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It is important to encourage males at all ages to be conscious of their health and how they can maintain and improve it. To engender a culture where males are at ease with prevention and to assist in the early detection of preventable diseases, assess all your male patients under the following categories. It may be necessary to arrange additional appointments to ensure enough time is available. As many men rarely attend a doctor it is worth encouraging them to have a health check annually.

YOUNG BOYS (0-9 YEARS)

Check

General health and development.

Weight and height.

Developmental progress (speech, learning, motor skills)

Immunisation record.

Undescended testes or groin hernias.

Discuss

Social development: self-esteem.

Family relationships

School

Skin protection from UV light.

OLDER BOYS (10-19 YEARS)

Check

General health and development

Weight and height

Blood pressure

Mental health. Self esteem.
Is there any evidence of depression? 
Stress?

Immunisation. Is a tetanus booster required?

Discuss

Diet and exercise.

Skin care.

Family relationships.

School.

Skin protection from UV light.

Smoking, alcohol and drugs.

Driving safety.

Accidents and risk taking.

Testicular self-exam.

Sexual health.

YOUNG ADULTS (20-49 YEARS)

Check

Blood pressure.

Blood cholesterol level about every 5 years.

Urine test for diabetes

Family history of conditions such as melanoma, bowel cancer, prostate cancer, hyperlipidemia, diabetes. Are any specific tests required?

Skin. Is there any sign of UV damage or skin cancer?

Mental health. Is there any evidence of depression? Stress?

Immunisation. Is a tetanus booster required? Hepatitis B? MMR?

Discuss

Diet and exercise. Particular attention to abdominal obesity.

Smoking, alcohol and drugs.

Relationships.

Parenting.

Occupational health and safety.

Employment.

Accidents and risk taking.

Driving safety.

Testicular self-exam.

Sexual health.

OLDER ADULTS (50-74 YEARS)

Check

All the items for younger adults

Prostate disease. Annual rectal exams. PSA blood tests when indicated.

Diabetes. Urine tests. Blood if required.

Glaucoma eye check if required.

Skin. Is there any evidence of skin cancer?

Discuss

Diet and exercise

Smoking and alcohol

Family

Retirement

ELDERLY MEN (75+ YEARS)

Check

Full Health Assessment

Blood pressure

Arthritis

Memory loss.

May need glaucoma eye check.

Urinary stream. Very elderly men do not require regular rectal examinations unless they are worried by urinary symptoms.

Skin: signs of skin cancer/melanomas.

Mental health: any evidence of depression?

Discuss

Diet/nutrition and exercise

Carer relationships

Social connectedness/loneliness

Source: Pattison, A. (1998). The 'M' Factor: Men and their health. Simon and Schuster: Australia.
The information on this page will be updated in 2001, when the RACGP Preventive Care Guidelines are released.

North East Valley Division General Practice, Victoria, Australia, Disclaimer 
Level 1, Pathology Building, Repatriation Campus, A&RMC, Heidelberg West VIC 3081. .. map
Phone: 03 9496 4333, Fax: 03 9496 4349,  Email: nevdgp@nevdgp.org.au
Please note: NEVDGP does not provide an on-line consultation

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