Aging is a risk factor for chronic disorders, such as arthritis, diabetes, and cardiovascular diseases (Shi, Liu, Zhang, Lu, & Quan, 2008). Wolff, Starfield and Anderson (2002) reported that 82% of the elderly had one or more chronic conditions. The prevalence of chronic conditions between those 65 to 69 years of age and those who were 85 years of age or older were 74% and 88%, respectively. Moreover, Mion (2003) explained that chronic conditions can cause disability, and this disability may be exacerbated in those elderly having multiple chronic conditions. Consequently, the older population utilizes a large proportion of the health care services.