“…Specific training for caregivers (7, 8), communication about the clinical situation (9, 10), cultural and social factors (4, 11) as well as ethical and legal issues (4, 12-13-14) are all important in modulating the approach and management of end-of-life situations in children, since they influence the decisional and active roles of the child, family and caregivers, and have a profound impact on the quality of life and death of the child, on personal memories, and on the long-term outcome of survivors. Many documents of an ethical nature concerning the child's rights and his or her legal and social roles are also available (15-40).…”