Perhaps quality of life should not be used as a trigger for discussing resuscitation and advance care plans

Abstract

As a subjective measure, quality of life should not be used as a trigger for discussing resuscitation, goals of care or advanced care plans. Limitations and challenges in measurement and assessment of quality of life have been recognised. It is a fluid construct and subject to changes and response shifts. Surrogate quality of life estimations may misrepresent individual worth and self-perceived quality of life. Disagreement over quality of life statements may cause harm.

Keywords: advance care planning; decision-making; quality of life; resuscitation.