I saw a 19 year old cat yesterday for a variety of issues, as you can imagine. Thru my history taking, I found out that the only litterbox was in their basement. They were, essentially, making grandma travel all the way down into the basement every time she had to urinate. Since she was in kidney failure, this was 6+ times a day.
Now this guy loved his cat, don't get me wrong. He thought it was giving her needed exercise. Makes sense. What makes MORE sense is to give an old cat the option of a litterbox on EACH floor of the house.
It also makes sense to add more water bowls in conveniently located spots, as dehydration is a frequent and serious problem in older cats.
Feeding only soft food to any cat over 14 is a recommendation that I make to all my clients. Why? -it increases their water intake as most soft food is at least 75% water, it is easier to chew and digest, and it usually contains higher quality, less processed ingredients.
As your cat ages, making some simple changes to their home environment will not only make their life easier, it may actually help them live longer!
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