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Theoretical Medicine and Bioethics

, Volume 26, Issue 4, pp 307–337 | Cite as

Quality of Life Considered as Well-Being: Views from Philosophy and Palliative Care Practice

  • Gert Olthuis
  • Wim Dekkers
Article

Abstract

The main measure of quality of life is well-being. The aim of this article is to compare insights about well-being from contemporary philosophy with the practice-related opinions of palliative care professionals. In the first part of the paper two philosophical theories on well-being are introduced: Sumner’s theory of authentic happiness and Griffin’s theory of prudential perfectionism. The second part presents opinions derived from interviews with 19 professional palliative caregivers. Both the well-being of patients and the well-being of the carers themselves are considered in this empirical exploration. In the third part the attention shifts from the description of “well-being” to prescriptions for the promotion of well-being. Our interview data are analysed in light of the theories of Sumner and Griffin for clues to the promotion of “well-being.” The analysis (1) underscores the subject-relativity of well-being, (2) points out that values that are considered important in every life still seem to be relevant (at least in palliative care practice), and (3) shows the importance of living a certain sort of life when aiming to enhance dying patients’ well-being.

Keywords

covenant ethics life quality of palliative care philosophy professional–patient relationship well-being 

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Copyright information

© Springer 2005

Authors and Affiliations

  1. 1.Department of Ethics, Philosophy and History of Medicine (232)Radboud University, Nijmegen Medical CentreNijmegenThe Netherlands

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