Health care is filled with biases and assumptions. Family members, health care providers, even seniors themselves, carry beliefs about aging that affect choices of care, from pain control and end-of-life care decisions to settings and types of support services provided. There tends to be a consistent bias that people with more dependencies have lower quality of life and seniors who live in their own homes are happier than those in other settings of long-term care. Drs Uhlmann and Pearlman
1addressed some of these same biases in their 1991 article that investigated quality of life and preferences for life-sustaining treatment. They found that physicians rated patients' global quality of life, physical comfort, depression, and function significantly worse than did the patients themselves. As greater numbers of older persons are facing the need for long-term services and supports (LTSS), and with the national focus to “rebalance” these services out of nursing home settings and back to the community, it is important to understand factors that support the domains that determine health-related quality of life (HRQoL).
- Uhlmann R.
- Pearlman R.
Perceived quality of life and preferences for life-sustaining treatment in older adults.
Arch Intern Med. 1991; 151: 495-497
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- Perceived quality of life and preferences for life-sustaining treatment in older adults.Arch Intern Med. 1991; 151: 495-497
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Published online: December 01, 2015
© 2016 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved.
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- Factors Associated With Changes in Perceived Quality of Life Among Elderly Recipients of Long-Term Services and SupportsJournal of the American Medical Directors AssociationVol. 17Issue 1