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“ There is always rain around me.” Supporting Children with Seriously Ill Parents

“ There is always rain around me.” Supporting Children with Seriously Ill Parents. Kathleen Brown, NP and Thuy Pham, MD Santa Clara Valley Medical Center. Anna aged 7 when her dad died. Mrs. N’s Story. Does Tommy understand the concepts of death?. Losing a Parent by Age 15 in USA.

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“ There is always rain around me.” Supporting Children with Seriously Ill Parents

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  1. “There is always rain around me.”Supporting Children with Seriously Ill Parents Kathleen Brown, NP and Thuy Pham, MD Santa Clara Valley Medical Center

  2. Anna aged 7 when her dad died

  3. Mrs. N’s Story

  4. Does Tommy understand the concepts of death?

  5. Losing a Parent by Age 15 in USA

  6. Definitions

  7. Concepts of Death

  8. Factors to Consider…

  9. Factors to Consider…

  10. Infants to age 2 years

  11. 0-2yr: Predominant Concepts of Death None However… • May sense that something is wrong • Acutely aware of loss and separation • Perceive others emotions, especially significant adults • Sensitive to changes in the schedule

  12. 0-2yr: Interventions • Provide maximal physical comfort • Familiar persons • Transitional objects (favorite toys) • Consistency • Use simple physical communication

  13. True/False: Young children do not grieve.

  14. >2 to 6 years

  15. >2-6yr: Predominant Concepts of Death • Believes death is temporary and reversible (like sleep) • Does not personalize death • Believes death can be caused by thoughts

  16. >2-6yr: Interventions

  17. True/False: Children need to understand and make sense of their experience in order to help them learn that dying and death are part of life.

  18. >6 to 12 years

  19. >6-12yr: Predominant Concepts of Death

  20. >6-12yr: Interventions

  21. True/False: Adults know better whether or not to allow a child to participate in funerals or other post-death rituals.

  22. >12 to 18 years

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