It has been estimated that 15% of the cost of treatment of diabetes in the United States is on nursing care due to kidney, retina and macula, neurologic and other complications (ujujurujorIddiabetesday.org, www.idf.org). In 2010, it was estimated that approximately 35 million people die every year from chronic life-limiting illnesses, of which less than 8% have access to LTC (Connor, 2010). Long-term care needs increase significantly with age, with typically around 50% of the population aged over 65 requiring some form of long-term care (Bulletin Luxembourgeois des Questions Sociales, 2005).