Defining Quality of Life

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The concept of quality of life has travelled from being a shorthand term encompassing the political aims of the ‘Great Society’, through a period of intense social scientific formalism at both individual and population levels, back to its original status as an all-pervasive ‘political and media catchword’ (Cummins, 1997b). In the process the concept has developed a double life: the term ‘quality of life’ has come to index, simultaneously, collections of a bewildering array of ‘indicators’ of the quality of living conditions within the nation state, and also the ‘output’ of automatic brain states. Like psychology, the discipline from which the most influential formulations of QOL as an individual attribute have come, the idea has a short history, but a very long past. Again like psychology, QOL is an idea which clearly has a robust future, even if the contours of that future are both politically contentious and, presently, opaque.

Happiness; life-satisfaction; well-being; self-actualization; freedom from want; objective functioning; ‘a state of complete physical, mental and social well-being not merely the absence of disease’ (WHO, 1997) balance, equilibrium or ‘true bliss’ (Kant, 1978) prosperity; fulfillment; low unemployment; psychological well-being; high GDP; the good life; enjoyment; democratic liberalism; the examined life (pace Socrates); a full and meaningful existence (Sheldon, 2000). Not only are all of these terms used in the literature in discussions of what constitutes (a) ‘quality of life’ but it is difficult if not impossible to reconcile them. It is difficult to better the contention of Cummins et al. (in press) that:

Quality of life encompasses the basic conditions of life such as adequate food, shelter, and...

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... of person. A person who suffers stroke also has minimal social contacts and they do not have good social life as well. Treatment of stroke of course is expensive so it causes monetary burden on people of low and middle socioeconomic class. They cannot go to work so does not have occupational well being and satisfaction. Due to all physical disabilities and loss of social contacts stroke usually leads to depression and anxiety. One of the causes also can be non return to work due to disabilities. Co morbidities present in stroke also leads to poor quality of life after stroke. There is also dependency on others which leads to lower self esteem. There is difficulty in accepting the body image and to become dependent on others. Energy gets lowered down capacity to work also reduces. There are lots of constraints present in physical environment which they have to face.

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