Epidemiological evidence reveals that many people are living longer and healthier lives. However, for some older people, this phase of life can be associated with a loss of autonomy, independence and a decline in health requiring support and care in a range of settings. This chapter will focus on how meaningful ageing can be preserved, safeguarding the dignity and self-respect of older people. It will provide an overview of what meaningful ageing is and how this can provide a framework for ensuring the spiritual needs of older people are assessed and supported.