These cases will give the learner training in caring for older patients with selected gynecology abnormalities, dementia, depression, bipolar disease, and elder abuse. The cases also focus on care giving as a goal-oriented approach. After using these cases, learners will be able to: 1. Know their responsibilities in recognizing elder abuse. 2. Know the presentation and work-up of cognitive impairment. 3. Recognize depression and know how to make choices in treatment. 4. Recognize psychotic depression as different than depression and treat appropriately 5. Recognize manic symptoms in the elderly 6. Understand the differential diagnosis of parkinsonism. 7. Recognize the dangers of treatment of parkinsonism from Parkinson's Disease. 8. Understand the basics of Frontal Lobe Dementias. 9. Know the basics of the major gynecological malignancies. 10. Understand the need to establish a goal before embarking on an invasive work-up. 11. Gain a basic understanding of gynecologic dermatology.