Palliative care and end-of-life care World Wide Web resources for geriatrics

As the average life span of Americans increases, there is a tremendous need for geriatric- specific information and resources, especially for those older adults with life-limiting illnesses. Emerging literature underscores the differences in palliative and end-of-life approaches between younger and older adults in treating symptoms, understanding issues related to psychosocial and spiritual well-being, and alleviating caregiver burden. Hundreds of internet sites currently exist that pertain to geriatrics, and health professionals now have access to evidence-based clinical care guidelines, guides for education and training, and networks to support patients and their families. Even consumer-oriented organizations have assumed responsibility for informing patients and families and outlining supportive care services for patients and families. This paper reports the results of a systematic evaluation and critique of 15 websites, and summarizes their unique contributions clinical care guidelines, teaching materials and training opportunities, effective models of care, and advice on dealing with the complex emotional, social and financial issues facing older adults at the end-of-life.