The Key is to Understand Men and not be bound by existing Paradigms of Care Recommendation of a Strategy
Overview • "Medicine can cure some diseases, it can ease pain, it can bring comfort. But it will never alter the human condition, or relieve men of their responsibility." Theodore Dalrymple
John Donne There are too many Examples of men, that have been made their own executioners, and that have made hard shrift to bee so; some have alwayes had poyson about them, in a hollow ring upon their fingers, and some in their Pen that they use to write with; some have beat out their braines at the wal of their prison, and some have eate of the fire out of their chimneys; But I do nothing upon my selfe, and yet am mine owne Executioner.
The Present Situation • Men are ill served by Medicine when well • Men are well served by Medicine when sick • Men are not patient creatures • Men are not necessarily interested in staying well • Men are not women • Men are not all the same
Development up to present • Men Cared for in a Feminised Model • Men Infantalised • Men find Surgeries Threatening • Men’s need for Privacy ignored
Potential Alternatives • State the alternative strategies • List the pros and cons of each strategy • Give a forecast of costs
Alternative strategies • Mens Sheds • More Research • More Advertising • More Focussed Advertising • Medicine in the Pub • Continue to Engage as We Do
Shakespeare All the world's a stage, • And all the men and women merely players: • They have their exits and their entrances; • And one man in his time plays many parts, • His acts being seven ages.
Mothers to blame • At first, the infant, Mewling and puking in the nurse's arms.
Psychiatrists/Paediatricians Creep As Well With Parents and Teachers • And then the whining school-boy, with his satchel • And shining morning face, creeping like snail • Unwillingly to school.
Love • And then the lover, • Sighing like furnace, with a woeful ballad • Made to his mistress' eyebrow.
Fire, First Job, Uni, Peers, Grog, Substances • Then a soldier, • Full of strange oaths and bearded like the pard, • Jealous in honour, sudden and quick in quarrel, • Seeking the bubble reputation • Even in the cannon's mouth.
Success or Failure • And then the justice, • In fair round belly with good capon lined, • With eyes severe and beard of formal cut, • Full of wise saws and modern instances; • And so he plays his part.
Existential Issues • The sixth age shifts • Into the lean and slipper'd pantaloon, • With spectacles on nose and pouch on side, • His youthful hose, well saved, a world too wide • For his shrunk shank; and his big manly voice, • Turning again toward childish treble, pipes • And whistles in his sound.
Can I Start Again • Last scene of all, • That ends this strange eventful history, • Is second childishness and mere oblivion, • Sans teeth, sans eyes, sans taste, sans everything.
Lastly Sick • Men • Children Lonely • Youth Angry • Gay Sad • Bi Depressed • Young mature Poor • Parent In Pain • Single Employed • Divorced Unemployed • Unfaithful Rich • Faithful Indigenous/ Multicultural • Grandparents Sick Nursing Home