On a daily basis care providers in elderly care are confronted with ethical issues. What, for example, do you do when a resident wants to stay in bed, while family members think it is better for her to get up and participate in activities? The first part of this dissertation gives an overview of various forms of ethics support that were internationally developed in the last decades to support care providers in dealing with these issues. Harvesting information from Dutch institutions for elderly care showed that the need for ethics support is very specific and not always articulated. The second part contains an evaluation of Moral Deliberation projects in two nursing homes and homes for the elderly. The results show that Moral Deliberation corresponds well with the specific needs of care providers because it focuses on everyday ethical issues, the own experience from practice and the development of skills to enter into a dialogue.