The definition of telemedicine according to our Hebda, T., & Czar, P., 2013 textbook is the use of telecommunications technologies and electronic information to exchange information healthcare and provide and support services such as long-distance clinical healthcare for customers. Provides health care to patients who may not be able to access care. Telemedicine requires the patient to have electronic tools to facilitate this type of service. Electronic tools can be a phone, a computer or a video camera. The patient is able to call or enable video conferencing to have access to their healthcare provider. Telemedicine allows the patient to have access to preventative care and education about their disease process and how to manage it at home. A., Pomerleau, S.G., & Penner, J.L., “Knowing is a process of perception and understanding of oneself and the world.” Nurses as healthcare professionals must appreciate each patient for who they are as an individual. The nurse must also know how to provide nursing care with the knowledge gained from field experience. Caring is the main component needed for a nurse to provide quality care to a patient. The nurse must assess a patient's needs and direct the patient's plan of care based on the patient's ability to engage in his or her rehabilitation. Nurses must create a genuine relationship with the patient to determine how much the patient is willing to participate in their care. Nurses have always used their visual instincts in caring for patients. There has always been a face to face where the patient is physically in front of the nurse. Telenursing is different because nurses can no longer rely on face-to-face interaction with their patients. To facilitate telephone care, nurses must know their patient to provide individual care and ensure patient safety with nurses' judgment. Not only can phone conversations be taken out of context, but emails and text messages can be taken out of context as well. The nurse must have a strong bond with their patients so that this type of complication does not occur. Another problem when using any form of communication that is not face-to-face is that it is not always possible to express empathy or build a sense of unity. Patients need to feel that the person on the other end cares. The tone a person takes on the phone can make or break a relationship. In some conditions telehealth is not always appropriate, such as for a patient suffering from a life-threatening illness. The phone and computers cannot provide compassion like a real person. In the end, telenursing is a valuable service for patients, but it isn't