Decisions about cancer treatment in the older person should be made in the same way that decisions about cancer treatment are made for younger adults and should not focus on the person’s age alone. Treatment discussions and decisions, made between the health care team and the older adult with cancer and their family, should be based on:
The type of cancer and extent it has spread (if applicable)
Available treatment options
The risks and benefits of each treatment option
The person’s assessment of his or her goals of treatment (such as curing the cancer, managing symptoms, or both) and tolerance of risk, including side effects
The presence of medical conditions other than cancer that may put the older adult with cancer at an increased risk for treatment-related side effects or complications
The effect of intensive treatment on the physical, emotional, and social well-being of the older adult
The person’s concept of quality of life. Older people living with cancer often make treatment choices based on what they value most in their lives and their level of physical, emotional, and social well-being. These perceptions and decisions may differ from those of family members, friends, and caregivers.
Emotional and social limitations, including the level of caregiver support and feelings of social connection or isolation for people with cancer who are living alone
Financial limitations, as older adults are more likely to have limited resources and live on a fixed income, which may cause them to refuse procedures or treatment due to cost. There are ways to help relieve financial concerns.
Spiritual beliefs, as many older adults have already come to terms with death and dying due to chronic illnesses, the loss of a spouse, or advanced age
Medical conditions is also a prime factors suppose if a patient come with cardiac myophathy, diabetes, and high and low blood pressures etc. will cause significant problems during the treatment. If any thing goes wrong treatment would not be benefited. Because of that, complete evaluation of patient plus and its complication should be take care during treatment.
Anatomic variation is also a one concern in the cases of lung , esophagus, abdomen, and gynelogical cancers. The most suitable form of patient should be maintained by instructing the patient. Due to the sophisticated development such as IGRT, respiratory gating this variation can be reduced as much as earlier.
1. Anatomic variation will reduced by using,
a) Respiratory gating
c) 4D Imaging
1. d) All