How many times have you heard someone say, “I wouldn’t want to be kept alive if I were like that.”  Or, “Where is his quality of life?”  I hear this from families who are caring for someone with Dementia as they watch their loved one disengage from what they define as “life”.   But quality of life discussions are also present in situations in which someone is terminally ill or living with a chronic and painful illness.  So what is quality of life?  Who measures it?  What can we do to achieve this for ourselves and for the loved ones for whom we are caring?   Today’s guest on Caregivers’ Circle, Dr. David Alfandre M. D. and I discuss the ethical implications and family dynamics surrounding quality of life.