A veterinary palliative care service was developed as a specialty service in 2006 at a large, nonprofit teaching veterinary hospital. The service originally was conceived as a pain medicine service, but quickly refocused on palliative care because a need was evident. The Pain and Palliative Care Service at Angell Animal Medical Center is structured primarily as an outpatient service, but does provide consultation services for hospitalized patients. The goals of the service, appointment structure, referral relationships, client communication issues, and practitioner sustainability are described in detail in this article as an aid to development of similar services.
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