Download or read book Foundations of Nursing E Book written by Kim Cooper and published by Elsevier Health Sciences. This book was released on 2014-07-24 with total page 1367 pages. Available in PDF, EPUB and Kindle. Book excerpt: NEW! Reorganized chapters make it easier to follow and understand the material. NEW! Icons in page margins indicate videos, audios, and animations on the Evolve companion website that may be accessed for enhanced learning. UPDATED illustrations include photographs of common nursing skills.

Download or read book Foundations and Adult Health Nursing E Book written by Kim Cooper and published by Elsevier Health Sciences. This book was released on 2018-10-31 with total page 2219 pages. Available in PDF, EPUB and Kindle. Book excerpt: Learn the skills essential to clinical practice with Foundations and Adult Health Nursing, 8th Edition! This all-inclusive guide to fundamentals and medical-surgical nursing for the LPN/LVN covers everything from anatomy and physiology to nursing interventions and maternity, neonatal, pediatric, geriatric, mental health, and community health care. Guidelines for patient care are presented within the framework of the nursing process; Nursing Care Plans are described within a case-study format to help you develop skills in clinical decision-making. In addition, the accessible, friendly overall style and clearly written review questions helps you to prepare for the NCLEX-PN® examination. - Clear coverage of skills across the human lifespan includes maternity, pediatrics, adults, and older adults. - Full-color, step-by-step instructions for over 110 skills show nursing techniques and procedures along with rationales for each. - Tenth grade reading level helps you to understand complex topics. - Skills are presented in a step-by-step format with clearly defined nursing actions and rationales. - Mathematics review in Dosage Calculation and Medication Administration chapter covers basic arithmetic skills prior to the discussion of medication administration. - Safety Alerts cover issues related to safe patient care in a variety of settings. - Health Promotion Considerations boxes highlight information on wellness and disease prevention, including infection control, diet, and pregnancy. - Nursing Care Plans emphasize patient goals and outcomes within a case-study format, and promotes clinical decision-making with critical thinking questions at the end of each care plan. - Patient Teaching boxes include post-hospital discharge guidelines and disease prevention instructions with a strong focus on three-way communication among the nurse, patient, and family members. - Communication boxes illustrate communication strategies using real-life examples of nurse-patient dialogue. - Lifespan Consideration boxes provide you with age-specific information for the care of the patient. - Home Health Considerations boxes discuss issues facing patients and their caregivers in the home setting. - Get Ready for the NCLEX® Examination section at the end of each chapter provides Key Points, Review Questions, and Critical Thinking Activities to reinforce learning. - Coordinated Care boxes promote comprehensive patient care with other members of the health care team, focusing on prioritization, assignment, supervision, collaboration, delegation, and leadership topics.

Download or read book The Science of Longevity Discovering the Secrets to a Healthy Life written by Bev Hill and published by Richards Education. This book was released on with total page 174 pages. Available in PDF, EPUB and Kindle. Book excerpt: Unlock the secrets to a longer, healthier life with 'The Science of Longevity: Discovering the Secrets to a Healthy Life.' This comprehensive guide explores the multifaceted world of longevity science, offering practical insights into how to extend your healthspan and enhance your quality of life. From nutrition and physical activity to mental health and cutting-edge medical advances, each chapter delves into critical aspects of aging and provides actionable strategies to help you thrive at any age. Perfect for anyone committed to improving their well-being, this book is your roadmap to understanding and applying the latest longevity research to live your best life.

Download or read book Foundations of Nursing E Book written by Barbara Lauritsen Christensen and published by Elsevier Health Sciences. This book was released on 2013-12-27 with total page 1395 pages. Available in PDF, EPUB and Kindle. Book excerpt: Part of the popular LPN Threads series, this comprehensive text prepares you for safe and effective nursing practice in today’s fast-paced healthcare environment. Covering maternal and neonatal, pediatric, geriatric, mental health, and community nursing, Foundations of Nursing, 6th Edition, includes all of the essential LPN/LVN content you need. Companion CD includes animations and audio clips depicting physiologic processes, physical assessment video clips, an English/Spanish glossary with definitions and audio pronunciations, an anatomy coloring book, and a fluid and electrolytes tutorial. The consistent, logical framework of the nursing process connects specific disorders to patient care. A mathematics review chapter provides a complete review of basic arithmetic skills and practice in drug dosage calculation to ensure safe medication administration. Safety Alert boxes help you implement The Joint Commission’s safety guidelines in all settings, with considerations for special populations. Nursing Diagnosis boxes, screened and highlighted in the text, include nursing diagnoses for specific disorders paired with the appropriate nursing interventions. More than 100 skills in a step-by-step format with full-color illustrations present clearly defined nursing actions with rationales for the skills and techniques you’ll use in practice. Medication tables are meticulously detailed and provide quick access to action, dosage, precautions, and nursing considerations for commonly used drugs. Nursing Care Plans, presented in a case-study format, emphasize patient goals and outcomes and end with Critical Thinking Questions to develop your clinical decision-making skills. Coordinated Care boxes emphasize parameters for prioritizing tasks, as well as assigning tasks to and supervising unlicensed assistive personnel. Patient Teaching boxes and Family Teaching boxes include post-hospital discharge guidelines and disease prevention instructions with a strong focus on three-way communication among the nurse, patient, and family members. Life Span Considerations for Older Adults boxes provide age-specific information for the care of the aging population, which is often the primary focus of the LPN/LVN nurse. Home Care Considerations boxes discuss the issues facing patients and caregivers in the home health care setting. Health Promotion boxes provide key information on staying healthy and preventing disease, with tips on wellness from Healthy People 2010. Cultural Considerations boxes discuss how to address the health needs of a culturally diverse patient population when planning care. Enhanced focus on the NCLEX® Examination offers end-of-chapter Get Ready for the NCLEX Examination! sections with key points for self-guided study and remediation and an extensive set of review questions for thorough self-assessment. Additional review questions on Evolve provide instant feedback with correct answer and rationale for even more test-taking practice. Evidence-Based Practice boxes summarize the latest research findings and highlight how they apply to LPN/LVN practice. Updated, vibrant full-color design highlights key information and enhances your understanding of important concepts.

Download or read book Adaptogens in Medical Herbalism written by Donald R. Yance and published by Simon and Schuster. This book was released on 2013-09-20 with total page 815 pages. Available in PDF, EPUB and Kindle. Book excerpt: A scientifically based herbal and nutritional program to master stress, improve energy, prevent degenerative disease, and age gracefully • Explains how adaptogenic herbs work at the cellular level to enhance energy production and subdue the pro-inflammatory state behind degenerative disease • Explores the author’s custom adaptogenic blends for the immune system, cardiovascular health, thyroid function, brain health, and cancer treatment support • Provides more than 60 monographs on herbs and nutritional compounds based on more than 25 years of clinical practice with thousands of patients Weaving together the ancient wisdom of herbalism and the most up-to-date scientific research on cancer, aging, and nutrition, renowned medical herbalist and clinical nutritionist Donald Yance reveals how to master stress, improve energy levels, prevent degenerative disease, and age gracefully with the elite herbs known as adaptogens. Yance’s holistic approach, called the Eclectic Triphasic Medical System (ETMS), is based on extensive scientific research, more than 25 years of clinical practice, and excellent results with thousands of patients. It centers on four interconnected groups of health tools: botanical formulations, nutritional supplements, diet, and lifestyle. Defining three categories for adaptogenic herbs, he explains how formulations should combine herbs from each category to create a synergistic effect. He provides more than 60 monographs on herbs and nutritional compounds as well as custom combinations to revitalize the immune system, build cardiovascular health, protect brain function, manage weight, and support cancer treatment. He explains the interplay of endocrine health, the hypothalamic-pituitary-adrenal (HPA) axis, thyroid function, and stress in the aging process and reveals how adaptogenic treatment begins at the cellular level with the mitochondria--the microscopic energy producers present in every living cell. Emphasizing spirituality, exercise, and diet in addition to herbal treatments and nutritional supplements, Yance’s complete lifestyle program explores how to enhance energy production in the body and subdue the proinflammatory state that lays the groundwork for nearly every degenerative disease, taking you from merely surviving to thriving.

Download or read book A new frontier for traditional medicine research multi omics approaches written by Xian-Jun Fu and published by Frontiers Media SA. This book was released on 2023-06-05 with total page 220 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Foundations and Adult Health Nursing E Book written by Barbara Lauritsen Christensen and published by Elsevier Health Sciences. This book was released on 2013-12-27 with total page 2260 pages. Available in PDF, EPUB and Kindle. Book excerpt: Part of the popular LPN Threads series, this comprehensive text includes in-depth discussions of fundamental concepts and skills, plus medical-surgical content to help you provide safe and effective care in the fast-paced healthcare environment. Easy-to-read content, an enhanced focus on preparing for the NCLEX® Examination, and a wealth of tips and study tools make Foundations and Adult Health Nursing, 6th Edition, your must-have text!

Download or read book Healing with the Herbs of Life written by Lesley Tierra and published by Crossing Press. This book was released on 2013-11-26 with total page 435 pages. Available in PDF, EPUB and Kindle. Book excerpt: If you have been daunted by complicated, esoteric herbal books in the past, Healing with the Herbs of Life offers clear and concise explanations of how and why herbs heal. It also provides step-by-step instructions for creating your own herbal remedies, therapeutic approaches you can use at home, and easy-to-follow guidelines for gathering, preparing, purchasing, and storing herbs. Previously published as The Herbs of Life, this completely revised and updated edition synthesizes the great herbal traditions of China and India with Western herbology to form a new kind of planetary herbal. · Features a new chapter on treating specific conditions, expanded chapters in Materia Medica and the energy of food, and revised chapters on living with the seasons and home therapies · With new information on herbal safety and drug/herb interactions. · The previous edition, The Herbs of Life, sold 45,000 copies.

Download or read book The Culture of Health written by Grace Xueqin Ma and published by Bloomsbury Publishing USA. This book was released on 1999-11-30 with total page 184 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book examines a range of current health care issues affecting Asian Americans and explores ways to improve the quality of their health care. The author covers a variety of topics, including sociocultural approaches to health, illness, and health care; clients' experiences in accessing health care services; the important role of alternative practices in primary health care; and limitations on the professional development and practice of Asian health care providers. The book concludes with a look at challenges, implications, and research directions for Asian American health care improvements in the 21st century. Health and illness always have multiple cultural and social dimensions that affect medical practices. Because we face rapidly evolving health care choices, it is important to understand the influence of sociocultural factors on health, illness, and health care. The author emphasizes the cultural and socioeconomic factors that are shaping health-seeking behaviors of Asian Americans and the interrelationships among health service providers within the Asian American community. The book criticizes U.S. health care policy for discouraging the immigration of foreign medical-school graduates and limiting the number of language-competent physicians who have dual training in Western and traditional healing techniques. The book provides insights into the important role of traditional medicine in primary health care and also offers a critical analysis of managed care and its implications for Asian American health care in the 21st century.

Download or read book Ancient Herbs Modern Medicine written by Henry Han, O.M.D. and published by Bantam. This book was released on 2008-12-18 with total page 497 pages. Available in PDF, EPUB and Kindle. Book excerpt: The best of Eastern and Western medicine in an integrative healing system for the mind, body, and spirit. Now, for the first time, a Western physician and a doctor of Oriental medicine combine the unparalleled technological advances of the West with the unmatched wisdom and healing touch Chinese herbal medicine provides for many diseases and conditions that elude modern medicine. Ancient Herbs, Modern Medicine demonstrates the many important, highly effective ways Chinese medicine and Western medicine can complement each other in treating everything from allergies and insomnia to mental illness and cancer. This accessible, comprehensive guide offers many informative and enlightening case studies and up-to-the-minute information on: • How integrative medicine combines the best of Western pharmacology and Eastern herbology • How integrative medicine helps fight the diseases and illnesses of our time, including allergies, asthma, and chronic fatigue syndrome, and eases and even reverses symptoms of arthritis, diabetes, depression, osteoporosis, AIDS, heart disease, and cancer--often without side effects • How Chinese medicine can help you recognize signs before an illness becomes a crisis • The importance of Western techniques in diagnosing serious diseases • Why Chinese medicine offers the most effective treatment for many chronic/recurrent illnesses • Restoring essential balance to the Five Energetic Systems--the Heart, Lung, Spleen, Liver, and Kidney Energies • The Eight Strategies of Herbal Therapy--how herbs work in your body Plus illuminating discussions of the basic principles of Chinese medicine, as well as food remedy recipes, diagrams, glossaries of medical terms and herbs, resource listings, and much more to help you tailor an integrative health regimen that is right for you.

Download or read book Foundations and Adult Health Nursing written by Kim Cooper, RN, MSN and published by Elsevier Health Sciences. This book was released on 2014-08-25 with total page 2227 pages. Available in PDF, EPUB and Kindle. Book excerpt: An all-inclusive guide to fundamentals and medical-surgical nursing for the LPN/LVN, Foundations and Adult Health Nursing, 7th Edition covers the skills you need for clinical practice, from anatomy and physiology to nursing interventions and maternity, neonatal, pediatric, geriatric, mental health, and community health care. Guidelines for patient care are presented within the framework of the five-step nursing process; Nursing Care Plans are described within a case-study format to help you develop skills in clinical decision-making. Written by Kim Cooper and Kelly Gosnell, this text includes all of the content from their Foundations of Nursing and Adult Health Nursing books, including review questions to help you prepare for the NCLEX-PN® examination! Full-color, step-by-step instructions for over 100 skills show nursing techniques and procedures along with rationales for each. The 5-step Nursing Process connects specific disorders to patient care - with a summary at the end of each chapter. Nursing Care Plans emphasize patient goals and outcomes within a case-study format, and promotes clinical decision-making with critical thinking questions at the end of each care plan. Clear coverage of essential A&P is provided by an Introduction to Anatomy and Physiology chapter along with an overview of A&P in all body systems chapters. Student-friendly features enhance the learning of nursing skills with summary boxes for Patient Teaching, Health Promotion Considerations, Complementary and Alternative Therapy, Cultural Considerations, Older Adult Considerations, Home Care Considerations, Safety Alert, and Prioritization, Assignment, and Supervision. UNIQUE! Mathematics review in Dosage Calculation and Medication Administration chapter covers basic arithmetic skills prior to the discussion of medication administration. A focus on preparing for the NCLEX examination includes review questions and Get Ready for the NCLEX Examination! sections with key points organized by NCLEX Client Needs Categories. Evidence-Based Practice boxes provide synopses of nursing research articles and other scientific articles applicable to nursing, along with nursing implications for the LPN/LVN. Nursing Diagnosis boxes summarize nursing diagnoses for specific disorders along with the appropriate nursing interventions. UNIQUE! Delegation Considerations boxes provide parameters for delegation to nurse assistants, patient care technicians, and unlicensed assistive personnel. Medication Therapy tables provide quick access to actions, dosages, precautions, and nursing considerations for commonly used drugs. NEW! Reorganized chapters make it easier to follow and understand the material. NEW! Icons in page margins indicate videos, audios, and animations on the Evolve companion website that may be accessed for enhanced learning. UDATED illustrations include photographs of common nursing skills.

Download or read book Towards the Eradication of Helicobacter pylori Infection Rapid Diagnosis and Precision Treatment written by Liang Wang and published by BoD – Books on Demand. This book was released on 2024-05-15 with total page 166 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Towards the Eradication of Helicobacter pylori Infection - Rapid Diagnosis and Precision Treatment" book is a comprehensive guide to combating one of the most persistent challenges in global public health. In this volume, experts from various disciplines have joined forces to present the latest research, clinical insights, and practical applications for diagnosing and treating H. pylori infection. The chapters present in this volume cover diagnostic modalities in detecting H. pylori infection, from rapid noninvasive techniques for detecting antibiotic resistance to the utility of linked color imaging in endoscopic diagnosis. The book also presents innovative treatment strategies, including the role of cytokines in inflammation, the impact of antibiotic resistance patterns, and the potential of immunotherapeutic approaches. Healthcare professionals, researchers, and students should benefit from this volume in developing the knowledge and tools necessary to combat and eradicate H. pylori infection effectively.

Download or read book Fundamentals of Nursing E Book written by Patricia A. Potter and published by Elsevier Health Sciences. This book was released on 2012-03-22 with total page 1397 pages. Available in PDF, EPUB and Kindle. Book excerpt: NEW and UNIQUE! Building Competency boxes help you apply QSEN (Quality & Safety Education for Nurses) competencies to realistic clinical situations. NEW and UNIQUE! Expanded Evidence-Based Practice boxes highlight the importance of current clinical research in daily practice. NEW! Case studies in all clinical chapters allow you to practice using care plans and concept maps to perform clinical application exercises. NEW and UNIQUE! Clinical Application questions test your understanding of clinical practices. NEW! Skill guidelines for blood glucose monitoring help you ensure accurate readings when performing this common skill. NEW! Content on violence, genetics/genomics, compassion fatigue, bullying, and the accreditation process addresses current concerns in nursing practice. NEW! More than 725 review questions test your retention of key chapter concepts. NEW! Three comprehensive fundamentals practice exams and a calculations tutorial on the companion Evolve website help you assess your understanding. More than 100 NEW photos clarify procedures and familiarize you with the latest clinical equipment. NEW! Glossary provides quick, convenient access to definitions for all key terms.

Download or read book Preventive Medicine written by Time-Life Books and published by Time Life Medical. This book was released on 1997-02 with total page 148 pages. Available in PDF, EPUB and Kindle. Book excerpt: Preventive Medicine simplifies the daily steps and decisions that can lead you to a happier, healthier life and a true sense of well-being.

Download or read book Diagnosis and Treatment of Chronic Fatigue Syndrome and Myalgic Encephalitis written by Sarah Myhill and published by Chelsea Green Publishing. This book was released on 2018 with total page 434 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Original edition published in 2017 by Hammersmith Books, London, United Kingdom"--T.p. verso.

Download or read book TCM Nutritional Therapy Balancing Your Body and Mind written by Mei Lin Zhang and published by Xspurts.com. This book was released on 2023-01-01 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Eat mindfully, live vibrantly." Embark on a journey to holistic healing and wellness with "TCM Nutritional Therapy: Balancing Your Body and Mind." This comprehensive guide combines the ancient wisdom of Traditional Chinese Medicine (TCM) with modern nutritional science to help you achieve optimal health and vitality. Discover the secrets of TCM nutrition, as we delve into the principles of Yin and Yang, the Five Elements, and the importance of balance for overall health. Learn how to identify your body's unique constitution and customize your diet to support your body's needs, while restoring harmony and balance. "TCM Nutritional Therapy" offers a wealth of information, including: • The history and principles of Traditional Chinese Medicine • Understanding Yin and Yang in food and cooking • The Five Elements and their relationship to nutrition • Assessing your body constitution and individual nutritional needs • Foods to embrace and avoid for optimal health • Incorporating TCM nutrition into your daily meals and lifestyle • Delicious, healing recipes inspired by TCM principles Whether you're new to TCM or looking to deepen your understanding of this ancient healing system, "TCM Nutritional Therapy: Balancing Your Body and Mind" is an invaluable resource for transforming your health and well-being. Harness the power of TCM nutrition and embark on a journey to a more balanced, healthier, and happier life. Contents: Traditional Chinese Medicine (TCM) Nutrition: An Introduction The principles of TCM nutrition How TCM nutrition differs from Western nutrition The Five Elements and Their Corresponding Tastes Wood: Sour Fire: Bitter Earth: Sweet Metal: Pungent Water: Salty Yin and Yang in TCM Nutrition The concept of Yin and Yang Balancing Yin and Yang through diet The Energetic Properties of Foods Hot, warm, neutral, cool, and cold foods The impact of food properties on the body The Importance of the Spleen and Stomach in TCM Nutrition The role of the Spleen and Stomach in digestion Supporting Spleen and Stomach function through diet Dietary Guidelines for a Balanced TCM Diet Portion sizes and meal frequency Combining foods for balance TCM Nutrition for Specific Body Constitutions Identifying your body constitution Tailoring your diet to your constitution TCM Nutrition for Seasonal Health Eating according to the seasons Seasonal foods and their benefits Food Therapy for Common Health Conditions TCM nutrition for digestive issues TCM nutrition for immune support Herbal Remedies in TCM Nutrition Common TCM herbs and their benefits Incorporating herbs into your diet TCM Nutritional Approaches to Weight Management The TCM perspective on weight loss TCM dietary strategies for weight management TCM Nutrition for Emotional Well-Being The connection between diet and emotions Foods that support emotional balance TCM Nutrition for Energy and Vitality Foods that boost Qi Dietary tips for sustained energy TCM Nutrition for Women's Health TCM dietary recommendations for menstrual health TCM nutrition for fertility and pregnancy TCM Nutrition for Men's Health TCM dietary recommendations for male vitality TCM nutrition for prostate health TCM Nutrition for Healthy Aging TCM dietary recommendations for longevity Foods that nourish the Kidneys and support aging gracefully TCM Nutrition for Children and Adolescents TCM dietary recommendations for growth and development Foods that support focus and cognitive function Cooking Techniques in TCM Nutrition The impact of cooking methods on food properties Choosing the right cooking techniques for balance Planning Balanced TCM Meals Creating a balanced meal plan TCM meal planning tips and ideas TCM Nutrition Recipes Breakfast recipes Lunch recipes Dinner recipes Snack and dessert recipes Integrating TCM Nutrition into Daily Life Tips for implementing TCM nutrition principles Cultivating mindfulness around food and eating TCM Nutrition for Detoxification and Cleansing The role of detoxification in TCM Foods and herbs that support detoxification TCM Nutrition for Healthy Skin The connection between diet and skin health Foods that nourish and protect the skin TCM Nutrition for Strong Bones and Joints The role of diet in maintaining bone and joint health Foods that support bone and joint strength TCM Nutrition for Heart Health The importance of heart health in TCM Foods that support cardiovascular health TCM Nutrition for Better Sleep The connection between diet and sleep quality Foods that promote restful sleep TCM Nutrition for Stress Management The impact of stress on health in TCM Foods that help alleviate stress TCM Nutrition for Immune System Support The importance of a strong immune system in TCM Foods that boost immunity TCM Nutrition for Brain Health and Cognitive Function The connection between diet and brain health Foods that support cognitive function Food Allergies and Sensitivities in TCM Nutrition The TCM perspective on food allergies and sensitivities Adapting TCM nutrition principles for those with food restrictions TCM Nutrition and Food Safety The importance of food safety in TCM Safe food handling and storage practices Mindful Eating and TCM Nutrition The role of mindfulness in TCM nutrition Practicing mindful eating for better digestion and overall health TCM Nutrition and Exercise The connection between diet and physical activity in TCM Foods that support exercise and recovery The Role of TCM Nutrition in Integrative Healthcare The benefits of combining TCM nutrition with Western medicine Working with healthcare professionals to optimize your TCM nutrition plan TCM Nutrition for a Sustainable and Ethical Lifestyle The importance of sustainability and ethics in TCM nutrition Choosing eco-friendly and ethically sourced foods The Future of TCM Nutrition The evolution of TCM nutrition in modern society Emerging research and trends in TCM nutrition

Download or read book Viral Immunity written by J. E. Williams and published by Hampton Roads Publishing. This book was released on 2002-08-01 with total page 498 pages. Available in PDF, EPUB and Kindle. Book excerpt: HIV, hepatitis, influenza, the common cold, herpes, Ebola, Hantavirus, West Nile fever, dengue, TT virus--the viral world keeps posing new major challenges to human health each year. At the same time as this onslaught of emerging powerful viral infections, our antibiotic arsenals are losing ground and our immune systems are compromised. Can we handle the next viral epidemic? Yes, says James Williams, an experienced, credentialled naturopath, acupuncturist, and expert in traditional Chinese medicine. We can shore up our immune system to handle current and any future viral infections and not be dependent on conventional vaccinations or antibiotics to insure our health. In 10 practical steps, Dr. Williams shows how to develop unassailable viral immunity using natural approaches. If you already have a viral infection, these steps will help you reverse its effects; if you're concerned about exposure to one in the future, these steps will give you the keys to prevention. Included in these steps are the best that natural medicine offers: stress management, enzymes, nutrients, detoxification, oxygen therapy, immune modulators, hormones, natural antiviral medicines and anti-inflammatory medicines, Chinese and Western herbs, and more. "Viral immunity is without question one of the most important health issues of this century," says Dr. Williams. "The message of this book is clear. You can improve your system in general with diet, lifestyle, and natural medicines. Here you will find natural ways of improving immune function, remedies to treat viral infections, and suggestions on how to reframe outdated concepts that could otherwise prevent you from obtaining effective treatment."