The authors of this volume take as their starting point 'striking moments' in their practice with older people, their families and other practitioners. They integrate these with current systemic thinking to offer new perspectives on working with older people in a range of physical health, mental health and social care contexts. This book is practice led and contains a wealth of examples that will be familiar both to practitioners working with older people and to older people themselves and their families. The authors, all experienced clinicians, place an emphasis on how systemic and narrative approaches might relate to these real world dilemmas and point to ways forward in working with older people in a world where social isolation, ageism and discrimination are commonplace.