This is the second of three sequential courses on clinical management for the adult-gerontology nurse practitioner. It will continue to build a holistic approach to advanced primary health care acknowledging age, gender, sexuality, culture, family and community needs. The graduate student is provided the opportunity to expand knowledge of acute and chronic care of young adult, adult, and older adult clients experiencing more complex health problems managed by adult-gerontology nurse practitioners in primary care settings. Health monitoring, management strategies, and referrals are examined. Health promotion, health protection, disease prevention and disease management are emphasized.