Sorry Jody - I'm way behind with emails and only
saw your question today - I'm imagining you would
have liked a faster answer, and want to suggest that
you add my name to the subject line if you want me to
notice something.

You wrote:
> Mike - this raised my curiosity.  We certainly have doctors in the US who 
> would, as you say, Not investigate thoroughly in thei instance.  However, I am 
> wondering if there are any guidelines in the UK stating that certain treatments 
> may not be pursued for clients over a certain age.  My Mother has a friend in 
> Denmark.  The friend's father recently died from cancer.  He was given no 
> treatment other than palliative.  My Mom's friend states that they do not use 
> chemo, radiation, or surgery for cancer in patients over 65.  Suzanne, is this 
> true?  

Certainly not! Although discrimination because of age is still
legal here, in certain fields (like job access), medical treatment 
is  not one of them! I happen to know, though, that chemo for
lung cancer is often not recommended for very old people 
because their other organs will not tolerate it - this may be
the case for other types of cancer too. My own mother, who's 
83, will be starting radiation therapy next week........


Other non US OTs,  does your health system have any such guidelines?  If 
> so, do you agree that chemo, radiation, & surgery for CA patiens over 65 is 
> futile?  To me, it seems wrong to deny chemo, radiation, surgery for all CA 
> patiens over 65.  In some cases, depending on the overall health of the person, I 
> agree that the care may be futile, but a blanket rule to that effect seems 
> wrong to me.  It feels like discrimination against elders. 

Yeps - that would be direct discrimination. Indirect 
discrimination is a more usual problem here - like: 
One thing I've often noticed is, when someone has
a stroke they're much more likely to be admitted to a special
neurologic hospital unit, if they're young - while the elderly 
are often placed in general medical units. While they might 
still get the same tests, scannings, medical attention - be 
seen by a neurologist, get OT and PT etc - the nursing will 
not be as geared towards their needs, and both survival
and functional outcome is known to suffer - this has been
shown in recent research. Lack of capacity is the culprit -
and as long as this isn't solved, old people are more likely 
to recieve less optimal treatment as they don't have jobs,
little kids etc to put them first in line for the optimal
treatment, placement, waiting lists etc.

Just my 2 euro cents, I guess (-:

susanne, denmark

 - also wanting to say happy newyear to all of you!!


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