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QOL is important to older adults and must be central in planning and discussing their care. It is modifiable but presents measurement challenges in this population. Various domains are associated with decline, survival, satisfaction with life, coping, and different interventions. Measurement approaches must fit with intention and capacity to act within given contexts. QOL is important to older adults and must be central in planning and discussing their care. It is modifiable but presents measurement challenges in this population. Various