Often families have difficulties in dealing with a sick and dying child. Children who seek meaning in the death of a friend or family member, may have particular problems (The dying patient). a child Most children death die in the hospital. Death can after a long illness such. As in cancer, but also suddenly and unexpectedly, as occur after injury or sudden infant death syndrome. It can be hard for the family to understand the child’s death and accept it. For parents, it means that they must give up their hopes and dreams for their child. The grieving process may have the effect that they are not able to meet the needs of other family members, v. a. To meet the other children. The doctor can assist in this process by being approachable for the family and its possibilities shall assist. Occasionally it may be necessary to provide targeted assistance by specialists who have experience in dealing with orphaned families. Some parents react to the death of a child by the fast diagram of another pregnancy, perhaps as an attempt to create a “replacement child”. Health care providers who have a supportive relationship with the grieving parents should discourage such a quick pregnancy. When parents engage in a subsequent pregnancy, it can make the anxiety and fear of further loss difficult to build a bond with the child new. A child who is born after the death of another child is at risk for “Replacement Child Syndrome” or “Vulnerable Child Syndrome”. When “Replacement Child Syndrome” superimpose feelings and expectations for the “ideal” child who died, the feelings for the next child. At the “Vulnerable Child Syndrome” parents believe because of their earlier loss erroneously that their new child is at risk for behavioral, developmental or medical problems, and think that their child needs special care and protection from possible dangers. Parents who are grieving over the loss of a dead child and struggling with the inability to bond with a new child, must be made clear that their feelings are normal. If their feelings are not recognized as normal, parents and children are at risk of developing mental disorders. The next pregnancy, when and if it occurs, should be forward-looking and not backward-looking. Death of a family member or friend Many children experience the death of a man to whom they are very close. The way how the children perceive this event (and therefore the most sensible reaction on the part of the parents and the pediatrician) depend on their level of development. Preschoolers have the death may have only a limited understanding. It may be helpful to put the event with a relevant experience with a loved pet in relationship. Older children can understand the situation better. Death should never “never wake up” with “bedtime” or be associated as this anxiety before sleep can be triggered with the children. Parents should discuss with the doctor to see if it makes sense that children seriously ill children or adults visit. Some children express a particular desire to visit dying family members or friends. Children should be well prepared for such a visit, so they know what to expect. Accordingly, parents often ask whether they should take their child to a funeral. This decision must individually and, whenever possible, be made together with the child. When children attend a funeral, they should be accompanied to support a close friend or relative and the permit and have to go at any time.