• Elder abuse is common, affecting 5%-10% of older adults.• There is insufficient evidence to recommend screening all older people for elder abuse and insufficient evidence to recommend any one intervention.• However, physicians still need to address this relatively common health issue. An advocacy approach for suspected elder abuse is recommended.• Following an assessment of capacity, physicians should educate the patient about elder abuse and direct him or her to local resources, including home care and respite agencies, legal services, shelters and government-supported elder-abuse and police services.