RT Book, Section A1 Holder, Angela Roddey A2 Rudolph, Colin D. A2 Rudolph, Abraham M. A2 Lister, George E. A2 First, Lewis R. A2 Gershon, Anne A. SR Print(0) ID 6723276 T1 Chapter 127. Law, Ethics, and Caring Near the End of Life T2 Rudolph's Pediatrics, 22e YR 2011 FD 2011 PB The McGraw-Hill Companies PP New York, NY SN 978-0-07-149723-7 LK accesspediatrics.mhmedical.com/content.aspx?aid=6723276 RD 2024/04/19 AB According to the Institute of Medicine report When Children Die: Improving Palliative and End of Life Care for Children and their Families,1in 1999 approximately 55,000 children from birth through age 19 died in the United States. Some of these children and adolescents died as the result of an accident and had been completely healthy until death. Some infants and children died of diseases, but their deaths were unexpected because recovery had been considered a probability. Others died as the inevitable conclusion of their illness; recovery was considered at least unlikely and, in many cases, impossible. In all these situations, however, the death (or near-death, when the child eventually recovers) of a child is a horrendous event for the family members left behind. It is a life-altering tragedy, one whose stages family members will never forget, nor will they forget who said what to them before, during, and after the death. A careless remark by a health professional may be taken as dismissive of parental anguish and thus remembered in anger for a lifetime.