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Grief support changes as more is learned from current grief theory and research. The authors provide a comprehensive overview of current grief support as it relates to Pediatric Palliative Care (PPC). The following aspects of grief are addressed (1) anticipatory grief the nondeath losses that occur with a complex and chronic illness, as well as the time leading up to death; (2) grief around the time of death the intense and sacred experience of companioning with a dying child; (3) grief after death supporting bereavement and mourning thr