptoms of dementia in cats in the early stages of cat dementia.

Outcome

About 2 months have gone by with daily supplementation. Marley is taking his daily walk again and is not as clingy with his humans. He is no longer stand-offish with the other cats and is “catching” his treats again when we play the nightly treat toss.

A Final Word…


Cat dementia cannot be cured but it can be managed. With early diagnosis, appropriate environmental modifications, dietary supplements, therapeutic diets, and medication can help can reduce the symptoms of dementia and improve Quality of Life for both you and your cat.

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Cat using food puzzle

At the veterinary clinic where I work, I often hear people say when I ask about their cat’s activity and play, “she sleeps most of the time and meows a lot at night. She doesn’t play – she’s an older cat”. How much of these behaviors is due to “normal” aging? How much is due to other medical conditions or a declining brain?

Cognitive Dysfunction Syndrome in cats or cat dementia refers to the decline in mental abilities associated with aging.

Cat dementia results from damage to the brain.  As your cat ages, the the numbers of molecules called  free radicals are no longer balanced out by the antioxidants in his body. These free radicals are reactive and cross the blood-brain barrier, damaging cells in the brain.

Changes in blood flow to the brain can also cause damage by starving the neurons of oxygen.  High blood pressure, heart disease, anemia – are all conditions that alter the flow of blood to the brain.

How can we tell if our cats are undergoing mental decline? Is there anything we can do about it?

VISHDAAL – behavior changes


Changes in behavior can indicate if your cat’s mental state has declined. The acronym VISHDAAL summarizes the behavior changes we need to monitor in our senior cats, from the most prevalent (vocalizing) to least frequent (changes in learning and memory).

V = vocalization
I = changes in interaction with us and other pets
S = changes in sleep-wake cycle
H = house soiling
D = disorientation
A = changes in activity
A = anxiety
L = learning and memory

How do we sort out behavior changes due to disease and those due to declining mental capacity?

Changes in behavior signal the onset of cognitive decline but they may also arise from other health issues:

  • Cats with untreated high blood pressure or hyperthyroidism may meow at night (vocalizing).
  • Cats with untreated hyperthyroidism may be restless and beg us for food (changes in interactions and sleep).
  • Kidney disease can be accompanied by increased thirst and urination which may result in house soiling (house soiling)
  • Cats with osteoarthritis may have difficulty accessing the litter box (house soiling).

behavior changes: disease vs Dementia


Regular veterinary exams and diagnostics can identify medical conditions such as high blood pressure, hyperthyroidism, and osteoarthritis.  If behavioral changes persist after treating these other medical conditions, your cat may have CDS or cat dementia. 

Cat dementia is a “diagnosis of exclusion” – it is the diagnosis that remains after all the other possible diagnoses have been eliminated. Cat dementia will usually have a slow onset and behavioral symptoms will gradually get worse.

Cognitive Dysfunction (CDS) cannot be cured but management can reduce the symptoms and improve the Quality of Life for both you and your cat.

managing cat dementia


  • environmental enrichment/modification
  • dietary supplements
  • therapeutic diets
  • medication

Environmental enrichment/modification


In the early stages of cat dementia, enrichment increases mental stimulation, leading to the growth and survival of neurons, preserving the thinking processes.  Enrichment should be tailored to the individual cat.  For example, some cats prefer high places; others are “ground dwellers”.  Arthritic cats will not have the range of motion of healthier cats but will still enjoy play that does not require lots of jumping.

Ways to enrich your cat’s environment:

  • play – interactive play and toys
  • scent enrichment – catnip, silvervine
  • food puzzles
  • motion – climbing (cat trees) and exploring (cardboard boxes)
  • supervised outdoor access

As CDS progresses…

Environmental changes become stressful and confusing. Cats with severe cat dementia need an environment that does not change much – daily routines and feeding schedules must be maintained. Litter boxes and feeding stations need to stay in the same place.

A cat with severe CDS may benefit from a “room of his own”, with easy access to his resources. Changes that need to be made must be done slowly. If you need to move a litter box or feeding station, do it gradually over a number of days so the cat can still find it.

Environmental modifications

Modifications to the environment of the cat with dementia should take into account the behavior that she is exhibiting.

  • Cats that constantly beg for food may benefit from a timed feeder at night or treat balls. 
  • Cats with house soiling tendencies may need more litter boxes and ones that are easily accessed, with a lower entry for example. 
  • Cats that become disoriented and confused may benefit from a night light and radio playing soft music.

Dietary Supplements


Dietary supplements in general seek to restore the balance between the activity of antioxidants in the body and the  production of free radicals.  Antioxidants give up electrons to the free radical, effectively “neutralizing” it so that it is no longer reactive. So, these supplements usually contain antioxidants.

SAMe: (S-adenosyl-methionine)  aids in the production of glutathione, an antioxidant. When elderly cats were supplemented with SAMe, there was improvement in cognitive tests. SAMe is best used pro-actively – it is most effective in cats in the early stages of cat dementia.

Proprietary supplements containing vitamins, resveratrol (antioxidant), and fish oils are on the market but there is no clinical data testing cats for these at this time.

other supplements


Melatonin: hormone in the body that is thought to promote sleep. It also has antioxidant properties. Melatonin declines with age.

Pheromones (Feliway), Zylkene, Anxitane (L-theanine) may help reduce anxiety in cats that are disoriented and may promote sleep.

Therapeutic diets


Therapeutic diets containing antioxidants and fish oils have been shown to help cat dementia. 

  • Feline Mature adult Hill’s Pet Nutrition
  • Purina Pro Plan Age 7+
  • Hills prescription diet j/d with fish oil for osteroarthritis

Diets that reduce anxiety may also help with cat dementia

  • RC Calm diets
  • Hill’s urinary support

Medications


Selegiline: licensed to treat dementia in dogs. Like the dietary suplements, it aims to reduce the production of free radicals.  Selegiline stimulates the production of enzymes that eliminate free radicals.

Anxiolytics: Prozac, gabapentin and clonazepam are used to treat dementia by reducing anxiety.

boxes as enrichment for cats
Boxes can be source of enrichment for senior cats.

If you feel there has been a significant change in your cat’s behaviors, keep a journal or log and make sure to mention it at her next senior exam. Start the conversation with your vet about cat dementia and how to manage it!

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Cats greet other friendly cats by sniffing them first, before engaging in other social activities such as rubbing against each other or grooming each other’s heads. Scent is a way that members of a cat colony identify each other.

We are members of our cats’ social groups and they identify us by our  scent. They greet us by sniffing and rubbing against us. When leaving your cat at the vet or boarding facility, you may be asked to bring a blanket or t-shirt with your scent on it.  Does your scent comfort your cat when she is away from you?

Recently, researchers at Oregon State University tried to test whether such an object actually reduces a cat’s anxiety when her owner is gone. In this study, owners of 42 cats were asked to bring an unwashed object with their scent on it. Scent objects could include the owner’s shoe, sock, night shirt, or blanket.

The test started by evaluating the cat’s attachment to his/her owner – secure or insecure?
The owner would then leave: in some trials, the scent object was left behind; in others, the cat was alone.

The cat’s behavior was evaluated:

  • when he was with his owner
  • when he was alone with the scent object
  • when he was alone without the scent object
  • when his owner returned

Measuring attachment
Psychological attachment is measured using the Secure Base Test. The cat and owner are placed in a strange room for a few minutes; the owner then leaves for a few minutes and returns. The cat’s behavior is observed when the owner is present, when cat is alone, and when the owner returns.

Securely attached cats
willing to explore when Owner is present
continue to explore after Owner leaves
greets Owner on return but continues to explore and play

Insecurely attached cats
reluctant to explore even with Owner present
sit with Owner or hide in corner
do not explore when Owner leaves
may or may not solicit contact with Owner on return

Does your scent comfort your cat when you are not with her?


Researchers took videos of the sessions, recording how often cats vocalized, rubbed on their owners or the scent object, and how long they would stay close to the owner or scent object.

Researcher’s predictions


  • Cats would prefer their human caretaker over a scent stimulus alone.
  • Insecurely attached cats would interact with the scent object more than the securely attached cats.
  • Cats would be comforted by their owner’s scent.

what actually happened


  • Cats preferred their owners over the scent object – they vocalized less when owners were with them and rubbed on their owners
  • Insecure cats did spend more time close to the scent object than secure cats but only 4 of the 42 cats actually rubbed the object
  • The scent object did not seem to alleviate anxiety – cats vocalized just as much when alone with the scent object as they did when alone without the scent object.

Cats communicate in a large part by smell. They identify other cats and their owners by their scent and greet them by sniffing them and rubbing against them. To your cat, your t-shirt smells like you but does your scent comfort your cat the way your physical presence does? The answer is no according to this study.

Your t-shirt is not the same for your cat as a teddy bear that a young child clutches to face the world. The teddy bear is a “transitional object” that helps a human child become less dependent on his parents and learn to relate to other people.

Your cat is attached to you – not your t-shirt. It won’t hurt to leave the t-shirt at home when going to the vet or boarding facility.

Other Thoughts


 A cat’s territory where she feels safe is marked with her own scent. Providing your cat with a blanket from home with her scent might make her less anxious.

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Moving can be hectic and stressful for both people and pets. When you move your cat, he is uprooted from his territory, a place where he feels safe and secure – where he can rest, has shelter, and is safe from predators. What do you need to consider when unloading the boxes and positioning the furniture?

Setting up a cat-friendly home can help reduce the stress of the move and help your cat quickly establish her new territory.

setting up a cat-friendly home


The American Association of Feline Practitioners (AAFP) list five things that make a healthy environment for a cat.

  1. Resources : food, water, litter box, shelter
  2. Safe access to resources
  3. Environment that respects the cat’s sense of smell: territory
  4. Human interaction: predictable
  5. Predatory behavior

Needs of Domestic cats

  1. If we organize these needs in a pyramid diagram, the lowest tier includes those needs essential to survival: food, water, and litter boxes.
  2. The next level ensures that these essential resources are available to each cat to use safely, without fear. We cat owners must provide multiple, separate feeding and watering stations and litter boxes.
  3. Another of the AAFP requirements is that the environment respects the cat’s sense of smell.  Such an environment is the cat’s territory. Cats will mark walls and furniture in the home with scents from glands in their faces and mark scratching posts with scents released when scratching. Your cat belongs to his territory.
  4. The final two tiers deal with how we interact with our cats and…
  5. Offering them an opportunity to exercise their hunting skills.

The first three tiers are ones that are physically affected by moving from one place to another.

  • Where do you locate litter boxes and feeding stations in your new home?
  • Where can you locate safe places for your cat to chill, nap and keep on an eye on the household?
  • How do you help your cat establish a territory and maintain the scent profile of the home?

I have recently moved from my townhome of 13 years into a 2 story, unattached house. Placing cat resources is a work still in progress – here is my “first cut”. Join me and take a look at the placement of my cats’ resources and the pros and cons of my choices. I hope you enjoy The Purrade of My Home!

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a cat is examined in her carrier
A cat is examined in a familiar place – the bottom of her carrier.

The other day a client brought her cat in for an exam and vaccines. This cat had been previously seen at the clinic and had been aggressive toward the veterinary staff and the owner. She had been prescribed gabapentin to reduce anxiety when coming in for vet visits. Gabapentin is bitter, so some cats will not eat it in food and may need to be given the pill.

The owner was unable to get her cat to eat the powder in food and brought the cat in unmedicated. This cat was in a soft carrier and was striking with her front paws at the carrier sides when approached. When cats are in a negative emotional state as was this cat, the two ways available to the veterinary professional to try change the emotional state are food and play. This cat was having neither.

A dilemma – proceed with the visit?


 

the veterinary staff


If we move forward, glove up and use thick towels, we can immobilize the cat and perhaps administer vaccines. Being in the soft carrier, she would be difficult to get out, but we could give the vaccine through the mesh sides, although there would be the risk if she wiggled loose a vaccine intended to go under the skin could end up in the muscle.

the cat’s point of view


When presented with a threatening scenario, a cat has three options: 1) flight 2) fight 3) freeze (learned helplessness).
The cat in question was in a carrier in an exam room so flight was out of the question. She decided to fight, which she was ready to do,  striking at the carrier sides when the owner or veterinary staff approached.

Imagine being snugly enveloped by towels, you can’t see what’s going on nor can you move. Some cats will continue to thrash, kick, and bite; other cats will give up at some point. The exam may be very brief, perhaps just measuring the heart rate through the towel. Whether the cat continues to fight or gives up, the experience is negative. If the cat perceives that fighting is successful – after all, she goes home after the struggle –  she may fight even harder on the next visit. The cat will stick with a strategy she thinks works.

the stress of the vet visit


So many owners are stressed about how their cat is treated at the vet clinic, they try to avoid bringing the cat in until it is absolutely necessary. Sometimes, to the cat’s detriment, health conditions have worsened by the time the cat receives medical care.

owner’s stress


  • The cat hides under the bed when the carrier comes out.
  • The cat has to be “dragged” out from under the bed.
  • The cat does not want to go into the carrier.
  • The cat cries constantly on the way to the vet.
  • The owner anticipates that the cat will be difficult and sedation will increase the cost of the visit.

the cat’s stress


  • You are placed in a box that you associate with fear and anxiety.
  • Your box (with you in it!) is placed in a larger box that moves and smells funny.
  • You are frightened, may be nauseated, or may soil yourself.
  • The vet clinic smells of other frightened animals.
  • You are handled by strange humans.

Each time “heavy restraint” is used, a cat often becomes increasingly aggressive, until the exam and treatments have to be done under anesthesia.

Cat friendly handling – breaking the cycle


Cat friendly handling is geared toward following the CAT handling guidelines.

  • Give the cat as much choice and control as possible.
  • Pay attention  to the cat’s body language and tailor the handling to the individual cat.
  • Touch the cat where he prefers to be touched.
  • Positive Reinforement: Make unpleasant procedures (vaccines, sample collection) worthwhile to the cat, offering food or head rubs.

Low Stress vet visits require that the veterinary staff and cat owner work together as a team.  Cat friendly handling begins at home and continues when the cat and owner arrive at the vet clinic.

“A BETTER VET VISIT FOR YOUR CAT


  1. Train your cat to comfortable in her carrier. Consider a carrier with a removable lid so that she can at least be examined in the safety of her “home away from home”.
  2. Desensitize your cat to riding in the car – take a drive around the block where you don’t end up at the vet.
  3. If the veterinary team recommends an anti-anxiety “cocktail”, figure out how your cat will take it. Consider training your cat to accept medication.
  4. If your cat has a favorite treat or food that he likes, consider picking up his food the night before for a morning appointment or in the morning for an afternoon appointment. Bring the treats along and offer them to the staff to feed kitty during his exam or procedures.
  5. Choose a Cat Friendly Practice where the staff have had some training in cat friendly handling.

What happened with the cat we talked about earlier?


The owner felt that a cat-only practice made her cat more reactive. We elected not to proceed with the exam and suggested the owner find a clinic that was a better fit. We can only hope that the cycle of aggression will be broken.

Like taking a toddler to the doctor, the vet visit can be scary for your cat. Cat friendly handling can make the visit less stressful for both you and your cat!

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Cats are not only predators, they are also prey for larger carnivores like coyotes. A predator will target a weak or injured prey animal so it is important that prey animals hide their pain, so they don’t become some else’s snack. Cats are no exception and are masters at hiding pain. As a veterinary technician, I have found clients often do not give pain medication that we send home because “he didn’t seem painful”.

Painful cat?

how do I know if my cat is painful?


It is hard to assess pain in animals and young children.  They can’t tell you how it hurts. There has been interest in  developing methodology for computer assessment of pain in human children using facial expressions. Humans have expressive faces, with 42 facial muscles; there is a universal “pain face”, with lowered eyebrows, eyes squeezed together, nose wrinkled, raised upper lip and open mouth.

Like us, cats also have a “pain face” but it takes some practice to become attuned to it. The Feline Grimace Scale (FGS) was developed to give veterinary professionals an easy-to-use tool to assess whether a cat needs pain medication. With some practice and attention to your cat’s environment, you can tell if your cat is painful.

The FGS focuses on 5 facial features:

  1. position of the ears
  2. shape of the eyes
  3. shape of the muzzle
  4. attitude of the whiskers
  5. position of the head

Each feature is assigned a score of 0, 1 or 2.

“0” = no pain

“1” = moderate appearance of pain

“2” = obvious appearance of pain

The highest pain score with this system is 10; a score of 4/10 indicates the need for pain medication.

The Kitty Pain Face


scoring The Ears

  • Score = 0  Ears are up and facing forward
  • Score = 1   Ears are not facing forward and further apart; they are a little “flat” 
  • Score = 2   Ears are flattened and rotated out, like the wings of an airplane

scoring the eyes

  • Score =0     Eyes are open
  • Score = 1     Eyes partially closed
  • Score =2      Eyes are “squeezed shut”

scoring the muzzle

  • Score = 0    Muzzle is relaxed and round in shape
  • Score = 1     Muzzle is tense and starting to become flatter
  • Score = 2    Muzzle is tense and elliptical in shape

scoring the whiskers

  • score = 0   Whiskers are relaxed and curved downwards
  • Score = 1    Whiskers are beginning to straighten, as the muzzle becomes tense
  • Score = 3    Whiskers are straight or forward

scoring the head

  • Score = 0  The head is up and above the line of the shoulders
  • Score = 1  The head is in line with the shoulders
  • Score = 2   The is below the line of the shoulder

Using the FGS


The FGS was developed for veterinary staff to monitor hospitalized patients.  In the validation studies, cats were observed undisturbed for 30 seconds.  This could be a challenge in the home, where the cat is not in a kennel and can move around.

Pain causes anxiety and stress. The expressions making up the cat’s  “pain face” overlap with the body language of stress. How can you eliminate environmental stress when scoring your cat for pain?

getting a valid score for your cat


Don’t have 30 seconds?

If you’re having trouble watching your cat for 30 seconds, try scoring your cat, then score him again in 15-20 minutes and see if you get the same results as before.

Pain or environmental stress?

Reduce the effect of the environment on your cat. Don’t have someone hold him or rub his head. Try to observe him when there is not a lot of activity in the house – try guiding him to a quiet room and let him settle down before you try to score him.  Don’t interact with him – he may respond by hiding his pain.

If your cat is grooming, eating, or vocalizing, wait until she is finished before assessing her. If sleeping, wait until she is awake. 

practice telling if a cat is painful


Using the FGS can be challenging but it can help you decide sometimes if your cat needs veterinary treatment. Practice observing cats that are painful or not painful to give yourself a mental map of the cat’s face and demeanor.

  1. Go to  felinegrimacescale.com, and download the FGS manual.
  2. Using the FGS manual, practice your skills with the series of 11 cat photos on the website.
  3. Compare your results with those of the researchers.

 

Other indications that your cat is painful


  • she is hiding or you find her in a place she usually does not frequent
  • she is more subdued than usual
  • there is a decrease in appetite and activity

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Cats plays with featther toy1
Zelda plays with a feather toy at the end of a wand.

Providing opportunities for predatory play is one of the components of a cat-friendly home. Like people, cats are individuals, with different tastes and experiences. This certainly is one reason for the large variety of cat toys at the pet store. But what if your cat does not want to play?

Some cats like to play more than others


A group of researchers observed the responses of 31 cats to toy balls, a fishing pole style toy with a soft bird shaped toy at the end, and recorded sounds of a chirping bird, a squeaking mouse, crumpled paper and a rustling plastic bag. Thirteen of these cats were indoor-outdoor cats; the remaining 18 were indoor-only cats.

What did they find out?

  • Indoor-only cats touched or played with balls sooner than indoor-outdoor cats.
  • Indoor-only cats started searching earlier for playback sounds (chirping, squeaking etc) than the indoor-outdoor cats.

Why do indoor-only cats like to play more than outdoor cats?


The two groups of cats had close relationships with their owners: the main difference was that one group had access to the outdoors.

The indoor-outdoor cats most likely had experience with actual prey animals. Live prey can “fight back” and cause injury to the hunter, so a slower, more cautious approach may be smarter.  The indoor-only cats don’t “know any better” and showed a more intense interest in and faster response to “simulated prey”, not having had any negative experience with hunting things.

Should I try to play with my indoor-outdoor cat?


Yes, play with your indoor-outdoor cat. Play is part of the regular, positive interactions we have with our cats. The need to hunt defines who your cat is – this is what he was born to do. Although he gets a lot of stimulation while outdoors, a short, regular play time helps reinforce the cat-owner bond.

It may be a bit more difficult to find that thing he’ll play with, compared to an enthusiastic indoor-only cat. 

Cat using food puzzle

My experience with “Gus, A former street cat”


  • Gus has always enjoyed “treat toss” ( I throw dental treats for the cats to chase and eat).
  • He is not interested in the feather and mice toys at the end of a wand.
  •  He occasionally plays with catnip toys and balls.
  • After two years, he has agreed to chase a pair of tied-together shoe laces down the hall and has his own preferred food puzzle.

My indoor-only cat just won’t play with anything


Cats are individuals and some cats like to play more than others. Yes, try to entice your cat to play. It can take longer to find out what some cats will play with. It may take a few tries before they become interested enough to chase that shoelace, mouse toy on a wand or the crumpled ball of paper you throw down the hallway.  If the cat walks away, then try again another day.

  • A play session around the same time everyday lets them know what is going to happen.
  • Be alert to possible frustration – your cat needs some reinforcement intermittently to keep her playing the game.
  • Use the laser pointer to point to a treat when ending the laser tag session.
  • Let her catch the toy on the wand and chew on it occasionally during a play session. 
  • End the play session with a game of “treat toss”.

Playing with more than one cat


Even if cats are not part of the same social group , they can still manage a joint play session. Cats are good at “time-sharing” – taking turns while another cat plays. Often they will have different preferences, so they will wait for “their toy”. Cats are often very willing to wait if there is a treat session at the end (after all, hunting requires patience!)

The importance of predatory play…


It is true that some cats like to play with toys or chase treats more than others.  But every cat has a hunting heritage and helping him use it strengthens the bond between you and your cat.

Tips for playing with cats


Play and Treat time is a meal

  • Cats do better physically and emotionally eating multiple small meals daily.
  • Restricting access to food (meal feeding) can make treat time a bit more special.
  • Include the treats in your cat’s daily calorie count.

Play and treat time – a positive, predictable interaction for your cat

  • Cats like to play with a variety of toys – have several boxes of toys that you rotate.
  • Marinate some of the toys in catnip or silvervine.
  • Play sessions do not need to be more than 5 minutes or so per cat.
  • Put all interactive toys away when playtime is over.

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You’ve had a tough day at work – you couldn’t keep anyone happy. You arrive home and your cat is there at the door as you come in. He rubs around your legs and stands up to bump your hand with his head. Of course, he is there for his dinner but afterwards, he will snuggle up to you on the sofa to watch some TV – at least, he seems happy with you!

Your relationship with your cat is more than just providing him with food and a warm place to sleep – it is also about the comfort you get from him when you are stressed. A recent study authored by Mauro Ines and colleagues looked at the different types of relationships that exist between cats and their people. They looked at the cat-owner relationship in terms of attachment AND social support.

cat-owner relationship


attachment


Attachment refers to an emotional bond between two individuals where each feels more secure  and comforted when with the other.

We not only provide our cats with food and shelter but also security and comfort. As a consequence, our cats are ATTACHED to us and stay close to us.

social support


Social Support refers to a network of family and friends that you can turn to when you are stressed or feeling isolated and lonely.

In terms of social support, our cats make us feel needed because they need us to care for them. They give us a break from the complexities of interacting with people – they are available, not judgmental or unpredictable.

Mauro Ines’ research team conducted an extensive survey of cat owners. After the dust cleared, there were 3994 “reliable” responses for statistical analysis.

The study used four categories to evaluate cat-owner relationships:

  1. The Owner’s emotional investment in the cat
  2. The cat’s acceptance of people other than the Owner
  3. The cat’s need to be close to the Owner
  4. How friendly the cat was toward the Owner

Statistical analysis of the surveys revealed 5 distinct cat-owner relationships. 

In three of these relationships (52% of the surveys), owners have a low level of emotional investment in their cats. The cats and owners do not seem to be very attached nor do they offer each other much social support.

  1. “Open”
    • Owner has a “neutral” emotional investment in the cat
    • The cat typically goes outdoors
    • The cat is friendly to people in general
    • Cat has some affiliation with the owner.
    • These cats do not seek out owners when distressed.
  2. “Remote”
    • Owner has a low level of emotional investment in the cat
    • Owner does not view the cat as part of the family.
    • The cat is often be sociable with people other than the Owner
    • The cat does not seek out the Owner when distressed.
  3. “Casual”
    • Owner has a low level of emotional investment
    • The cat is sociable and friendly with other people
    • Little evidence that the cat discriminates the Owner from other people
    • These cats may visit other households in the neighborhood

 

About 45% of the surveys came from Owners with a high emotional investment in their cats.  These Owners scored high on items like “my cat will often lick my hands or face”.  These cats and owners have stronger relationships, both in terms of attachment and social support.

  1. “Co-dependent”
    • These cats prefer to be close to their owners
    • These cats are wary of people other than the Owner
    • Usually a single-person household
    • The cat is indoor-only
    • Owner and cat play together frequently
  2. “Friendship”
    • Usually a multi-cat home
    • These cats are often friendly with people other than the Owner
    • These cats like to be near the Owner but are not “clingy”
    • The Owner and cats have a “friendly” relationship but can function independently of each other.

A study like the one described above can have inherent biases that can limit its value in describing cat owners in general.  For instance, the bulk of the survey responses came from women in the UK (66%). Only 10% of the responses came from US residents.  In the UK, it is common for cats to have outdoor access (90%), whereas in the US, it is estimated that upward of 65% of pet cats are primarily indoors.  If we were to survey cat owners in the US, would we find a greater percentage of “co-dependent” relationships? Would we find more emotionally invested owners with indoor-only cats?

This study, while interesting, is certainly not the last word in how cats bond with their people. However, it does suggest that the cat-human relationship is more than a simple caregiver- dependent relationship.

Why do a study like this? 


One of the leading reasons why cats are relinquished to animal shelters is behavior problems. A better understanding of the cat-owner relationship could help resolve or possibly avoid such problem behaviors, keeping the cat in his home and improving the welfare of both cat and owner.

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Friendly cat greeting a human

 

You’re watching TV with your cat on your lap, absentmindedly stroking her. Suddenly, out of the blue, she swats you and jumps down. You rub your hand and wonder, “What was that all about?”

There are few practical guidelines for interacting with cats. A research team conducted a study at the Battersea Dogs and Cats Home in the UK to remedy this. The study tested a simple set of Human-Cat Interaction (HCI) guidelines that aim to make cats more  comfortable when they are interacting with us.

These practical guidelines for interacting with cats follow the acronym CAT (easy to remember). Here they are!

C is for Choice and Control
A is for Attention
T is for Touch

 

choice and control…


Our cats’ ancestors were solitary hunters. They had to look out for themselves – if they were injured, they could not hunt; no hunting meant no food.

Cats are accomplished hunters but they are also prey for larger predators, such as coyotes. Consequently, cats are “control freaks” – to survive, they need to be in control of their interactions with their environment.

Allow a cat to CHOOSE whether or not to interact with you.

  • If you can, get on the cat’s level, offer your hand, and allow him to approach you.
  • If the cat wants to be touched, she will rub against your hand. If she doesn’t lean into your hand, don’t pet her.
  • Allow the cat to move away from you if he chooses; don’t follow him if he leaves.
  • Allow the cat to control how much you stroke her. When stroking her, pause every 3–5 sec to see if she wants to continue – does she rub against you to ask for more? If not, let her take a break.

Attention….


Pay attention to the cat’s body language and behavior. The following signals indicate that the cat is done interacting with you.

  • She turns her head or moves away from you.
  • His ears become flattened or rotate backwards.
  • She shakes her head.
  • The fur on his back “ripples”.
  • She licks her nose.
  • He becomes still, and stops purring or rubbing against you.
  • She sharply turns her head to face you or your hand.
  • He suddenly starts grooming himself but only for a few seconds at a time.
  • Her tail starts switching back and forth rapidly; usually the tail is horizontal or on the ground.

touch…


Think about where you are touching the cat.

  • A friendly cat prefers to be touched at the base of his ears, around his cheeks, and under his chin.
  • AVOID the base of her tail and tummy.
  • If you touch the cat’s back, flank, legs, or tail–watch his body language (see above) to see if he is comfortable with this.

Trying out the practical guidelines for interacting with cats


In the Battersea study, testing was conducted in 2 sessions: a “control” session and a second session after the human participant watched a 5 minute video demonstrating the CAT guidelines.

In each session, both control and post-video, the human participant visited with 3 cats, spending 5 minutes with each cat.

In the control session, the participant was instructed to remain seated in the cat’s room and interact with the cat as he or she usually would. The session was recorded by video.

After watching the instructional video, the participant would visit with 3 more cats as before, except following the CAT guidelines.

A total of 535 observations were made.
For each observation, cat behavior and posture was assessed and rated; the human participants were scored on how closely they followed the CAT guidelines.

Did the practical guidelines for interacting with cats work?


Before CAT instruction:
Cats in the control visits displayed more instances of human-directed aggression and more behaviors associated with conflict than cats in the post-education visits.

After CAT instruction:
The human participants in the study started following the CAT guidelines and the cats displayed more friendly and positive behaviors than in the control visits.

So, back to the cat on your lap in front of the TV. She became tired of being petted and may have indicated this by flattening her ears and turning her head to give you a meaningful look but you were not paying attention!

  • Let her Control the stroking (“ask” if she wants to continue)
  • Pay Attention to her body language (rippling skin? twitching tail? “airplane” ears?)
  • Touch her where she is comfortable being touched; if in doubt, stick with the base of the ears, the cheeks, and under the chin.

postscript


If you need to handle your cat and she’s not having it, try to make it worthwhile for her. Offer her a treat or a toy to put her in a positive emotional state.

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