According to Cohen, de Moor, Eisenberg, Ming and Hu (2007) 38% of patients receiving a new chemotherapy regimen develop acute CINV and as many as 64% develop delayed CINV. Cohen et al. (2007) also showed that the risk of developing CINV was highly related to having CINV in the previous cycle, illustrating the importance of proper management of CINV at initial treatment. Ballatori (2007) found that more than 90% of patients who experience acute or delayed CINV also reported an impact on their daily activities. Shih, Xu, and Elting (2007) revealed the direct medical cost of working age adults with uncontrolled nausea and vomiting is $1300.00 per month above their counterparts with controlled nausea or vomiting. This is a 30% increase in cost per month.