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The issues of older adults outliving family members and living alone with no family support or existing social networks raise concerns on the health and wellbeing needs of this particular population group. This article explores the concept of orphaned older adults within the healthcare context through an integrative review of literature. The review utilized online health databases and online publishing platforms for grey literature. Eight articles focusing on elder orphans within the healthcare literature were included in this review. Four emerging themes were identified: characteristics of the older adult orphan; healthcare and clinical oversight; older adult orphans’ support services; and ‘older adult orphan’ as an advocacy healthcare terminology. Elder orphans are vulnerable older adults who may have current stable health status, yet are at risk of health-related issues which could hinder their decision making ability in …