|In the coming decades will see an aging population worldwide, which will eventually be reflected in economic, social and demographic level, triggering profound implications in planning care for older people - for people over sixty five years old.The aging population has created a concern for health care and support provided by society for the elderly. In Portugal at 2008, seniors (+65) representing approximately 17.1%, in 2060 will represent about 30%, while the percentage of people over eighty years of age will increase from the current 4.4% to 12.1% in 2060. The growth of health expenditure recorded in the last decade can conduct to an unsustainable financial situation that, given the growing needs for care of an aging population, seems to be necessary a new model of healthcare and monitoring of older people. With long life term comes the comorbidities; therefore the nursing homes have to be prepared with human resources capable to respond to this challenge and use them efficient, to reduce the costs and provide a quality care.The provision of integrated care, with the presence of nurses, differs from other types with respect to the contribution of knowledge about geriatric care, supervision of recreational activities, nutrition, health and development of skills for activities of daily living, such as extra care, food handling activities and social. The nurse can contribute / participate in all activities and care for the elderly.