With 22% of the United States (U.S.) population expected to be over the age of 65 by 2060, the readiness of the healthcare workforce to treat older adult patients in primary care and other outpatient settings has never been more important. This shortage is especially concerning in rural and underserved areas. In these areas there are fewer on-site providers and support staff forcing primary care providers (PCPs) to take on greater responsibilities for each patient, often missing important assessment and diagnostic information at early appointments. This chapter will focus on practical considerations, including assessment of initial concerns related to cognition and mental status, management of concerns, and ways to facilitate family and community involvement.