This is a tool to help you evaluate (similar to a pain scale at the doctor office) how your pet is doing in areas related to health and wellness-to assist you in making decisions on end of life care.
As with any tool, it may be something you find helpful, or it might not help at all.
The sheet at the vet office I go to, they added some other things in each category.
Hydration section they ask "Is the patient hydrated? For patients not drinking enough, use subcutaneous fluids
once or twice daily to supplement fluid intake." and the additional questions are "Are the subcutaneous fluids once or twice daily enough to resolve the problem? Are they well tolerated?"
Hygiene: The patient should be kept brushed and cleaned, particularly after elimination. Avoid pressure sores and keep all wounds clean. Additional questions: "Can the pet be kept brushed and cleaned? Is the coat matted? Is the pet situated properly so it won't have to lie in its own waste after eliminations? Does the pet have pressure sores?"
It's good information, just so hard to read.