This issue of Perspectives on Gerontology focuses on the ethical and clinical practice challenges in gerontology. Articles include the ASHA Code of Ethics, updates on health care legislation impacting geriatric patients, and a description of the various challenges faced by SLPs delivering service across practice settings.

Learning Outcomes
You will be able to:

• discuss specific challenges that clinicians face in the long-term setting and how the Code of Ethics assists in navigating the skilled nursing facility health care environment
• discuss the Patient Protection and Affordable Care Act of 2010 (ACA), the Health Care and Education Reconciliation Act, and the impact of health care changes on speech-language pathology practice with older adults
• describe strategies the SLP can use to assess the source of resistance to change in implementing new programs and ways to facilitate optimal outcomes
• discuss specific challenges and develop clinical solutions that will assist in providing optimal patient care within the applicable procedural, regulatory, and reimbursement systems

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