By 2050, it is projected that close to 1 in 5 Americans (19.3%) will be older than 65.1 It is projected by 2040 there will be 127 women for every 100 men in this age category.2 Along with the increasing numbers for women, there is a parallel upward trend of alcohol use in older adults from less than 40% in 2006 to greater than 55% in 2012.3 and 4 The purpose of this article is to provide an overview of alcohol use among older women and adverse health outcomes associated with alcohol use across this continuum. Additionally, the advanced practice nurse (APN) is provided with a practical guide using the evidenced based Screening, Brief Intervention, and Referral to Treatment (SBIRT) approach to prevent and reduce harm associated with alcohol use.