In recent years, all western industrialized countries, and to a growing extent even many developed and developing Asian nations, have witnessed a remarkable growth in numbers of older people [1]. Future projections anticipate continued increases, particularly in numbers of individuals who are 85 years and older [1]. Although US statistics have indicated recent declines in disability trends [2], overall numbers of older individuals living with disability and functional dependence are likely to increase given projected increases in life expectancy [3]. For example, average life expectancy for women born today in the United States is nearly 80; for men, it is nearly 75 [1]. With these considerations in mind,.