Lecture 4- Mens health Flashcards
1
Q
male cancer risk
A
- 67% to die from common cancers which affect both sexes
- Prostate cancer most common
- Causes most deaths amongst men over 85
- Men are more likely to die from cancer overall
- More men in England and wales died of breast cancer (due to obesity) than testicular cancer
2
Q
male diabetes/obesity
A
- Men are more likely to be overweight or obese at every age
- Man are twice as likely to suffer complications such as foot ulcers and amputations, premature mortality
3
Q
Why do conversations about obesity not happen?
A
- Sensitive subject
- Topic doctors find challenging
- Fear of upsetting doctor-pt relationship
- Time demands
4
Q
male mental health
A
- Biggest cause of death for men under 45
- Important not to forget older men
- Peak age group is 45-49
5
Q
Barriers to mental health treatment
A
- Hurting those close to them
- Family wont understand
- Stigma at work
- Lack of confidence
- Cultural stigma
- Waitlists for receiving treatment
6
Q
Risk factors for male mental health
A
- More likely to respond to stress by risk-taking behaviour
- Relationship breakdown
- Emotional factors: men are less likely to have a positive view of talking therapies
- Less likely to access psychological therapies
- Socio-economic factors
- Unemployed people are 2-3 times more likely to die by suicide than those in work
- Health seeking trends
- More likely to respond to stress by risk-taking behaviour
7
Q
male health seeking trends
A
- Less men seek GP reviews than women
- Men are more likely to be embarrasses or ashamed and take time off work for mental health issues compared to a physical injury
- However just as many retired men as women seek help for mental health issues
8
Q
male health check
A
How to start diff convo
- Create a rapport
- Take a full history to ensure no worrying symptoms are getting ignored
- Calculate BMI and communicate what it means
- Be direct but not judgemental
- Be factual but with empathy
- Motivational interviewing technique
- Engages pts and elicits their desires and goals, helping them to communicate more openly about their behaviours and ultimately to facilitate their personal behaviour
- Need to try and arrive at a shared understanding of the problem/ and establishing ground rules
9
Q
Clinical priorities for someone who smokes, drinks and is obese
A
- Quantify 10 year CVS risk
- If above 10% prescribe statins
- Consider lifestyle measures and modification as a first-line treatment
- Establish treatment target to get clinical benefit
- Set clear follow-up
- Provide support and information
10
Q
Qrisk3
A
11
Q
causes of erectile dysfunction
A
Quantify 10 year CVS risk
If above 10% prescribe statins
Consider lifestyle measures and modification as a first-line treatment
Establish treatment target to get clinical benefit
Set clear follow-up
Provide support and information
12
Q
erectile dysfunction can be an indicator for
A
CVD risk
13
Q
risk factors for erectile dysfunction
A
- Regular heavy drinking
- Spinal cord injury
- Antidepressants
- Antihypertensives – B blockers and thiazides
- Prostate surgery
- Psychological causes
14
Q
erectile function and regular heavy drinking
A
- Alcohol can damage nerves leading to the penis, reduce testosterone levels and increase level of male hormones
15
Q
Psychological causes of erectile dysfunction
A
- Stress and anxiety
- Depression
- Relationship conflicts
- Sexual boredom
- Unresolved sexual orientation
