In this issue of Critical Care Nursing Clinics, guest editor Dr. Deborah Garbee brings her considerable expertise to the topic of Older Adults in Critical Care. Older adults often present to critical care settings with multiple co-morbidities, polypharmacy, and geriatric syndromes, and critical care nurses need knowledge and skills to address the challenges presented by older adult patients and their care. In this issue, top nursing experts discuss new models of care, approaches to assessment and management, and guidelines for critical care nurses.