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  1. Leff, Ellen W. RN, BSN, MS
  2. Sonstegard-Gamm, Janel BS


Elderly patients who neglect their own health present special challenges. This article describes techniques for establishing rapport, understanding the patient's world, using a team approach to care, and achieving closure. At each step the clinician must find a balance between respecting the elder's rights and meeting his or her healthcare needs.