隨著少子化及高齡化的問題，台灣即將面臨社會結構上的遽變，在2018年65歲以上人口約占總人口數2,352萬人的14.6%，達到國際所稱的「高齡社會」（Aged Society），2026年攀升為20%，正式邁入超高齡社會（Super Aged Society）。僅僅歷經八年的時間就從高齡社會快速進入到超高齡社會，高齡化速度之快將成為全球之冠，全國65歲的人口約計307萬位， 全體平均壽命約80.2歲，其中男性：77.01歲；女性：83.62歲，65歲以上的國民平均餘命約有20年，如何有效預防或延緩失能、失智，讓國人「在地健康老化」不僅活得久又能活得健康，是台灣政府及全體國民要共同努力的，也是世界各國所追求的目標。
神恩典的記號在台灣
台灣俗稱「福爾摩沙」，行政區劃分為6個直轄市、3個市、13個縣，山地原住民鄉30個；平地原住民鄉25個，離島共有18個鄉鎮。隨著地理環境、人口分布及資源分配等因素存 在著相當程度的城鄉差距，台灣的西方醫學隨著傳教士的醫療宣教關懷行動傳入了台灣，環繞著全島，在偏遠地區陸續設立了約20所教會醫院（含一所離島教會醫院），依據統計迄今約達28所。因著神的愛，各教會醫院服侍早已走入社區，照顧關懷需要的社區民眾，從早期的公共衛生、傳染病防治及預防保健的服務，到現今高齡化社會的在地化健康促進與長期照護服務的發展，讓我們明白「我們原是祂的工作，在基督耶穌裡造成的，為要叫我們行善，就是神所預備叫我們行的。」（弗2：10），教會醫院的設立與發展回應了社會環境變遷中各階段的不同需求，也造就了行各樣善工的基礎，神的意念高過人的意念，從過去到如今神恩典的印記清清楚楚矗立在台灣全島，祂的愛與計畫也從未改變。
長照十年計劃1.0開跑
台灣政府從2008年推動長照十年計劃1.0，陸續於全國各縣市設立「長期照顧管理中心」，負責各縣市的長期照護工作推展，服務對象限定在65歲以上老人、55歲以上山地原住民、50歲以上之身心障礙者、僅IADLs失能且獨居之老人為主，提供的服務項目有；照顧服務（含居家服務、日間照顧、家庭托顧）、輔具及居家無障礙環境、老人送餐服務、交通接 送、長期照顧機構服務、居家護理、社區及居家復健、喘息服務共八項。台灣長期照護的推動面臨許多的問題，如：長照服務資源不足及分布不均、長照人力資源待培訓發展、長照資訊及相關服務資源待整合、長照財源需永續、如何使產業投入參與長照等嚴峻的挑戰問題，政策以朝向普及並均衡發展居家、社區及機構服務資源、充實長照服務人力，規劃培訓人才課程，提升專業品質整合法規及機構、長照資訊系統強化、建置及整合、適度發展產業參與長照服務、長照永續財源規劃等方向發展。
政府組織的改造與法規的制定
為因應當前即將到來的少子女化與高齡化人口重大議題，台灣政府著手於政府組織再造及制定長期照顧服務法的工作，於2013年7月23日啟動新機關組織架構，藉由衛生福利部的成立，期盼將長期照護、兒童少年、老人與身心障礙者醫療、福利及權益保障，進行緊密的結合，以期能提供完整的服務，有效提升整體衛生福利體系的服務效能。為提供並整合長期照顧法源依據及基礎，制定長照服務法於2015年5月15日立法院三讀通過、6月3日總統令公告，2017年6月正式實施上路，目的是透過本法，針對長照服務及內容、長照體系、 人員與機構管理進行整合，發展服務人力與機構資源並確保服務品質，讓受照顧者的權益有一致的規範，也 使長照制度具有完備的法源基礎。
長期照護十年計劃2.0
台灣隨著人口結構的轉變、年齡的增長和醫療技術的發展，老年人口的主要疾病已由急性病症轉化為慢性病，由於老人、失能失智者人數的持續增加與伴隨而來的照護需求，也加重國家、社會與家庭的負擔。於2016年銜接推動長照十年計劃2.0正式上路，服務對象擴大涵蓋到失能老人、身障失能、失智、衰弱等民眾，而服務項目亦由原有的8項增加至17項，並由過往的單項服務轉型為提供整合式的服務為主，整合服務有：失智照護、社區支持性服務、家庭支持服務、社區複合性服務、社區預防照顧體系、預防及延緩失能、健康促進、出院準備、在宅醫療等，服務輸送以社區照顧為主，藉由全國各縣市的照顧管理中心及在地服務輸送體系的協同整合下，在社區分級建立長照據點，希望推動長者能在地老化、活躍老化及追求健康生活為目標，而非僅追求醫療照顧。期盼達到以個案及家庭為核心，強調以社區 為基礎，整合人力照護資源，向前銜接預防保健，向後發展在宅安寧照顧，強化健康照護資源的整合與協調，提供轉診與照護資源的轉介，建構連續性的社區整體照顧服務體系，以有效的支持個案在家庭與社區中繼續地生活。反觀每一項服務都需要護理人員的專業投入，從急性醫療或急性後期照護提供了進一步連結居家、社區到機構式之多元連續性照顧服務，並建立新興之整合性社區照顧服務體系，期能提升長期照顧需求者與照顧者之照顧及生活品質，使得護理師在長照服務上扮演舉足輕重的關鍵角色。
新酒裝在新皮囊
以筆者居住及服務的所在地屏東縣而言，總人口數為83萬697人，全縣65歲老人人口13萬343人，佔本縣總人口已達15.69%，失能老人人口比例約 9.5%，失能照顧經費比例佔92.3%，無失能及輕微失能老人人口比例約90.5%，預防照顧經費比例僅佔7.7%。老是一種尊榮，因此聖經上說：「在白髮的人面前，你要站起來，也要尊敬老年人，又要敬畏你的上帝，我是耶和華。」（利19：32）。當我們一想到「老」，容易不禁聯想到衰弱或是失能、失智的問題，卻忽略了促進積極的健康老化、活躍老化、在地老化更是維護長者尊嚴及有品質生活的最佳目標。對於在家庭、社會及國家貢獻大半輩子的長者而言，照顧需求是無法等待的，「高齡」這個照顧議題更是與醫療照護領域密不可分，我們必須先改變固有的思維，摒棄「老」即是能力差、需要幫助的觀念，跳脫傳統的醫療照護框架，持續涉獵跨領域的學習， 以新的思維並具備整合的能力參與投入在急性醫療照護、亞急性醫療照護、長期照護、居家護理、社區護理、公共衛生、學校護理等各場域中，推動高齡友善照護與加強慢性疾病的自我管理能力，發展健康促進及預防或延緩失能、失智的介入措施與照顧方案。參考各國高齡因應經驗及專業知能，善加引導促進長者發揮「優勢理論」與營造「自助、互助、共助、公助」的氛圍，盡其所能維持或增進其現有的功能，建立以長者為中心，家庭為基礎，社區為支撐的長期照護目標。
我們的行動就在此刻
在面臨高齡化的照顧需求下，預防或是延緩的工作是刻不容緩的課題，首先針對健康、亞健康的長者如何推動健康促進，以延緩慢性疾病或避免失能與失智的發生。近年來台灣衛生福利部推動的「預防及延緩失能照護計畫」中進行人才的培育並提供相關的創新服務，針對引發失能及失智之危險因子，規劃包含肌力強化運動、生活功能重建訓練、社會參與、口腔保健、膳食營養及認知促進等方案，基督徒護理師參與接受相關裝備訓練後在照護衰弱病人或社區、居家的相關場域，例如：關懷據點及巷弄長照站等皆可應用，提供服務對象有關健康促進之衛教及社區資源的轉介與聯繫。以屏東縣全縣的護理人員來看，約七成從事急性醫療專業照護，基層診所及公家機關等佔約二成，投入長期照顧領域仍佔少數，但是對長照政策制度與發展必須學習了解，對機構、社區、居家相關的資源要有所掌握，如社區創新設立之社區整體照顧服務體系中，服務單位分為A-B-C三級。A級是「社區整合型服務中心」；B級是「複合型日間服務中心」；C級是「長照巷弄站」。社區衛生護理師與長照機構護理師如衛生所、機構、失智共同照護中心等，依其擔任不同的職場領域，針對接觸到有長照需求之民眾，方能提供整體社區照護、衛生計畫、強化初級預防、預防與延緩失能、以及健康促進等服務，發揮護理專業之角色與功能。
在急性醫療照護上，面對日益增加的高齡病人，應具備有「促進高齡照護資源整合」的功能，認識相關社會照護資源及社福系統。能運用高齡的照護知能來完整評估高齡者的照護需求，提供高齡友善的照護流程與設備設施，了解同理高齡者身、心、社會，甚至靈性上的需要，以尊重、關懷及支持的態度來對待長輩。其次護理師在病人出院前需要扮演主動積極的評估與溝通轉介角色，透過個案發現、需求評估、個案資料連結及長照服務資源轉銜服務，並發揮教育與諮詢的角色功能，讓個案在出院後，即時有照顧資源介入，在醫療照護團隊中加強橫向連結溝通，在病人需要轉介至其他專業時，給予充足的資訊。與院內的出院準備服務護理師、出院準備小組及家屬、照顧者共同討論符合高齡者出院返家的個別持續性照護計畫並協助相關資源的連結，提供急性病症出院個案回到社區後，能夠得到居家照顧、輔具提供、以及居家護理師或物理治療師、職能治療師等專業人員之服務，使個案得到適切地照顧， 能儘早恢復功能，達到身心安適狀態，並逐步朝向醫療照護及長期照顧間的無縫接軌。在急性後期照護階段，護理人員對醫療狀況穩定、具積極復健潛能之功能障礙者，能依個別病人失能程度，與復健團隊討論規劃急性後期照護計畫，在治療黃金期內提供住院、門診、居家及機構等模式之積極性整合性照護，使其有機會恢復其最大的生活功能，促使個案早日離開醫院回到社區，享有更好的生活品質。
對出院及居住在社區中，需要繼續照護的居家護理個案與家屬及主要照顧者，能在生活適應上獲得良好的醫療照護，協助減輕家屬及主要照顧者之壓力，基督徒居家護理師透過家 庭訪視進行個案健康狀況評估、主要照顧者照顧技能評估，主動發掘個案與家屬及主要照顧者的需要，並透過實際觀察照顧執行過程，教導家屬如何執行居家照護，提供與協調家庭可 應用之長期照護社會資源，凝聚家庭共識並發揮家庭功能。依照個案需求協調照護團隊提供 適切之服務；當個案處於健康穩定期，可連結營養師、物理治療師與心理諮商師等，及早評估營養與運動需求，規劃相關措施，以促進健康，預防疾病；當個案處於活動障礙期或出現失能問題，協調復健團隊介入，提供行動輔具協助、交通接送服務、社會資源使用及適時指導，防止關節攣縮等合併症發生；當個案出現呼吸衰竭，需仰賴呼吸器時，安排呼吸治療團隊的協助；當個案發生末期不可逆疾病時，聯絡包括居家安寧護理師之安寧療護團隊介入協助。因此，居家護理師是在地成功安老的重要關鍵人物。
王后的位份，所為何來？
台灣護理人員福音協會的使命是：藉著護理專業與信仰，結合基督徒護理人員，推動護理的福音事工，鼓勵並支持醫療宣教。如今面對高齡化世代的來臨，我們對高齡者必須有正確的友善態度及真正的理解，高齡社會需要的是團隊照護合作，學習具備有「促進高齡照護資源整合」的能力，運用我們的專業和信仰與更多的專業人員結合，分工合作在各自的職場提供符合高齡者需求的優質照護服務，求神吸引感動更多的基督徒護理人員對預防及健康促進更加的認識與重視，致力加強醫療照護體系的持續整合，在所處的場域上，把握機會、用愛與關懷投入高齡照護的行動，就由「健康促進、健康老化、活躍老化」本身開始做起，以身作則，發揮護理獨特的功能，一人影響全家，全家影響鄰里，鄰里影響社區，就能對社會產生相當的影響力，這也是我們成功轉型成高齡化社會的重要關鍵，願神幫助我們，有能力回應神在這個高齡化世代的託付，真正成為「老有所終，壯有所用」的祥和高齡社會。
參考文獻
內政部（2018）‧107 年1 月各縣市人口年齡結構重要指標‧2018年2月6日取自https://www.ris.gov.tw/346
台灣失智症協會（2018）．105~150 年臺灣地區失智症人口推計報告．取自http://www.tada2002.org.tw/tada_know_02.html
衛生福利部（2015）．長期照顧十年計畫2.0—106~115 年核定版。
衛生福利部（2016）．長期照顧十年計畫2.0 之推動．取自https://1966.gov.tw/LTC/cp-3635-106-201.html衛生福利部（2017）．長照服務量能提升計畫—建構使用者為核心的長照體系。
衛生福利部（2017）．護理及健康照護司．長照服務法． 取自https://www.mohw.gov.tw/cp-16-29089-1.html
An Aged Society: Experiences from Taiwan
Pei-Fang Chia, MHA, RN, is Associate Dean of Pingtung Christian Hospital.
She serves as Executive Director of Nurses Evangelical Fellowship of Taiwan.
Taiwan is facing a social structural change regardingthe declining birth rate and aging issue. In 2018,people over 65 years of age, reached 14.6% of the totalpopulation of 23.52 million, meeting the internationalstandard of an “Aged Society”. In just eight years later,the elderly population rapidly climbed to 20%, whichmakes Taiwan a Super Aged Society in 2026. This risewill be the fastest in the world. The elder population inthe country is about 3.07 million with an average lifeexpectancy of 80.2 years. Among them, the male has anaverage lifespan of 77.01 years old and female averages83.62 years old. The average life expectancy after 65years old is almost 20 years. To prevent or delay disabilityand dementia effectively, and make the national”Healthy Aging in Place”, the combined effort from thegovernment and citizens of Taiwan is required. This isalso a goal pursued by all the countries in the world.
The symbol of the grace of God is in Taiwan
Taiwan is commonly known as “Formosa”. The administrativedivisions consist of 6 special municipalities,3 provincial cities, and 13 counties. There are 30 highlandaboriginal townships, 25 plain aboriginal townships,and 18 townships in the outlying islands. According togeographical environment, population distribution, andresource allocation, there is a gap between urban andrural areas. Western medical science has been introducedto Taiwan along with medical missions. The missionaryestablishes 20 Christian hospitals, which including onein an outlying island, are located in the remote areas ofthe main island. Based on the statistics, so far the numberhas been increased to 28. For the love of God, the Christianhospitals have been serving their community to meetthe needs of the people. From the early stage of publichealth, epidemic and healthcare prevention, to the healthpromotion and long-term care services development inthe aged society today, we all realized that “For we arehis workmanship, created in Christ Jesus for good works,which God afore prepared that we should walk in them”,Ephesians 2:10. The establishment and development ofthe Christian hospitals respond to the different needs ofall stages of the changing social environment and createthe foundation for all kinds of good works. The thoughtof God is higher than humans. God’s grace is markedclearly on the whole island of Taiwan from the past tonow. His love and planning never change.
Long-term care ten-year plan 1.0 has started
The Taiwan government promoted the long-termcare 10-year plan 1.0 since 2008, and gradually set upthe “Long-term Care Management Centers” in countiesand cities throughout the country to promote long-termcare. The service targets are limited to the elderly over65, over 55-year-old highland Indigenous people, peoplewith disabilities over the age of 50, elderly with IADLsdisabled and living alone. To provide the following services:care services, which include home service, daycare, and home care, assistive devices and home accessibility,meal delivery services, transport services, longtermcare services, home care, community and homerehabilitation, and respite care, a total of eight services.In order to promote long-term care in Taiwan, we face many problems and challenges, such as inadequate anduneven distribution of long-term service resources, longtermcaregivers training and development, integratedlong-term care information and related service resources,financial resources sustainability, and to persuade industryinvestment in the long-term care. There are policies topopularize and even development of home, communityand institutional resources, enrich the long-term caregivers,planning and training qualified personnel, enhancingthe professional quality and integrity of the laws andinstitutions, establishing and integrating the smart informationsystem for long-term care, moderately developthe industry to invest in the long-term services, and longtermsustainable financial planning.
The transformation of governmentorganizations and the formulation of laws andregulations
In response to the upcoming major issue of thedeclining birth rate and the aging population, the Taiwanesegovernment plans to reorganize and formulate along-term care service law. On July 23, 2013, the governmentinitiated the new organizational structure, whichis Ministry of Health, and is looking forward to closelyintegrate long-term care, child and adolescent healthcare, welfare and rights protection for the elderly and thedisabled to provide a complete service and enhancingthe service efficiency of the whole health and welfaresystem. In order to provide and integrate the legal sourceand basis of long-term care law, the long-term care servicelaw is developed and then passed on May 15, 2015.The presidential decree on June 3, and launched in June2017. The purpose of this provision is to integrate thelong-term care services, long-term care system, and personneland organization management. Additionally, thisprovision aims to develop service personnel and institutionalresources, and ensure the quality of service. Therefore,the rights of the cared are protected and the longtermcare system has a complete legal basis.
Long-term Care ten-Year Plan 2.0
Since the change of population structure, the growthof age, and the development of medical technologies,the major diseases of the elderly have been transformedfrom acute to chronic in Taiwan. Due to the continuousincrease in the number of the elderly and the disabled,the accompanying care needs, the burden on the country,society and family all increased. A long term 10 yearplan 2.0 officially launched in 2016. The target populationis expanded to cover the disabled elderly, the peoplewith handicap, dementia or weakness. The service itemswere also increased from 8 to 17, and from single-serviceto integrated service delivery. The integrated services includedementia care, community support services, familysupport services, community compound services, communitypreventive care system, prevention and delayingdisability, health promotion, discharge planning, andmedical care at home. The transportation service is basedon community care. To synergistic integrate the longtermcare management centers and the service deliverysystems in all counties and cities. To set up long-termcare bases in each hierarchy of community, hopefully topromote the elderly able to age in place, active aging,and pursuit of healthy living, but not medical attention.Hopefully to achieve the case and family-centered, emphasison community-based, human resource integrationmoves forward to prevent and care for health, and gobackward to develop the home hospice care. To strengthenthe integration and coordination of healthcare resources,providing referral and care resources, and establishinga continuous community care service system, in order tocontinue to effectively support the elderly living amongfamily and community. On the other hand, each servicerequires the professional effort of nurses. From the acute to post-acute medical care, they provide a continuity ofcare that further links between home and community tothe institution, and establishes an emerging integratedcommunity care service system to enhance the quality oflife of long-term care cases and caregivers. Nurses areplaying a pivotal role in long-term care services.
New wine in the new bag
In the area of Pingtung County, where the authorresides and serves, there is a total population of 830,969.The population of above 65-year-old in the county is130,343, which accounts for 15.69% of the total populationof the county. The proportion of disabled elderly isabout 9.5 %, but the proportion of disability care fundsaccounted for 92.3%. Non-disabled and slightly disabledelderly population accounted for about 90.5%, the proportionof preventive care accounted for only 7.7%. Liveuntil old age is an honor. The Bible says, “Thou shaltrise up before the hoary head, and honor the face of theold man, and fear thy God: I am the LORD.” Leviticus19:32. “Old” is associated with debilitation, disability,and dementia. However, people neglect to promotehealthy aging, active aging, and aging in place are thebest goals of guarding the dignity and quality of life ofthe elderly. Aging is an issue that cannot be separatedfrom medical care. We should change our stereotype thatbeing “old” implies a lack of ability and independence.Think differently from the traditional framework ofmedical care, and keep learning the interdisciplinary areas.Utilize the renewal mind and integrate the ability toparticipate in each area of acute care, sub-acute medicalcare, long-term care, home care, community care, publichealth, and school nursing. Promote friendly aged care,and enhancing the self-management ability for chronicdisease. Additionally, develop interventions and careplans for health promotion and prevent or delay disabilityand dementia. Based on the experience and professionalknowledge from aged society from all over the world, weare encouraged to promote the elderly to adapt “Theoryof Advantage” and create an atmosphere of “self-help,community assistance, insurance assistance, and socialassistance”. Do our best to maintain or enhance the functionsof the elderly. Ultimately, to establish the long-termcare that is elderly centered, family-based, and community-supported.
Action now
Due to the unmet needs of the aging care, preventor postpone disability is an urgent task. First of all,implementing health promotion for the healthy andsub-healthy elders, in order to delay the chronic diseases,or prevent disability and dementia. Recently, theMinistry of Health and Welfare of Taiwan promoted the“Prevent and Delay Incapacity Care Plan” to traininghealthcare staffs and providing innovative services. Inresponse to the risk factors of incapacity and dementia,the project plans include muscle strengthening exercises,life function reconstruction training, social participation,oral care, dietary nutrition, and cognitive promotion. TheChristian nurses are involved in the care of debilitatingpatients or communities and home care related fieldsafter receiving training. For example, both caring basesand ally long-term care stations can be applied to providethe client referrals and contacts on health promotion educationand community resources. There is about 70%of the nursing staff in the Pingtung County working foracute medical care. And 20% of them are working atprimary care clinics and public authorities. The longtermcaregiver is still the minority. They have to learnthe policies and development of long-term care and understandthe resources of the institution, community, andhome care. Such as community innovation to establishthe whole community care service system that is dividedinto ABC three classifications. Class A is a “Community integrated service center”; Class B is a “Compound dayservices center”; and Class C is “Long-term care alleystation.” Community health nurses and long-term caresnurses, such as, health clinics, institutions and dementiacare centers are working on different occupational fieldsand get in touch with the person who needs long-termcare. They also provide access to community-based care,health care project, strengthen primary prevention, preventionand delaying disability, and health promotion, inaddition to performing the role and function of the professionalnursing.
We all face the increasing number of elderly patientsin acute medical care. Therefore, we should qualifyfor promoting the elder care resources integration, andrecognize the social care relevant resources and the socialwelfare systems. Utilize knowledge of aged nursingcare to completely assess their needs. Providing elderfriendlycare processes and facilities, understanding thephysical, mental, social and even spiritual needs of theelder, and to respect, caring, and support the elders. Additionally,before the patient discharge, the nurse shouldplay active roles in assessment and communication forreferral, through finding a case, assessing needs of thepatient, linking case information, transferring long-termcare resources, and being the educator and counselor.Therefore, the case would be provided care resources ontime after leaving the hospital. To enhance cross-linkingand communication in the medical care team, andprovide adequate information when patients need referralsto other professions. Discussion with dischargeplanning case manager, discharge planning care team,family members and caregivers, regarding the individualcontinuous care plan and assist in the linkages of relatedresources. Assisting the acute care case to discharge andreturn to the community, getting the services with homebasedcare, provision of aids and professional services,such as home care nurses, physiotherapists, and occupationaltherapists. Therefore, the case will be properlytaken cared of, to restore function sooner, to achievephysical and mental comfort, and toward seamless medicalcare and long-term care.
The nurse in the post-acute care is able to set up thecare plan according to the degree of disability of patient,who is medically stabilized with active rehabilitation potential.To provide the positive care mode, that integrateswith inpatient, outpatient, home-based, and institution, inorder to restore the functions of the patient.
Home care aims for discharged patients and thoseliving in the community who need continued care. Toproviding quality medical care for adapting to life, relievingthe pressure of the families and primary caregivers,facilitating their return to the community, and enjoyingthe better quality of life. Home care nurses assessingthe health situation of the case and the care skills of thecaregiver through home visits, to explore the needs of thecase, families and the caregiver initiatively. Utilize practicalobserving skill on the implementation process, toteach family members to perform home care, to provideand coordinate useful long-term care social resources,and unite family consensus and functions. Coordinatewith the health care team to provide appropriate servicesaccording to the case needs. While the case is stable, toconsult the nutritionist, physiotherapist, and psychosocialcounselor, to assess nutrition and exercise needs on time,and to plan relative interventions, in order to promotehealth and disease prevention. While the case is impedimentin activity or incapacity, coordinating the rehabilitationteam to intervene, providing assistance in mobileaids, transport services, utilization of social resourcesand education to prevent joint contracture and complications.In case of respiratory failure with ventilatordepending, arrange respiratory assistance team. Once thecase gets an irreversible disease at the end of life, contactthe hospice team, that including home hospice nurses tointervene and assist. Therefore, the home care nurse is animportant key person for the success of this project.
Who knows whether thou art come to thekingdom for such a time as this?
The mission of the Nurses Evangelical Fellowshipof Taiwan is to nurture professions and beliefs, combiningChristian nurses, promoting gospel ministry of nursingcare, and encouraging and supporting medical mission.Nowadays, the aging era is coming. We must have acorrect and friendly attitude to the elderly and aim to trulyunderstand. The aged society needs teamwork and cooperation.Learning and qualified for the ability of “promotethe elder care resources integration.” To connectingwith more professional staff by our profession and faith,coordinator in each work place to provide high-qualitycare services to meet the needs of the elderly. May dearLord to attract more and more Christian nurses to awarenessand emphasis on prevention and health promotion.Devote to continuing integration of the medical care system.Taking the opportunity and participate on the eldernursing care with love and caring in each field. Let’s startfrom the “health promotion, healthy aging, and activeaging” itself, and set an example for unique care, oneperson affects the whole family, and the whole family affectsthe neighborhood, and the neighborhood affects thecommunity. Then, we will be able to exert considerableinfluence on the society. This is also the key point for usto transformation into an aging society successfully. MayGod help us to be able to respond to God’s entrustmentin the Aged generation, and has truly become a peacefulaged society that “Provision is secured for the aged tilldeath, employment for the able-bodied”.