This article explores the importance of social work in the context of an ageing population, linking the historical development of care for the elderly with current challenges and future trends in this area. Based on an interdisciplinary approach, it explores the transformation of perceptions of old age, the development of the concept of active ageing and quality of life, and their impact on social work practice. It also highlights the need to overcome ageism, to promote participation of the elderly and intergenerational solidarity, the development of community services and the use of modern technologies. The article also emphasizes the importance of professional social counselling as a key tool to support the elderly and their families. The text focuses on strategic approaches to enable seniors to experience old age with dignity, meaning and in accordance with their individual needs, and emphasises the need for systemic change and interdisciplinary cooperation. Finally, the paper reflects on the future of social work as it faces the growing challenges of demographic ageing, offering practical recommendations for innovation in this area.