One of the fundamental aims of nursing is to safeguard or promote
patients' "quality of life". In this text, the author examines
existing ways of defining the concept and argues that nurses need
to adopt a fresh approach, which more accurately reflects patients'
concerns and helps them to develop practical ways of promoting the
well-being of people in their care. Part one provides an analysis
of statistical approaches to quality of life, including social
indicators, the Quality Adjusted Life Year (QALY), and the medical
outcomes literature. In part two the author proposes an
alternative, qualitative approach to organizing care, which
respects the patients' choice and individuality. Part three
presents the findings of new research into the quality of life of
older people in hospital wards.
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