Post by determined on Jul 26, 2007 8:24:31 GMT -6
CHICAGO (Reuters) - When Oscar the Cat visits residents of the Steere House Nursing and Rehabilitation Center in Providence, Rhode Island, the staff jumps into action -- Oscar can sense within hours when someone is about to die.
In his two years living in Steere's end-stage dementia unit, Oscar has been at the bedside of more than 25 residents shortly before they died, according to Dr. David Dosa of Brown University in Providence.
He wrote about Oscar in the New England Journal of Medicine.
"It's not that the cat is consistently there first," Dr. Joan Teno, a professor of community health at Brown University, who sees patients in the unit. "But the cat always does manage to make an appearance, and it always seems to be in the last two hours."
Raised at the nursing home since he was a kitten, Oscar often checks in on residents, but when he curls up for a visit, physicians and nursing home staff know it's time to call the family.
"I don't think this is a psychic cat," said Teno. "I think there's probably a biochemical explanation," she said in a telephone interview.
While pets are often used to bring comfort to the elderly in nursing home settings, Oscar's talent is special, though not unexpected.
"That is such a cat thing to do," said Thomas Graves, a feline expert and chief of small animal medicine at the University of Illinois College of Veterinary Medicine.
Graves said there is no evidence to suggest cats can sense death, but he doesn't discount it for a minute.
"Those things are hard to study. I think probably dogs and cats can sense things we can't," he said.
On a particular day detailed by Dr. Dosa, Oscar settled onto the bed of a patient in room 313.
His presence sent staff off to make calls and set up vigil.
When a grandson asked why the cat was there, his mother explained: "He is here to help Grandma get to heaven," according to Dosa's account.
She died a half an hour later
Same Cat Different Paper
PROVIDENCE, R.I. - Oscar the cat seems to have an uncanny knack for predicting when nursing home patients are going to die, by curling up next to them during their final hours. His accuracy, observed in 25 cases, has led the staff to call family members once he has chosen someone. It usually means they have less than four hours to live.
"He doesn't make too many mistakes. He seems to understand when patients are about to die," said Dr. David Dosa in an interview. He describes the phenomenon in a poignant essay in Thursday's issue of the New England Journal of Medicine.
"Many family members take some solace from it. They appreciate the companionship that the cat provides for their dying loved one," said Dosa, a geriatrician and assistant professor of medicine at Brown University.
The 2-year-old feline was adopted as a kitten and grew up in a third-floor dementia unit at the Steere House Nursing and Rehabilitation Center. The facility treats people with Alzheimer's, Parkinson's disease and other illnesses.
After about six months, the staff noticed Oscar would make his own rounds, just like the doctors and nurses. He'd sniff and observe patients, then sit beside people who would wind up dying in a few hours.
Dosa said Oscar seems to take his work seriously and is generally aloof. "This is not a cat that's friendly to people," he said.
Oscar is better at predicting death than the people who work there, said Dr. Joan Teno of Brown University, who treats patients at the nursing home and is an expert on care for the terminally ill
She was convinced of Oscar's talent when he made his 13th correct call. While observing one patient, Teno said she noticed the woman wasn't eating, was breathing with difficulty and that her legs had a bluish tinge, signs that often mean death is near.
Oscar wouldn't stay inside the room though, so Teno thought his streak was broken. Instead, it turned out the doctor's prediction was roughly 10 hours too early. Sure enough, during the patient's final two hours, nurses told Teno that Oscar joined the woman at her bedside.
Doctors say most of the people who get a visit from the sweet-faced, gray-and-white cat are so ill they probably don't know he's there, so patients aren't aware he's a harbinger of death. Most families are grateful for the advanced warning, although one wanted Oscar out of the room while a family member died. When Oscar is put outside, he paces and meows his displeasure.
No one's certain if Oscar's behavior is scientifically significant or points to a cause. Teno wonders if the cat notices telltale scents or reads something into the behavior of the nurses who raised him.
Nicholas Dodman, who directs an animal behavioral clinic at the Tufts University Cummings School of Veterinary Medicine and has read Dosa's article, said the only way to know is to carefully document how Oscar divides his time between the living and dying.
If Oscar really is a furry grim reaper, it's also possible his behavior could be driven by self-centered pleasures like a heated blanket placed on a dying person, Dodman said.
Nursing home staffers aren't concerned with explaining Oscar, so long as he gives families a better chance at saying goodbye to the dying.
Oscar recently received a wall plaque publicly commending his "compassionate hospice care."
In his two years living in Steere's end-stage dementia unit, Oscar has been at the bedside of more than 25 residents shortly before they died, according to Dr. David Dosa of Brown University in Providence.
He wrote about Oscar in the New England Journal of Medicine.
"It's not that the cat is consistently there first," Dr. Joan Teno, a professor of community health at Brown University, who sees patients in the unit. "But the cat always does manage to make an appearance, and it always seems to be in the last two hours."
Raised at the nursing home since he was a kitten, Oscar often checks in on residents, but when he curls up for a visit, physicians and nursing home staff know it's time to call the family.
"I don't think this is a psychic cat," said Teno. "I think there's probably a biochemical explanation," she said in a telephone interview.
While pets are often used to bring comfort to the elderly in nursing home settings, Oscar's talent is special, though not unexpected.
"That is such a cat thing to do," said Thomas Graves, a feline expert and chief of small animal medicine at the University of Illinois College of Veterinary Medicine.
Graves said there is no evidence to suggest cats can sense death, but he doesn't discount it for a minute.
"Those things are hard to study. I think probably dogs and cats can sense things we can't," he said.
On a particular day detailed by Dr. Dosa, Oscar settled onto the bed of a patient in room 313.
His presence sent staff off to make calls and set up vigil.
When a grandson asked why the cat was there, his mother explained: "He is here to help Grandma get to heaven," according to Dosa's account.
She died a half an hour later
Same Cat Different Paper
PROVIDENCE, R.I. - Oscar the cat seems to have an uncanny knack for predicting when nursing home patients are going to die, by curling up next to them during their final hours. His accuracy, observed in 25 cases, has led the staff to call family members once he has chosen someone. It usually means they have less than four hours to live.
"He doesn't make too many mistakes. He seems to understand when patients are about to die," said Dr. David Dosa in an interview. He describes the phenomenon in a poignant essay in Thursday's issue of the New England Journal of Medicine.
"Many family members take some solace from it. They appreciate the companionship that the cat provides for their dying loved one," said Dosa, a geriatrician and assistant professor of medicine at Brown University.
The 2-year-old feline was adopted as a kitten and grew up in a third-floor dementia unit at the Steere House Nursing and Rehabilitation Center. The facility treats people with Alzheimer's, Parkinson's disease and other illnesses.
After about six months, the staff noticed Oscar would make his own rounds, just like the doctors and nurses. He'd sniff and observe patients, then sit beside people who would wind up dying in a few hours.
Dosa said Oscar seems to take his work seriously and is generally aloof. "This is not a cat that's friendly to people," he said.
Oscar is better at predicting death than the people who work there, said Dr. Joan Teno of Brown University, who treats patients at the nursing home and is an expert on care for the terminally ill
She was convinced of Oscar's talent when he made his 13th correct call. While observing one patient, Teno said she noticed the woman wasn't eating, was breathing with difficulty and that her legs had a bluish tinge, signs that often mean death is near.
Oscar wouldn't stay inside the room though, so Teno thought his streak was broken. Instead, it turned out the doctor's prediction was roughly 10 hours too early. Sure enough, during the patient's final two hours, nurses told Teno that Oscar joined the woman at her bedside.
Doctors say most of the people who get a visit from the sweet-faced, gray-and-white cat are so ill they probably don't know he's there, so patients aren't aware he's a harbinger of death. Most families are grateful for the advanced warning, although one wanted Oscar out of the room while a family member died. When Oscar is put outside, he paces and meows his displeasure.
No one's certain if Oscar's behavior is scientifically significant or points to a cause. Teno wonders if the cat notices telltale scents or reads something into the behavior of the nurses who raised him.
Nicholas Dodman, who directs an animal behavioral clinic at the Tufts University Cummings School of Veterinary Medicine and has read Dosa's article, said the only way to know is to carefully document how Oscar divides his time between the living and dying.
If Oscar really is a furry grim reaper, it's also possible his behavior could be driven by self-centered pleasures like a heated blanket placed on a dying person, Dodman said.
Nursing home staffers aren't concerned with explaining Oscar, so long as he gives families a better chance at saying goodbye to the dying.
Oscar recently received a wall plaque publicly commending his "compassionate hospice care."
