- No understanding
- May miss or ache for the sound, smell, sight or feel of someone
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- Physical contact, reassurance
- Lots of holding
- Meet immediate physical needs
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- Concrete and literal
- Death reversible- person is coming back
- Magical thinking
- Expresses feelings through play
- Asks questions over and over
- Death affects sense of security
- May regress
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- Simple and truthful answers
- Looks to primary caregiver for reassurance
- Maintain structure and routine
- Allow to cry during nightmares
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- Death final, irreversible but not universal
- Play still primary for expression of grief
- Grief may affect school responsibilities
- Family is main security
- Safety critical
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- May ask for detailed answers
- May feel death is a punishment, they caused it
- Egocentric-how will their life change
- Needs to choose how to be involved with process and services
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- Adult understanding
- Guilt: I caused it
- Heightened emotional turmoil
- May swing back and forth in dependency
- Begins to integrate events
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- Be authentic
- Remind child of parent's ability to continue to care for him
- Expect internal body problems—headaches, colds, etc.
- Expect and accept emotional swing
- Reminder that it will not always be so raw
- Find peer support
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- Discussion of events is means of processing grief
- Self conscious about being different due to loss
- Affected physically, sleep and eating patterns
- Unrealistically responsible
- Reckless with their own life to prove they are not vulnerable
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- Expect thoughts and feelings to be contradictory and inconsistent
- Critical events in their life will stimulate thoughts and grief
- Expect increased energy activity or prolonged sleep
- May reject parents
- They appear childlike and in need
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