Depression in elderly patients is a growing problem, especially with patients who suffer from dementia. The psychological status of these older adults makes it easy for the symptoms to be overlooked. Nurses have a responsibility to provide the necessary care possible for these patients. Training is an essential part of recognizing depression to be able to render the necessary treatment. Additional methods of treatment include medication, electroconvulsive, psychotherapy or animal therapy may be the best option to implement in the nursing care plan. The nurse’s assessment and evaluation is an essential step for providing the necessary care for these patients. The nursing plan is to recognize, address and adapt to the patient’s needs for the best care possible. This will ensure that the elderly patient’s depression does not go unnoticed or untreated and provides a greater potential for a fast and efficient care.