The Clinical Guide to Supportive and Palliative Care for HIV/AIDS

A Clinical Guide to Supportive and Palliative Care for HIV/AIDS • Chapter 16: Grief and BereavementTable 16-3: Children’s Developmental Stages of Grief (continued)Age Thoughts Feelings Actions Interventions26 picas• Provide extra attention• Exhibit aggressive orimpulsive behavior• Tell the truth; give only appropriateinformation• Engage in risky ordangerous behavior• Reassure the child they were notresponsible for the death• Encourage physical or artisticexpression of grief• Decline in grades• Difficulty concentrating• Sad• Confused• Anxious• Withdrawn• Lonely• Guilty• Understand finality andirreversibility of death9–12 years• Their actions or words causedthe death• Maintain structure, limits and rules• Seek community and school support• Maintain structure, limits and rules• Exhibit aggressive orimpulsive behavior• Encourage physical or artisticexpression of grief• Engage in risky ordangerous behavior• Decline in grades• Difficulty concentrating• Sad• Confused• Anxious• Withdrawn• Lonely• Guilty• Understand finality, irreversibility,nonfunctionality of death12–18 years• Their actions or words causedthe deathXVIU.S. Department of Health and Human Services • Health Resources and Services Administration • HIV/AIDS Bureau 341