Julie Lindsay, PhD, RN, is Director of Nursing at Schreiner University, Kerrville, Texas.

The author has disclosed that she has no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

Submitted by: Julie Lindsay, PhD, RN, Schreiner University, 2100 Memorial Blvd, Kerrville, TX 78028 (imatejasgrl@yahoo.com).