Most of the things in this thread about claws, the vet and medication dodo already understands. I'd tell her that I'd want her to have a different meow for when she's in pain and tell me where/what hurts as good as she can. Also that she's my emotional support animal just as much as she is mine, that she changed my life for the better, that I'm happy when she plays and that she is a good kitty and my most important person. She knows the last things but has trouble accepting them, I'd hope telling her with words she understands would help it along.