Geriatricians and other health professionals face a growing number of ethical dilemmas in the care of older adults. These situations are in part due to the demographic wave of ageing in America and the confluence of technological advances in medicine and rising costs of care. However, there are also value-driven factors contributing to, or in some cases, creating these dilemmas. These value-driven factors include functional views of personhood, rejection of the intrinsic sanctity of human life, and a youth-oriented culture that sees older adults as a burden on society. Christians are called to respect older adults by speaking for them when they cannot and by honoring them in the day-to-day process of taking care of them. This presentation will examine the above tension facing Christian healthcare professionals in the context of several representative cases. These cases will include advance care planning, request for euthanasia, requests for stopping eating and drinking (by proxy or by advance directive), and the perception that older adults are a burden. Discussion of these cases will include biblical responses, as well as ways of articulating secular reasons for making life-affirming choices.