Health Promotion and Disease Prevention in Clinical Practice / Edition 2

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Incorporating the latest guidelines from major organizations, including the U.S. Preventive Services Task Force, this book offers the clinician a complete overview of how to help patients adopt healthy behaviors and to deliver recommended screening tests and immunizations. Chapters provide practical guidance on how to counsel patients about exercise, nutrition, tobacco use, substance use, sexually transmitted infections, and depression. Written by clinicians for clinicians, the book lays out the details on gathering information from the patient, ordering evidence-based screening tests, designing a personalized health maintenance plan, facilitating behavior change, and the work-up of abnormal results from screening tests. It also explains how to organize the practice and clinic to deliver quality preventive care and to obtain reimbursement.

This new edition includes updated chapters on practice redesign, the use of electronic medical records, and reimbursement; updated patient resource materials and instructions; and new authors with deep expertise on the topics. Plus, with this second edition there is a companion Website ( that features fully searchable text online so you'll have a fast, flexible multimedia library at your service.

The book contains predominantly black-and-white illustrations, with some color illustrations.

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Editorial Reviews

Doody's Review Service
Reviewer: Vincent F Carr, DO, MSA, FACC, FACP (Uniformed Services University of the Health Sciences)
Description: This is the second edition of a how-to book for primary care practitioners in health promotion and disease prevention. The first edition was published in 1996, so there is a significant amount of information that has changed since then. However, despite the 2008 copyright, the references appear to be somewhat dated, with a few from 2006.
Purpose: The stated purpose is to provide a how-to of preventive medicine. While the book does give some procedure-oriented information, such as how to do insert an IUD and the correct pace walking gait and arm swing, there are important gaps, such as in what a patient needs to know about the insertion and effectiveness of estrogen implants for contraception. In general, the book's comprehensiveness is spotty.
Audience: The intended audience is anyone who is in a counseling position, physicians, nurses, physician assistants, etc. In an attempt to be a reference for all levels of practitioners, the book appears to miss some of the significant issues physicians should be aware of and at times gives detail not appropriate for a physician extender-level counselor.
Features: A major area of concern is the statement of guidelines in the book that the authors have described as "generally conforming to those of evidence-based groups...." There are numerous, sometimes conflicting guidelines published by various groups that cause confusion among laypersons. This book increases that burden unnecessarily. There is no problem comparing the different guidelines, discussing the pros and cons of each, but there is no need to add an additional set. The goal should be to state what guidelines are actually supported by definitive evidence and, where there is no evidence, label the guidance as expert opinion if the author is, in fact, an expert on the subject. The book also has a tendency to unnecessarily define new terms such as "non aerobic exercise." Finally, a significant negative aspect is the incomplete information. Those accepting the role of counselor must be ready to address all aspects of a subject. The chapter on depression, mood disorders, and cognitive impairment includes nothing on suicidal ideation, which potentially could be a major component during these discussions. Likewise, the chapter on sexually transmitted infections includes no mention of the counseling of patients following exposure to hepatitis B or HIV. These are serious and important current issues in disease prevention.
Assessment: A how-to book on health promotion and disease prevention is a great way to separate the evidence-based understanding of the subject from the all too common wisdom that has dominated the subject. This book unfortunately falls short of this goal.
Alex Lickerman
This book summarizes the various preventative care guidelines currently recommended by the major American and Canadian Task Forces. The book provides practical information for the purpose of promoting the implementation of services designed to prevent disease from occurring and to detect asymptomatic disease early enough to improve morbidity and morality. It is appropriately targeted to healthcare professionals involved in providing primary care, including physicians, physician assistants, nurses, and nurse practitioners. The writing is clear and easily grasped by this audience. The book outlines the data concisely, includes discussions of strength of evidence, and organizes its presentation into subheadings whicthat are practical and greatly aid in application to clinical practice, such as What to Do with Abnormal Results, Potential Adverse Effects of Screening, and Accuracy and Reliability as Screening Test. In collecting and reviewing results from more than 200 studies examining preventative care practices, the authors have done a great service for primary caregivers. Not only have they laid out a large amount of often-conflicting data in an easily digestible form, they have specifically calculated sensitivities, specificities, and positive predictive values for individual screening tests, exam practices, and procedures either to support or refute recommendations to screen or not to screen. These statistics are extremely important to have available when discussing preventative care with patients, and the authors have been diligent in their accuracy. In addition, they complement these statistics with pragmatic suggestions for improving patient compliance with beneficial lifestylepractices. The quality of the book is superior, its message in great need of broadcasting, and it should help many practitioners improve the quality of care they deliver to their patients.
Offers suggestions for prevention and health promotion, based on the newly revised US Task Force Guide to Clinical Preventive Services. Chapters organized by risk factors examine risk factors associated with exercise, tobacco use, nutrition, and STDs, and recommend preventive strategies and advice on gathering information from the patient, ordering screening tests, prescribing the right treatments, and designing a personalized health maintenance plan. Includes a few color and b&w illustrations. Annotation c. Book News, Inc., Portland, OR (

5 Stars! from Doody
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Product Details

  • ISBN-13: 9780781775991
  • Publisher: Lippincott Williams & Wilkins
  • Publication date: 10/1/2007
  • Edition description: Second
  • Edition number: 2
  • Pages: 704
  • Sales rank: 147,365
  • Product dimensions: 6.10 (w) x 9.00 (h) x 1.20 (d)

Table of Contents


Principles of Risk Assessment
Steven H. Woolf

The History: What to Ask About
Alex H. Krist, Janelle Guirguis-Blake, and Steven H. Woolf

The Physical Examination: Where to Look for Preclinical Disease
Alex Krist, Janelle Guirguis-Blake, Steven H. Woolf, and Robert S. Lawrence

Laboratory Screening Tests
Janelle Guirguis-Blake, Alex Krist, and Steven Woolf


Introduction to the Principles of Health Behavior Change
Russell E. Glasgow and Michael G. Goldstein

Regular Exercise
Steven Jonas

Roger A. Shewmake

Weight Management
Steven Jonas and Kavitha Bhat Schelbert

Tobacco Use
Stephen F. Rothemich

Substance Use Screening, Assessment, and Treatment
Randall T. Brown and Michael F. Fleming

Family Planning through Reversible Contraception
Karen Feisullin and Carolyn Westhoff

Sexually Transmitted Infections
Charles Kodner

Depression, Mood Disorders, and Cognitive Impairment
Daniel E. Ford

Self-Examination of the Breasts, Testes, and Skin
Steven H. Woolf

Linda S. Kinsinger, Michael Pignone, and Heidi Nelson

Robert M. Wolfe

Health Promotion and Disease Prevention in Children and Adolescents
Virginia A. Moyer and Laura E. Ferguson

What to Do with Abnormal Screening Test Results
Alex H. Krist and Terence McCormally

What Not to Do and Why: The Arguments Against Some Forms of Screening and Chemoprevention
Janelle Guirguis-Blake and Russell Harris


Developing a Health Maintenance Schedule
Paul S. Frame

How to Organize the Practice for Improved Delivery of Clinical Preventive Services
John M. Hickner and Leif I. Solberg

Improving Preventive Care Using Automated Tools
J. Marc Overhage

Reimbursement for Clinical Preventive Services
Betsy Nicoletti

The Future of Health Promotion and Disease Prevention in Clinical Practice
Douglas Kamerow and Kevin Patrick


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