More than twenty percent of the nation's capital will be made up of people over the age of sixty-five by 2030. It was noted in the Institute of Medicine report that nursing education in the twentieth century it was oriented towards common pathological processes. Nursing in the twenty-first century focuses on more complex comorbidities such as hypertension, diabetes, cardiovascular disease, arthritis, and mental health conditions. There is also significant attention to socioeconomic vilifications, long-term care, health care policies and procedures, leadership, nursing research, and educational advancement, to put it mildly. Additionally, much of nursing education revolves around acute care rather than community settings that include aspects of primary care, public health, and long-term care. Nursing education often does not incorporate the complexities of care coordination and transitions. Nor does it foster the skills needed to negotiate with the healthcare team, […] Nursing curricula must be reviewed, updated, and adaptive enough to change with changing patient needs and improvements in science and technology, the IOM committee says.( National Academy Of