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Older adults may face cognitive decline, which can affect their ability to give informed consent. Professional responses include assessing decision-making capacity, explaining information in understandable terms, and seeking consent from a legally authorized representative when necessary.

Maintaining confidentiality is crucial, yet challenging with older adults who sometimes share personal care with family members. Professionals should disclose information only with consent, ensure secure communication, and discuss confidentiality limits with the client and family.

Capacity evaluations are sensitive, especially when determining competency for legal or medical decisions. Professionals should use standardized assessment tools, consider all aspects of the individual's abilities, and remain unbiased.

Ethical dilemmas often arise around end-of-life care. Psychologists should respect the patient’s wishes, facilitate advance care planning, and assist in understanding and communicating the patient's end-of-life preferences.

Older adults are at risk of financial exploitation. Professionals should educate clients about potential scams, report suspicions of exploitation, and collaborate with legal services when appropriate.

Dual relationships with clients can compromise professional boundaries. Geropsychologists should avoid dual relationships, set clear boundaries, and seek supervision or consultation if conflicts arise.

Practitioners must be aware of cultural variations in aging experiences and be sensitive to diversity issues relating to ethnicity, religion, and sexuality among older adults. Professional responses include ongoing cultural competence training and tailoring interventions to the client’s cultural context.