The combination of an ageing population and second peak of onset of IBD in individuals aged 60 and over means the management of IBD in the older person is becoming ever more important. The course of IBD differs in elderly patients, and comorbidity and polypharmacy are more likely in this age group which may impact upon management decisions, particularly in regards to the use of immunosuppressant, steroid, biological, and small molecule therapies. This chapter considers specific considerations for nurses and other healthcare professionals managing the older person with IBD, highlighting appropriate assessment and management skills nurses can develop to play a meaningful role in the management of IBD in the elderly person.