Which non-pharmacologic strategy is commonly recommended in Cognitive Dysfunction Syndrome (CADES) management?

• A. Aggressive chemotherapy
• B. Surgical intervention
• C. Environmental enrichment and caregiver routines
• D. High-protein diet alone

Answer: (C)

Providing a stimulating environment and maintaining a predictable caregiver routine are key non-pharmacologic strategies in canine cognitive dysfunction management. CADES progresses with disorientation and anxiety, so keeping the brain active through mental and physical enrichment helps slow decline and preserves quality of life. Environmental enrichment includes interactive toys, scent work, puzzle feeders, safe home exploration, and regular exercise, which provide cognitive engagement and physical activity. A consistent daily schedule with regular feeding times, walks, and structured activities reduces confusion and helps the dog anticipate what comes next, lowering stress.

This approach is preferred because it directly targets the behavior and cognition aspects of the condition and is safe to implement at home. In contrast, aggressive medical or surgical interventions aren’t applicable to this condition, and relying on diet alone won’t address the cognitive and behavioral symptoms as effectively.