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When Grandparents Die: Helping Your Child Cope With Loss and Grief

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By Maria Trozzi, M.Ed.

Four-year-old Sara has had another bad day at preschool. Irritable and tired, she challenged her teachers at every turn. When Mom came to pick her up, she was handed a bag of wet clothes — another accident.

Sara's grandfather is in the hospital. He has lived in Sara's home since before Sara was born. Last week he suffered a massive stroke and is not expected to live. Sara's aunt has just arrived with her 3-year-old and is staying in the guestroom. The family's routine is in turmoil. Sara's mother is juggling her responsibilities as a parent of two young children, a daughter to her critically ill parent, and an attorney at a law firm.

  Living With Loss

  Guidelines for Grieving

  Frequently Asked Questions





Living With Loss


Sara's story is not unusual. Most kids lose a grandparent at some point in their lives. A grandparent's illness and death can disrupt daily routines and send family emotions into high gear. Children like Sara, too young to understand the complexities of what's going on, use their behavior to tell us, the adults in their life, that they're having difficulty dealing with the change. But as we go through our own inner turmoil, we often temporarily and unavoidably neglect our children's emotional needs.

It is difficult to think of our parents dying. No matter what our age or quality of relationship with our parents, their death means living without them for the first time in our lives. It forces us to look at our own mortality. For many of us, it is our first profound loss. It challenges our very ability to cope. It's hard enough being a parent of a young child, juggling responsibilities at home and at work. When our own parent falls ill, the demands on our lives multiply. Suddenly we are called upon to deal with not only our own already hectic lives, but also the serious illness of a loved one, relationships with our siblings, mourning our parent, and our children's grief and confusion at losing a grandparent — all at the same time. No blueprint exists for this difficult point in our lives.

Guidelines for Grieving


What's more, children are very impressionable. Your child will remember how you handled her grandparents' deaths, and in the future, she will model her own grief on these teachable moments from her childhood. To help you navigate through this difficult period and provide your child with important coping skills, consider the following guidelines:

  • DO describe in simple terms what's going on. As a grandparent's health declines, prepare your child for the changes she is likely to see and experience. For example, "Nana can no longer walk on her own so she uses a walker to help her" or "Have you noticed that Grampy sleeps a lot now? He takes lots of medicines that keep him comfortable, but make him sleepy."
  • DO take your child to visit her grandparent in the hospital. Children, even those as young as 3 years, can benefit from this experience because the mystery and secrecy surrounding a serious illness are often more frightening than the reality. Just be sure to prepare her for what she will see and hear. For example, tell her if Grandma has a roommate or if she is likely to see Grandpa with an IV needle or a breathing tube. Talk about the unusual smells and sounds she may notice. And let her know how she should act during the visit: "Grampy will be tired, so he probably won't want to play, and he may want to rest quietly." If a grandparent's behavior, personality changes, or mood swings could confuse or frighten your child, reconsider a visit. Instead, spend some time with your child drawing pictures of Nana or making audiotapes of the songs and stories Grampy used to sing and tell.
  • DO find ways for your child to help as a grandparent's health declines. This is critical. Even 2 1/2- or 3-year-olds like to be involved in helping. It makes them feel like an important part of the caring and giving process.
  • DO prepare your child for a grandparent's imminent death. If you have told your youngster that Grandma's health is failing, she is likely to ask the inevitable but painful question, "Is my Nana going to die?" Although it may seem counterintuitive, the best way to protect your child's emotional health is to share information that will affect her. Answer truthfully ("Yes, I think that Nana will die soon"); never lie to a child. Then reassure your child that you will help her face this event, and that you'll go through it together as a family. Of course, exactly how and what you tell your child will depend on how old she is, how much she can understand, how she's likely to react, and whether she's experienced similar losses before.
  • DO find teachable moments from the experiences of friends or neighbors. Point out how the families returned to their normal routines after a grandparent's death. Children's television shows and movies often include themes that relate to illness and / or death. Watch with your child and discuss what happens, so when the inevitable occurs, it will be easier for her to understand and cope.
  • DO express your own authentic grief in front of your child. It's good for her to see that it's okay to be sad. Then be sure to explain what you're feeling (sad, angry, exhausted) and reassure her that you are still there to care for her even as you mourn. This is an important distinction that your child needs to hear often.
  • DO encourage your child to participate in the memorial service, shivah, or other family ritual at the time of death if she is old enough to be able to make sense of the event. (If she can verbalize her understanding of what's going on — "We are saying good-by to Nana" — she is probably ready to participate.) Be sure to explain in simple terms what's going to happen. If she's too young to understand, seems anxious or confused, or says that she doesn't want to go, leave her in the care of a familiar adult.
  • DON'T assume that just because your child is young, the illness or death of a grandparent won't affect her. Your child watches, listens, and learns from you. The information she overhears while you are talking to family, friends, or doctors (including when you're on the phone) can be confusing, frightening, and overwhelming.
  • DON'T overload your youngster with information. She will let you know what she needs to know, how much, and when, if you simply listen to her.
  • DON'T try to be the perfect parent. You are being called upon to be a son or daughter, a sibling, a caregiver, and a parent all at once during the most stressful of life's events. Try to be available to your child at family meals and bedtime, but don't hesitate to ask friends and relatives for help while you mourn.


Grandparents link us to our past. Whether they care for our children regularly, see them only at special visits, or communicate via cards, phone, or Internet, they play a unique role in our kids' lives. How we as parents guide our youngsters through their grandparents' deaths becomes a hallmark for other important emotional events our children will experience as they grow up. Equally important, their memories of Nana or Grampy offer them a legacy of their past and a richness of life experience that they will hold forever.

Frequently Asked Questions


Question: What should I do if my child asks, "What happens to you when you die? Does it hurt? Where do you go?"

Maria Trozzi: Most young children are looking for a concrete response to these types of questions. Good advice is to answer only the questions being asked; you might also ask your child what prompted the questions. I would answer, "When somebody dies, your body totally stops working, you can't breathe, you can't eat, you can't think, you can't walk. You can't even feel pain. No, it doesn't hurt at all. Most people's bodies are buried in cemeteries."

Question: Should my 4-year-old son attend a funeral service where he may see his grandfather's body? If so, should I let him see the body or keep him from getting too close and being frightened?

Maria Trozzi: For any child to benefit from the rituals that are common at the end of life, he or she needs to be able to make sense of the experience. Most 4-year-olds would find the funeral experience overwhelming, especially if it involves viewing the body. In order to learn whether your own child is ready for such an experience, tell him what goes on at a funeral; be brief and concrete. Then ask him to tell you what he understands. If he can articulate his understanding, he may be ready to participate in some aspect of the funeral. Feeling part of this family experience and observing how our culture remembers those we love is very powerful IF the child is ready.

Question: My mother just passed away. How long do I wait before sending my daughter back to preschool and other normal activities?

Maria Trozzi: Very young children thrive on routine! If she seems willing, there's no necessary waiting period before sending her back. She will be anxious to see her friends and her teacher and may want to share her news about her grandmother with her class. Remember that as a preschooler, she may think that her grandmother is "coming back." For your daughter, your grief response will be the most memorable part of this experience.

Question: How do I explain to my toddler that his grandma is very ill and is going to die?

Maria Trozzi: Although as parents we often want to protect our young children from these difficult situations, there is a hidden opportunity for helping your child develop coping skills. And grandma becomes sicker, help your child understand this by describing how she looks, what she is able to do (or not do), and how that feels to you. For example, "Remember when Grandma was able to play your favorite games with you when you visited and baked cookies with you? Now, because she is sick and tired, she isn't able to do that anymore. She enjoys watching television with you, however."

As her illness progresses:

"Now, Grandma sleeps a lot. She's very tired and sometimes needs to have less noise. Notice that she is in a different kind of bed that helps her to sit up."

And finally:

"Grandma takes lots of different kinds of pills because she is so sick. The pills help her not to hurt, but they make her very sleepy. Yes, she sleeps most of the time and can't really eat anymore."

Most young children at this point may ask if Grandma is going to die. Reply that she will die someday and perhaps very soon. Wait for more questions from your toddler. He may or may not have an interest in pursuing this information. Let your child lead you.




  • Category Tags:
  • Behavior
  • ,
  • Grandparents


  • Article Tags:
  • Life changes,
  • Illness,
  • Loss of a loved one
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