Quality of life my friend goes for humans and animals. It is extremely difficult, and you will know best if she is suffering, but I’m so sorry, I think you already know the answer to your question.
I like the Pasta Roni angle hair pasta with tuna. Cooks in 5 minutes, throw the tuna in the last minute, delicious!
Get a bidet!!! No irritation, just dab dry, helps immensely.