This educational video module is on shared decision making with older adults. By the end of this module you should be able to work effectively as a member or leader of a health care team that practices shared decision making with older patients and families. You will learn to incorporate their cultural background, health literacy, desired level of participation, preferences, and goals of care. The module focuses on the special issues in engaging in shared decision making with older patients, including those with cognitive impairment. Concrete behaviors are discussed that can be engaged in to help shared decision making happen.