BMJ  2003;327:222-223 (26 July), doi:10.1136/bmj.327.7408.222-b

Letter

In search of a good death

Can children with life threatening illness and their families experience a good death?

The first 150 words of the full text of this article appear below.

EDITOR—As care givers of children who are dying, we were disappointed that the experience of dying children and their families was not broached by Ellershaw and Ward or Clarke.1 2 Do we in society continue to find it impossible to think about death in childhood? To imagine that children with life threatening illness and their families can experience a good death? What could possibly be experienced as good during this dying journey?

Paediatric palliative and hospice care continues to lack a significant voice in medical debates, literature, and research, as well as in the design and delivery of services. Why, for example, is there currently only one active free standing children's hospice in North America? Yet a significant number of children die of a life threatening illness or injury each year. In a population of 250 000 (50 000 children) five children are likely to die each year from . . . [Full text of this article]

Laura Beaune, palliative care coordinator

laura.beaune@sickkids.ca

Christine Newman, palliative care physician

Hospital for Sick Children, Toronto, ON, Canada M5G 1X8


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