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            Grief in children and young people

            The level of understanding of the meaning of death and individual
            responses will vary according to the age of each child. Even very
            young  children  will  have  some  awareness  of  the  death  and  feel
            sadness and distress which they may not be able to express openly
            or easily.

            It is very important to communicate openly with children about illness
            and death, so that they can process their loss and express their
            feelings. It is common for them to have false beliefs about being
            responsible in some way for the death, so it is important that they
            understand  why  their  special  person  died.  Children  grieve  very
            differently to adults. Often they may appear unaffected by the death,
            and will go about their normal routine and not talk much about the
            deceased. This is not an indication that they don’t care, just a normal
            way that children cope with loss. Over time, they may ask questions,
            and may need to hear the same information over and over again to
            understand it fully. They may be angrier or more withdrawn, and have
            nightmares  or  problems  sleeping.  You  may  notice  that  they  act
            younger than their years for a while following the loss. All these things
            are normal grief reactions. Things that help are letting children know
            what will stay the same, keeping to normal routines, providing extra
            love and reassurance and informing the child’s school so they can
            support them too.


            Further help

            Asking for help outside the family can often be difficult but may be a
            great benefit to you. Support is available from the Palliative Care Team
            at King’s College Hospital and from other sources, some of which are
            listed in Useful contacts on page 19 of this booklet.


                                   The Palliative Care Team
                                  Telephone: 020 3299 4060
                         Email: kch-tr.palliativecareteam@nhs.net


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