In the last decade we have witnessed a significant legislative transformation with regard to the death and dignity process, and respect the decision of the people in this framework. In that way, different legislation at regional level in our country have been articulated to ensure the right of patients to produce documents of advanced directives or living will. This fact has highlighted the need not only to legal regulation, but a deep change in the pattern of relationship between health professional and patient. Advance planning of healthcare (PAAS) represents an important step in respect for patient autonomy and the desire to involve the person in the decision making process, in matters relating to his own death. This process is developed in order to find solutions to ensure the autonomy and freedom of those who, from a given moment, have lost the ability to make decisions. In this model of care, the role of nursing is not only necessary but essential.

Urinary incontinence is one of the most influential factors which negatively affect patients' quality of life suffering from spinal cord injury. It affects their self-esteem, interpersonal and work relations, their independence, together with their leisure and free time activities. Urine collectors are among the products that contribute to improve the autonomy and quality of life of patients with urinary incontinence. A simple functioning device which can be determinant in achieving that urinary incontinence has an almost nil impact in the life of a patient with spinal cord injury. Choosing the right product is the key to success and the reason why we introduce Conveen® Optima, analyzing the manifold factors directly or indirectly related to the use of this collector.

Nowadays, social and health representatives are putting the focus on emerging need: promote intergenerational programs and practices to generate spaces of encounter and collaboration between people of different ages. According to it, the purpose of intergenerational practices should be to achieve as aim for a society for all ages, regardless of age, an expression proposed by United Nations, not only to integrate all ages but to respond to their needs and provide them a higher quality of life.

Nursing university education has to respond to the challenges of the 21st century. Health conditions are highly complex with associated social problems. The universities should train nurses with a transforming vision, by defining study plans, preventive approach and promoting health, in a context of community health. The information and communication technologies along with the nurse leadership are also essential elements of value for graduated nurses. An innovative response to social needs and transformation of society requires commitment in defining the study plans of degree and also in the master's degree and in the continuing education programs. Investigate is how to acquire the necessary skills to generate knowledge to help ensure the professional development of nurses and contribute to the persons health.