Thursday, September 3, 2020

Remembering Blue and Gray from Black and White Essay -- Informative, H

Tony Horwitz takes an excursion through the South to discover why individuals are as yet fixated on the Civil War. On his experience, he met a wide assortment of individuals and he discovered that every individual has their own assessment of the war and recollects that it in their own particular manner. The Civil War was battled by Americans, on each side, and they all ought to recollect it a similar way, however as Horwitz discovered on his journey, they are radically extraordinary and still extremely dubious. Horwitz portrayed various concurrences that without a doubt show race assumes a job in how the Civil War is recollected. The main stop of Horwitz’s venture was in Salisbury, North Carolina. Here, he met Sue and Ed Curtis who acquainted him with the United Daughters of the Confederacy and the Sons of Confederate Veterans. These two gatherings comprised of individuals from various foundations: a specialist, assembly line laborer, firearm retailer, and so forth. The main thing these individuals shared for all intents and purpose was their parentage; they all had direct relations to somebody who battled in the Civil War. Their predecessors battled in the war to save their respect and they were battling for what they had faith in, which was state power. Horwitz was welcome to go to a Sons of Confederate Veteran’s meeting they needed to observe Lee and Jackson’s birthday celebrations. The headliner of the gathering was a Lee-Jackson random data test. In spite of the fact that it is an enrapturing game where one can learn realities about these two distinctive men of the Civil War, it is o nly a game. It has no significance for recalling the Civil War for what it really was. The individuals are recollecting sure Confederate men of the war, not the entire war completely. At this gathering, Horwitz met a few distinct men and had inquiries for them. Horwitz went see the proprietor of the weapon shop to get h... ...hose to forfeit to go to bat for what they had faith in, regardless of whether it was correct or wrong. Hodge likewise admits to Horwitz that reenacting was a route for him to escape from the twentieth century and all the muddling matters life brings (H-209-281). Horwitz doesn't accept that bigotry is an inescapable trademark in the various manners the Civil War is recollected, however he perceives that it assumes a critical job in the memory of the Civil War. He meets a few unique individuals (Connor, Wells, and Hodge) that show incredible regard and perceive the significance of the war. In his work, Horwtiz shows that a few people and exercises are more bigot than others. These exercises are typically performed by individuals who come up short on the information on the genuine explanation the Civil War happened. These deplorable individuals show incredible ineptitude and neglectfulness in their activities.

Saturday, August 22, 2020

Pervasive Decision VA9-02166 Essay Example | Topics and Well Written Essays - 250 words

Inescapable Decision VA9-02166 - Essay Example The utilization of words like tough, successful or significant are just useful when anybody needs to remember just inquiry (Oxman-Martinez et al., 2005), and subsequently the main test, that can be gotten from the meaning of Convention Refugee in Section 2 of the Immigration and Refugee Protection Act does the petitioner presently have a very much established and veritable dread of oppression? Subsequent to thinking about all the conditions, the youthful Tamil male looked in association with bringing LTTE data by the Sri Lankan armed force, paramilitary organizations and the legislature, the petitioner documented a case of evacuee status looking for insurance from the referenced powers of Sri Lanka (LaViolette, 2004). Segment 97(1)(b)(ii) of the Immigration and Refugee Protection Act expresses that the insurance is constrained to the petitioners who face some particular dangers that are not confronted by and large by others in or from the nation and in this manner, the inquirer isn't an individual needing security (Dauvergne, 2003). In this occurrence, despite the fact that the war of September 2006 is finished and circumstance is diverse in Sri Lanka, that doesn't support Refugee Protection Act, so the youthful Tamil man ought to get assurance (Kruger, Mulder and Korenic, 2004). The Members of the equity board must mull over the new confirmations accessible from the present year of 2009 where despite the fact that the circumstance is extraordinary, the circumstance of the youthful Tamil male is the same. Henceforth, the paramilitary offices, Sri Lankan armed force and government authorities need to rethink their conviction that the youthful male has a place with the LTTE gathering. Acquittal International Report 2010, pp. 301-303 and Item 2.3. Joined Kingdom (UK). 22 October 2009. Outside and Commonwealth Office (FCO) and Home Office. Report of Information Gathering Visit to Colombo, Sri Lanka 23-29 August 2009 (PDF, 215 KB). Oxman-Martinez, J., Hanley, J., Lach, L.,

Friday, August 21, 2020

Year 10 pre 1914 drama coursework :: English Literature

Year 10 pre 1914 dramatization coursework How does the introduction of Jo in a taste gracious nectar by Sheilagh Delaney connection to the â€Å"kitchen sink drama† class, advanced in the 1950’s and 1960’s In a sample of nectar Helen is the mother of Jo. Helen and Jo both live together and they have recently moved into a little bed-sit. Helen regularly contends with Jo. Jo, Later on in the play, has a dark sweetheart, who, in the play, is just known as kid In a sample of nectar all the characters experience a tad of delight in their life. Helen wedding Peter, Jo and the dark kid. Anyway they all need to pay for this delight. Jo gets pregnant and the dark kid leaves. Helen leaves Jo for dwindle and when this doesn’t work out Helen returns to Jo. In the play Jo is liable to disregard. This is on the grounds that her mom, Helen, disregards her at 15 to fight for herself. â€Å"I’ll be seeing you. Hello! In the event that he doesn’t show up I’ll be back† This is the beginning of the period when Helen leaves Jo. At this phase in the play the perusers don’t know whether Jo will get by for long without Helen. Dwindle anyway se this and gives Jo a pound to have so she could purchase food to eat. Jo’s job in the play is to show what it would resemble in those occasions to be a solitary eager mother. She additionally has the motivation behind appearing us how guardians have impacts on their kids: for instance Jo was made after Helen and Jo’s father had a single night rendezvous. â€Å"I didn’t do it intentionally. How was I expected to realize that you’d appear out of a little relationship that kept going 5 minutes?† this shows that Jo was a mix-up and that Helen was an unmarried mother. Anyway regardless of how diligently she attempted Jo committed that equivalent error as Helen. In the 1950’s and 1960’s Jo would be called ill-conceived in light of the fact that Helen wasnã‚’t wedded when Jo was imagined. Anyway in today’s times Jo would not be called ill-conceived on the grounds that there are loads of individuals who have youngsters before they get hitched. Helen doesn’t treat Jo with a part of regard, as she doesn’t frequently tell anyway she is going. She likewise doesn’t support Jo when she needs her the most. Jo in this time left school at 15 since she didn’t have full instruction so she wouldn’t have had the option to find an appropriately paid line of work. This is commonplace of a kitchen sink dramatization in light of the fact that in those drama’s they were about genuine

Tuesday, June 9, 2020

Research Methods for Strategic Managers - Free Essay Example

Introduction Statement of problems: Aims /Purpose of the study Objectives: Hypothesis: Methodology Source of data Population: Sample selection and size Data Collection: Statistical analysis Reason for using mixed method (quantitative and qualitative) Significance of study: Ethical consideration Mile stones of the study References Project Information Project Primark Furniture (PF) Project Time-frame 30/09/2012 to 30/09/2013 Summary Introduction of a furniture section in Primark will help customers get furniture at competitively low prices and help them make savings on household expenditure. Introduction Primark is a clothing retailer engaged in several ranges of products (clothes, shoes bags jewelleries, accessories, and household items) for women, men and children operating over 232 stores in Ireland (where it is branded as Penneys), the United Kingdom, the Netherlands, Germany, Spain, Portugal and Belgium (McDougall, (2009). The companys main headquarters are in Ireland, and it is a subsidiary of Associated British Foods (ABF) (Alam and Hearson, 2006). When Primark first opened in June 1969 (in Mary Street, Dublin) it became apparent that more stores were required and another four were added to the growing number of the list. Further expansion and success in Ireland dictated the move to the United Kingdom, where in 1972 four stores were opened in more suburban areas of England. The first high-street stores were Derby and Bristol (Kehoe, 2006). Primark is known for selling clothes at the budget end of the market. The companys success is based on sourcing their supplies c heaply, making clothes with simple designs and fabrics, only making them in the most popular sizes and buying stock in huge bulks and varieties. All of the companys merchandise is made specifically for the company and as such Primark has its own brand names. Within both menswear and ladieswear there is one main brand name that supplies most of the fashion labels, which are added too by other suppliers. Primark had a milestone year in 1995 with the development of the UK business following the acquisition of the BHS One-Up discount chain. As a result, Primark acquired 154 stores in the UK between1995 to 2010 (McDougall, 2009). Statement of problems: Although Primark has a home section in each of its stores, furniture is not part of its home products. Therefore, considering the large volume of its customer base, introducing furniture as a product will be crucial to its customers as Primark is known for its discount prices that is its trade mark on all of its products. It is the reason why people flock to Primark. Aims /Purpose of the study The purpose of this study is to introduce furniture section as part of Primarkà ¢Ã¢â€š ¬Ã¢â€ž ¢s range of Home products. Objectives: The following objectives will be used to achieve the aim: Examine the demand for furniture from Primark customers To match market needs with product capabilities. Examine the potential for profit maximisation. Design strategies for the launch of the product. Explore the implication of the launch of the new product on operations of the organisation Hypothesis: Introducing furniture as part of the Home products will be profitable to Primark (maximise sales). Methodology Source of data Both quantitative and qualitative data will be collected using questionnaires and interviews. Tashakkori and Newman (2010) state that in a research where mixed methods are used, it is very important to address both the qualitative and quantitave aspect of the research in order to reach at a non-biased conclusion to the research objectives. Questionnaire will be used to collect data regarding perception of customers about Primark having a furniture section, whether they will be happy to have it, whether they will recommend friends to get furniture from Primark, what type of furniture and quality they expect. The interview will also ask customers about where they buy their furniture, whether they are satisfied, whether they will be happy to have furniture from Primark and the specification they need. Socio-demographic characteristics of respondents such age, gender, educational attainment and employment status will also be collected. This will enable us to know the socio-demograph ic features of respondents and what each group want. Population: The target group for this project is all customers to Primark aged 18-65 Sample selection and size Simple random sampling method will be used to select 100 customers 50 men and 50 women to complete both the interview and the questionnaire Data Collection: The questionnaire will be distributed to customers in-store and completed as the questions. The questionnaire will then be edited and coded and then entered into SPSS for analysis. The interviews will also be done in-store and recorded with the consent of customers. This will then be transcribed and main themes arising out of them analysed using thematic analysis. Statistical analysis Descriptive statistics will be used to analyse the data. Pie chart will be used to analyse the perception of the customers about furniture introduction into Primark stores. Simple percentages and means will also be used. Reason for using mixed method (quantitative and qualitative) Both qualitative and quantitative methods will be used for data collection. The justification for using mixed method is that whereas the quantitative methods using questionnaire will help us to quantify and measure the result of the study and help us test the hypothesis, the qualitative aspect using interviews will give us deeper understanding of the mind set of customers, how they feel about introduction of furniture in Primark, and they type of furniture they need. This study will use mixed methods (Tashakkori and Teddlie, 2003) design which is a procedure for collecting, analysing and mixing both qualitative and quantitative data at some stage of the research process within a single study, to understand a research method more completely (Creswell, 2002). Significance of study: The importance of this project stems from the fact that it will help management to decide the feasibility of introducing furniture in Primark stores by knowing customers perception about the project and to establish if the project can go ahead. When this project is concluded, it will help customers to do all shoping including clothing, textiles and home furnishing at one place and thus reduce the inconvenience of buying things at different stores. As Primark produces quality goods at competively low prices, customers will have the benefit of getting their house furniture at competively low prices and make huge savings on their household expenditure. This will also result in profit maximisation for Primak as a whole. Ethical consideration Informed consent will be sought from all respondents. All data collected from respondents will be anonymised and respondents are free to withdraw from the interview and completion of questionnaire if they donà ¢Ã¢â€š ¬Ã¢â€ž ¢t feel comfortable with proceedings. Mile stones of the study Gant Chart Month 1 2 3 4 5 6 7 8 9 10 11 12 Scoping search for background study Writing of proposal Developing project plan Pilot instrument Conducting in terview/ Questionnaire administration Editing and coding data Data entry Data analysis Interpretation of result Discussion Preparation of draft report Having stake holder meetings Preparation of final draft Submission of report to funders References Alam, Khorshed; M. Hearson (2006). Fashion Victims (pdf), War on Want, Retrieved on 2006-12-10. Kehoe, Ian. The very private Ryan, Sunday Business Post, 2006-08-01. Retrieved on 2006-12-10. McDougall, Dan (2009-01-11). Primark in storm over conditions at UK supplier. The Guardian (London). https://www.guardian.co.uk/business/2009/jan/11/primark-ethical-business-living. Retrieved 2010-05-22. Primark Stores Ltd, www.primark.co.uk

Sunday, May 17, 2020

Childhood Obesity Essay - 1065 Words

It is a shame that so many children are obese. I am shocked that 2 million deaths each year can be contributed to physical inactivity (Wharry, 2002). The quot;How we Grew so Bigquot; article is about the evolutionary reasons behind obesity. I worked in a factory this past summer where there was very physical labour. I ate way more food than I had before I started working there but was a lot slimmer by the end of my contract. Even though the sudden increase in activity in my life reduced my body fat, most of the other workers there were overweight. This leads me to believe that obesity is more of a societal issue than an evolutionary issue. Ive had friends who were morbidly obese; one of whom would tell me quot;I know when Im full†¦show more content†¦eCMAJ. Available at: http://www3.open.uoguelph.ca/d2l/orgTools/ouHome/ouHome.asp?ou=16644 Accessed Feb 18 2005 I too worked in a factory last summer and it does change your eating habits and the way you look. Depending of what you’re doing in a factory of course. I worked with heavy steel. So part of my job was to move it off a cutting table. At the end of the summer I was toned. I ate at least 3 large meals a day and a ton of snacks in between to compensate for the constant burning of calories. It’ threw me off at first and then by the end I was used to it. I was healthy, weight wise and in general. I’ve seen it and you must have too, people look for ways of avoiding any physical activeness at the work place. I’m not talking about straining themselves, but doing a little more then they have to. Why not? Why make yourself more tired then you already are? I too witnessed that a lot of my co-workers were overweight. You’d think that their line of work would give them some type of a workout. I didn’t mind it at all. I hated the fact that I had to work, b ut it was like I was getting a free gym membership out of it and I’m getting paid. It’s all part of life. I don’t want to do that again. I didn’t enjoy working a graveyard shift, or pretty much anything about it. Mind you I learned a lot about certain machines and had a good time driving the forklift. Work is a part of life and depending on which line of work you choose you’re destined for certain acts orShow MoreRelatedChildhood Obesity : A Obesity1247 Words   |  5 PagesChildhood Obesity: A Review to Prevent the Risk Factors of Childhood Obesity in Our Community. The rates of childhood obesity Worldwide are alarmingly high! Obesity is a global nutritional concern and leads to horrible consequences on our children and becomes a worldwide pandemic. Worldwide estimates of obesity are as high as 43 million, and rates continue to increase each year. In this study, people will find healthy tips to prevent childhood overweight or obesity to help children in our communitiesRead MoreThe Prevalence Of Childhood Obesity1678 Words   |  7 PagesThe prevalence of childhood obesity has remained a serious matter in the United States over the years despite its recent decline (Centers for Disease Control and Prevention, 2015). Children who are obese can experience the same devastating health effects as adults who are obese – cardiovascular issues, diabetes, breathing problems, and so forth. In addition, children who are obese are more than likely to become obese as adults, therefore the development of a health fair that would highlight increasedRead MoreThe Effects Of Obesity On Childhood Obesity Essay1953 Words   |  8 Pagesfind out what has caused or what the leading factors to obesity are. Researchers are currently still doing research to find out what causes or what may be the lead to obesity. 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Obesity can cause many types of physical problems, which most are aware of, but it can also cause some undesirable internal feelings within children and adolescents who suffer from it. Self-esteem, or self-worth, is important as it helps develop personality and is a major ingredient to our mental health status (Wang, F. and Veugelers, P. J., 2008). Some have said obesity may e ven have a negative effect on cognitive developmentRead MoreChildhood Obesity : The Adolescent Essay3626 Words   |  15 PagesChildhood Obesity: The Adolescent The Finale Paper Presented to: GEN499: General Education Capstone Instructor: Robert Bass Ashford University By: Ranita Wallace March 27, 2015 Childhood Obesity: The Adolescent Obesity is a growing health problem. Obesity is when individuals are overweight, it causes health problems and is a threat to their lives. Usually obesity is a result from over eating and lack of exercise. Obesity is the cause of many health problems such as diabetesRead MoreChildhood Obesity Essay976 Words   |  4 PagesAccording to a 2010 report by The Centers for Disease Control and Prevention (CDC), the prevalence of childhood obesity has more than tripled in the past thirty years. As well as having an impact on health, studies have cited a relationship between obesity and poor school performance as well as a child’s readiness for learning and education. This can be correlated with studies finding â€Å"obese children have a greater risk of social and psychological problems, such as discrimination and poor self-esteem†Read MoreChildhood Obesity : Obesity And Obesity1505 Words   |  7 PagesChildhood Obesity Introduction Childhood Obesity has become more critical public health issue worldwide. However, obesity ratio varies from country to country. In addition, up to a quarter of Australian children are suffering from childhood obesity and obese children are at higher risk to become obese adult. For this reason, child’s weight always matters because it can impact on their health in future. There may be many reasons which affect childhood obesity including sedentary life style, lack ofRead MoreObesity : Childhood Obesity And Obesity955 Words   |  4 Pageswhere the life expectancy of today’s generation is being threatened. Prevention of overweight and obesity is imperative. Parents, especially mothers play a major role in preventing overweight and obesity among the children. Their knowledge of nutrition, food selection and family meal structure has major impact on their children’s food habit. The preschool age is crucial for the children to learn and develop their lifelong hab its. Education starts from home, where parents are the primary source

Wednesday, May 6, 2020

Cis 500 Week 6 Case Study 1 Cyber Security - 669 Words

CIS 500 WEEK 6 CASE STUDY 1 CYBER SECURITY To purchase this visit here: http://www.activitymode.com/product/cis-500-week-6-case-study-1-cyber-security/ Contact us at: SUPPORT@ACTIVITYMODE.COM CIS 500 WEEK 6 CASE STUDY 1 CYBER SECURITY CIS 500 Week 6 Case Study 1 - Cyber Security in Business Organizations - Strayer University 2015 Version NEW Write a four to six (4-6) page paper in which you: 1. Determine the fundamental challenges that organizations face in general in regard to protecting organizational assets and information. 2. Specify the red flag(s) that Target overlooked or ignored before the retail attack and give your opinion as to why Target overlooked or ignored the red flag(s). 3. Determine the main actions that†¦show more content†¦CIS 500 WEEK 6 CASE STUDY 1 CYBER SECURITY To purchase this visit here: http://www.activitymode.com/product/cis-500-week-6-case-study-1-cyber-security/ Contact us at: SUPPORT@ACTIVITYMODE.COM CIS 500 WEEK 6 CASE STUDY 1 CYBER SECURITY CIS 500 Week 6 Case Study 1 - Cyber Security in Business Organizations - Strayer University 2015 Version NEW Write a four to six (4-6) page paper in which you: 1. Determine the fundamental challenges that organizations face in general in regard to protecting organizational assets and information. 2. Specify the red flag(s) that Target overlooked or ignored before the retail attack and give your opinion as to why Target overlooked or ignored the red flag(s). 3. Determine the main actions that Target took after the breach occurred and evaluate the efficiency of such actions. More Details hidden... Activity mode aims to provide quality study notes and tutorials to the students of CIS 500 Week 6 Case Study 1 Cyber Security in order to ace their studies. CIS 500 WEEK 6 CASE STUDY 1 CYBER SECURITY To purchase this visit here: http://www.activitymode.com/product/cis-500-week-6-case-study-1-cyber-security/ Contact us at: SUPPORT@ACTIVITYMODE.COM CIS 500 WEEK 6 CASE STUDY 1 CYBER SECURITY CIS 500 Week 6 Case Study 1 - Cyber Security in Business Organizations - Strayer University 2015 Version NEW Write a four to six (4-6) page paper in which you: 1. Determine the fundamentalShow MoreRelated_x000C_Introduction to Statistics and Data Analysis355457 Words   |  1422 Pages94002-3098 USA For more information about our products, contact us at: Thomson Learning Academic Resource Center 1-800-423-0563 For permission to use material from this text or product, submit a request online at http://www.thomsonrights.com. Any additional questions about permissions can be submitted by e-mail to thomsonrights@thomson.com. Printed in the United States of America 1 2 3 4 5 6 7 11 10 09 08 07 ExamView  ® and ExamView Pro  ® are registered trademarks of FSCreations, Inc. Windows is a registeredRead MoreInternational Management67196 Words   |  269 Pagesdistance learning. Some ancillaries, including electronic and print components, may not be available to customers outside the United States. This book is printed on recycled, acid-free paper containing 10% postconsumer waste. 1 2 3 4 5 6 7 8 9 0 QDB/QDB 1 0 9 8 7 6 5 4 3 2 1 ISBN 978-0-07-811257-7 MHID 0-07-811257-5 Vice President Editor-in-Chief: Brent Gordon Vice President, EDP/Central Publishing Services: Kimberly Meriwether-David Editorial Director: Paul Ducham Managing Developmental Editor:Read MoreContemporary Issues in Management Accounting211377 Words   |  846 Pages Contemporary Issues in Management Accounting This page intentionally left blank Contemporary Issues in Management Accounting Edited by ALNOOR BHIMANI 1 Great Clarendon Street, Oxford ox2 6dp Oxford University Press is a department of the University of Oxford. It furthers the University’s objective of excellence in research, scholarship, and education by publishing worldwide in Oxford New York Auckland Cape Town Dar es Salaam Hong Kong Karachi Kuala Lumpur Madrid Melbourne Mexico

Pain Management free essay sample

There are many healthcare problems that can be discussed I chose to discuss the problem of management of acute and chronic pain. The purpose of this paper is to explore the effects proper pain management on nursing practice, population most effected by chronic and acute pain, ways to improve pain management from a nursing perspective. Practice Setting Problem The proper managing of acute and chronic pain is a hot topic in the field of nursing. The poor management of pain by nursing is well a documented problem. Of the five vital signs pain is the most subjective of them all. It is one vital sign that cannot be measured by any machine only the patient knows his or her level of pain. In nursing school assessment courses nurses are taught that the pain level is what the patient says it is and should be treated accordingly. Treating a patient pain level according to what the patient states is his or her pain levels is not always a common practice. We will write a custom essay sample on Pain Management or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Importance of the Clinical Problem and its Significance to Nursing Practice As a nurse there is an obligation to patients to advocate on there behalf. According to the American Nurses Associations (ANA) position statement on Pain Management and Control of Distressing Symptoms in Dying Patients it’s the nurses obligation to his or her patient to administer effective doses of prescribed medications for symptom control. ANA also states nurses have a moral obligation to advocate on a patients behalf when the pain management regime prescribed is not effective. The textbook tells us that BSN prepared RN are much better prepared to implement Evidence Based Practice (EBP) than an ADN prepared nurse (Brown, 2012). The use of EBP requires nurses to review research, implement and evaluate outcome. ADN nurses are traditional taught more of the clinical aspect of nursing while in school where as BSN nurses have EBP incorporated into their nursing curriculum. The exposure to EBP for BSN prepared RN’s early on in their career’s give them the advantage of being comfortable with EBP in their nursing practice. Impact on Patient and Community According to a survey call Postoperative Analgesic Therapy Observational Survey (PATHOS) fewer than half of postoperative patients receive adequate pain management postoperatively (Benhamou, 2008). Uncontrolled pain postoperatively leads to longer hospital stays and increase in financial strain on patients. The average cost per day of a hospital stay is over 2,000 dollars. Uncontrolled pain postoperatively can also lead to delay in initiating mobilization of the patient. This delay in mobilization puts the patient at risk for issues such as thrombus, pneumonia from inadequate lung expansion due to pain, urinary retention, and fear and anxiety are just a few associated risk. Poor post- operative pain management often leads to repeat visits to the hospital seeking adequate pain control. Delayed recovery due too inadequate pain management often is a source of lost wages and productivity for the patient that ultimately has a trickle down economic effect. Another area of care that has a high rate of inadequately controlled pain management complaints is Emergency Room. According to a study conducted in the United States patient presenting to the emergency room complaining of pain reported a median pain score of 8 out of 10, and a pain score of 6 at discharge. About 41% of patients reported their pain was not alleviated or increased after an emergency room visit, and almost 75% reported moderate to severe pain at discharge (Todd, 2007). Some of the causes of inadequate pain management in the Emergency Room include failure to acknowledge pain, opiophobia, racial, and gender bias. Age biases exist in the emergency rooms a treatment of pain mostly geared toward the elderly patients. The reports of poor pain management in the emergency room are largely blamed on the gap in time between initial assessment of pain and the actually treatment of the pain. The poor pain management in the emergency room much like poor post operative pain management cause increases in the cost of health care and repeat visits to the emergency room for treatment. Difference in Care Based on Evidence The implementation of EBP as it relates to adequate pain management would lower the cost of patient care and increase patient satisfaction with the care received. EBP implementation would lower cost by decreasing the length stay and lower return visits for pain management. Changes that would have to happen in nursing practice setting would be speedy initial assessment, intervention in a timely manner, education of patients as well as family, and reevaluation of interventions in a timely manner. Summary Ineffective pain management is a huge problem in healthcare today. The implementation EBP guidelines as relates to pain management would be a step in the right direction. Nursing practice must change and evolve thru research to better meet the needs of patients.