Handbook of Primary Prevention and Health Promotion: A Clinical Textbook Covering Screening, Immunization, Behavioral Counseling, Pharmacologic Risk Reduction, & Patient-Centered Decision Making

Your patient is eighty-one, on twelve medications, has fallen twice this year, and is asking whether she still needs the statin — and the answer matters more than the next three diagnoses on your schedule.Apply young-adult prevention logic to this patient and you risk iatrogenic harm, missed delirium, a prescribing cascade nobody caught, and the fall that ends independence.This book reshapes how you think about prevention across the life course so that what you deliver at the bedside is evidence-based, individualized, and calibrated to the patient in front of you.Inside this book:• Screening that actually pays off — apply current USPSTF grades and life-expectancy thresholds to decide when to continue mammography, colonoscopy, and PSA testing and when to stop• Cardiovascular prevention recalibrated — integrate the PREVENT calculator, risk-enhancing factors, and coronary artery calcium scoring to individualize statin and aspirin decisions• The 4Ms framework operationalized — run What Matters, Medication, Mentation, and Mobility as a single integrated geriatric visit instead of four disconnected concerns• Deprescribing with confidence — use the Beers Criteria and the brown-bag review to reduce anticholinergic burden, benzodiazepine dependence, and polypharmacy-driven falls• Suicide prevention that saves lives — conduct Stanley-Brown safety planning and lethal means counseling in the ten minutes your schedule actually allows• Vaccine-preventable cancer prevention — close the HPV vaccination gap across adolescents and adults aged 27 to 45 through shared clinical decision making• Social needs screening that changes outcomes — connect food insecurity, housing instability, and transportation barriers to the resources that make clinical care workFor internists, family physicians, geriatricians, hospitalists, NPs, PAs, pharmacists, residents, fellows, and students caring for adults across the life course.Open this book and commit to the preventive care every patient deserves. Read more