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Arch Pediatr Adolesc Med. 2003;157:207-208.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

In the study by Contro et al in the January issue of the ARCHIVES, the authors gathered information from family members of deceased patients treated in their institution with the purpose of using it as a resource for developing palliative programs.¹ As stated by the authors, most of the important observations had already been described in the literature by different investigators. However, the authors failed to address one challenge for the medical staff and the parents that has profound importance, namely, the developmental needs of the child.

While the young child lives for the moment, relies on the caregivers with complete trust, and has no perception of the meaning of death, children older than 5 years begin to perceive the adult world differently. Most of them realize that death is irreversible and may happen to them. If the subject of death is not addressed, anxiety and fears of the unknown . . . [Full Text of this Article]

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Palliative Program Considerations
Nancy Contro
Arch Pediatr Adolesc Med. 2003;157(2):208.
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