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Hi. My name is***** I'm very sorry to hear about this situation with Shelia. Arthritis is a challenging issue with the large breed dogs. When dealing with arthritis, sometimes it progresses to the point where management isn't keeping them comfortable and a quality of life decision is brought up. There are various things to treat arthritis with. I'm curious to know what medications she's on now. There may be some more to add to this. Some will pursue acupuncture or laser therapy to try and provide some help with the arthritis. Some will do glucosamine supplementation in addition to the other medications or an injection of a product called Adequan to try and promote better joint health. Here is a good link on the various products that can be used to help treat arthritis.
The hardest part about arthritis with dogs is that at some point, they aren't being kept comfortable and the quality of life decision is brought up. If an owner has hit that point where no more medical options are available or working, then the decision to let them go is a very humane one. A dog needs to be mobile, comfortable, social, and eating / drinking well to be having a good quality of life.