Among the observations made about "quality of life" is that it encompasses:
- life satisfaction, which is subjective and may fluctuate.
- multidimensional factors that include everything from physical health, psychological state, level of independence, family, education, wealth, religious beliefs, a sense of optimism, local services and transport, employment, social relationships, housing and the environment.
- cultural perspectives, values, personal expectations and goals of what we want from life.
- not just the absence of disease but the presence of physical, mental and social well-being. The authors stress the need for multidisciplinary medical teams who can develop a perspective on psychosocial needs and not just physical care.
- our interpretation of facts and events, which helps to explain why some disabled people can report an excellent "quality of life" while others can't.
- our level of acceptance of our current condition, and our ability to regulate negative thoughts and emotions about that condition.
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