The focus of this course is primary, secondary, and tertiary levels of prevention in middlescent adults within the context of family-centered care. Health promotion, adult health risks, maturational and situational crises of middlescence are emphasized. The role of the advanced practice nurse in anticipatory guidance, particularly affecting women’s health, is explored. Course content includes biopsychological phenomena and cultural and ethnic variations in middlescent populations. Students engage in in-depth clinical experiences that provide venues for family nurse practitioner role enactment.