Paediatric Palliative Care · GCC Specialist Guide 2025

Paediatric Palliative Care
Nursing Guide

Compassionate, family-centred care for children with life-limiting conditions — from diagnosis to end of life and beyond. Covering FLACC assessment, neonatal palliative care, symptom management, and GCC exam focus.

FLACC Pain Scale WHO Analgesic Ladder Family-Centred Care Neonatal WLST Anticipatory Prescribing GCC Exam Focus
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Paediatric Palliative Care Principles

Paediatric palliative care (PPC) is the active total care of a child's body, mind and spirit — and support of the family. It begins at diagnosis, not at end of life.

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Core definition (WHO): PPC begins when a life-threatening or life-limiting condition is identified — not when curative treatment ends. It runs in parallel with active treatment and continues through death and bereavement.
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Life-Threatening Conditions
Conditions where cure is possible but may fail — childhood cancers, organ failure (renal, hepatic, cardiac). Active curative treatment is primary, but palliative input ensures quality of life throughout.
Cure possible
⚙️
Life-Limiting Conditions
Progressive conditions with no realistic prospect of cure — Duchenne Muscular Dystrophy (DMD), Metachromatic Leukodystrophy (MLD), Batten's disease. Death in childhood or young adulthood is expected.
No cure — progressive
Complex Disability
Conditions with severe neurological impairment and life-shortening potential — severe cerebral palsy, chromosomal anomalies (e.g., trisomy 18). Not inevitably progressive but life may be shortened by complications.
Life-shortening potential

Key Differences from Adult Palliative Care

Longer prognostic uncertainty +

Children with life-limiting conditions may live for years or even decades. Unlike adult oncology where prognosis can be estimated with relative confidence, children — especially those with neurodegenerative conditions — often follow unpredictable trajectories with crises, partial recovery, and slow decline.

Nursing implication: Families live in prolonged uncertainty. Emotional support must address chronic grief and the exhaustion of long-term caring.

Developmental considerations +

Children's understanding of illness, pain, and death evolves with age. Communication, consent, and goals of care discussions must be adapted to developmental stage.

  • Physical: drug doses, routes, volumes — all weight- and age-dependent
  • Cognitive: what the child understands, how to explain symptoms
  • Emotional: age-appropriate psychological support differs markedly
Family as unit of care +

In paediatric palliative care, the family — not just the patient — is the unit of care. Nursing care must encompass:

  • Parents: Primary decision-makers; carry enormous emotional burden; need honest, compassionate communication
  • Siblings: Often neglected; experience fear, guilt, confusion; need age-appropriate involvement
  • Grandparents: Carry dual grief (for grandchild and for child's parent); cultural role in GCC families is prominent
Transition to adult services +

Young people reaching 18 require planned, co-ordinated transfer — not an abrupt handover. Start planning from age 14–16. Introduce the adult team before transfer. Transfer complete care records, emergency plans, and anticipatory prescriptions. Address the young person's own wishes — not just parental views. GCC context: Formal transition pathways are developing; nurses often play the key coordinator role.

Children's Understanding of Death by Developmental Stage

Age GroupUnderstanding of DeathCommunication Approach
Infant / Toddler
<3 years
No conceptual understanding of death. Responds to distress, separation, pain, and changes in routine. Focus on comfort, familiar carers, minimising distress. Maintain routines. Parents' presence paramount.
Pre-school
3–5 years
Magical thinking — death is reversible, temporary, like sleep. May think they caused the illness by bad behaviour. Use simple, honest language. Avoid euphemisms ("gone to sleep"). Reassure not their fault. Short explanations, repeat often.
School age
6–9 years
Understands death is permanent but attributes it to external causes (accident, monster). Curious, may ask direct questions. Honest, factual answers. Involve in age-appropriate decisions. Acknowledge fears. Allow questions. Use correct words — "dying", "dead".
Pre-teen / Teen
10+ years
Adult understanding — death is universal, inevitable, and will happen to them. May experience anticipatory grief, existential distress. Full honest communication. Involve in care planning where possible. Explore own wishes. Respect growing autonomy. Peer support.
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GCC cultural context: Family-centred culture in the GCC strongly aligns with PPC values. Religious faith is often a significant resource for families coping with a child's serious illness — chaplaincy and Islamic counsellors should be proactively engaged. PPC services are actively developing across the UAE (DHA, DOH), Saudi Arabia (King Faisal Specialist Hospital), and Qatar (HMC). Nurses play a pivotal coordinating role in emerging services.

Symptom Management in Children

Weight-based dosing, non-verbal assessment, and age-appropriate interventions are the cornerstones of paediatric symptom management. Always double-check doses — errors in paediatric palliative prescribing can be fatal.

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Safety first: All drug doses in children must be calculated by weight (mg/kg). Always double-check with a second nurse and use trust-approved dosing references (e.g., BNFc, local paediatric formulary). Codeine is contraindicated in children under 12 and in post-tonsillectomy/adenoidectomy patients.
🩺 Pain — FLACC Assessment & WHO Ladder +

FLACC Scale — used for pre-verbal and cognitively impaired children who cannot self-report pain. Scores each domain 0–2, total 0–10.

  • Face — No expression = 0 / Occasional grimace = 1 / Frequent grimace, clenched jaw = 2
  • Legs — Normal / relaxed = 0 / Restless, tense = 1 / Kicking, legs drawn up = 2
  • Activity — Lying quietly = 0 / Squirming = 1 / Arched, rigid, jerking = 2
  • Cry — No cry = 0 / Moans/whimpers = 1 / Screaming/crying continuously = 2
  • Consolability — Content = 0 / Distracted occasionally = 1 / Difficult to console = 2

WHO Analgesic Ladder (Paediatric)

  • Step 1: Paracetamol 15 mg/kg every 4–6 hours (max 4g/day adult) ± NSAIDs (ibuprofen 10 mg/kg, avoid in renal impairment/bleeding risk)
  • Step 2: Add low-dose opioid — oral morphine (0.1–0.2 mg/kg every 4h for opioid-naive children)
  • Step 3: Titrate opioid upward — increase by 25–50% per dose if inadequate pain control. Consider syringe driver for continuous subcutaneous infusion.
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Avoid codeine in children. Codeine is a prodrug converted to morphine by CYP2D6 — ultra-rapid metabolisers (common in GCC populations) may have fatal respiratory depression. Use morphine directly.
💨 Dyspnoea (Breathlessness) +

Highly distressing — may be caused by disease progression, infection, or the dying process. Interventions: low-dose morphine (evidence-based for breathlessness, separate from pain dose); fan to face (stimulates trigeminal receptors); anxiolytics (lorazepam/midazolam weight-based); upright positioning; oxygen only if hypoxic. Family education is essential — prepare them in advance to prevent panic worsening the episode.

🤢 Nausea and Vomiting +

Identify cause first: opioid-induced (often resolves at 72h), raised ICP, constipation, anxiety, vestibular. Treatments: Ondansetron 0.15 mg/kg (max 8 mg) — chemo/opioid nausea; Cyclizine 1 mg/kg (max 50 mg) TDS — vestibular; Dexamethasone — raised ICP from brain tumour (discuss dose with team); Metoclopramide — caution in children (extrapyramidal risk), short-term only.

⚡ Seizures at End of Life +

Anticipatory planning is essential — delays cause suffering. Buccal midazolam (0.3–0.5 mg/kg, max 10 mg) is the drug of choice — practical for home use with rapid buccal absorption. Alternatives: intranasal midazolam, rectal diazepam (less acceptable to older children), IV/SC midazolam in hospital. Key action: Ensure buccal midazolam is prescribed, dispensed, and parents are trained before a seizure occurs.

💧 Respiratory Secretions (Death Rattle) +

Noisy breathing from pooled oral/bronchial secretions in an obtunded child — distressing to families, not to the child. Family education first: explain the mechanism — the sound does not mean suffering. Glycopyrronium 4–10 mcg/kg SC (preferred — does not cross blood-brain barrier); Hyoscine patch for older children. Lateral/semi-prone positioning aids drainage. Suctioning only for accessible secretions — can be distressing.

🟤 Constipation +

Almost universal on opioids — treat proactively, not reactively. Lactulose 1–3 mL/kg/day (osmotic); Senna 2.5–5 mg age-dependent (stimulant); Movicol/Macrogol paediatric sachets for faecal loading. Review bowel chart regularly and increase laxatives with opioid dose increases.

😰 Anxiety and Agitation +

Causes: breathlessness, pain, existential distress, neurological. Terminal agitation may occur in final hours. Lorazepam 0.05 mg/kg PO/SL — mild anxiety; Midazolam SC via syringe driver — moderate-severe agitation. Non-pharmacological: play therapy, music therapy, favourite toys, trusted carers — powerfully effective especially in young children. Palliative sedation for refractory end-of-life distress requires senior medical/ethics input and family discussion.

FLACC Paediatric Pain Score Calculator
Select one option per domain, enter child's weight, then calculate score and dose guidance.
F — Face
0
No expression or smile
1
Occasional grimace or frown
2
Frequent grimace, clenched jaw
L — Legs
0
Normal position or relaxed
1
Uneasy, restless, tense
2
Kicking or legs drawn up
A — Activity
0
Lying quietly, normal position
1
Squirming, shifting back/forth
2
Arched, rigid or jerking
C — Cry
0
No cry (awake or asleep)
1
Moans, whimpers, occasional cry
2
Screaming or crying continuously
C — Consolability
0
Content, relaxed
1
Reassured by occasional touch
2
Difficult to console
Child's weight: kg
0
Pain Interpretation
Analgesic Guidance
Paracetamol Dose (15 mg/kg)
Ibuprofen Dose (10 mg/kg)
Opioid Consideration
⚠️
Clinical tool only. Always verify doses with a paediatric formulary (BNFc or local equivalent), confirm with prescribing clinician, and apply clinical judgement. Weight-based calculations must be double-checked.

Communication with Children & Families

Honest, compassionate, developmentally appropriate communication is central to paediatric palliative care. It requires skill, preparation, and cultural sensitivity — particularly in the GCC.

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Core principle: Children deserve honest, age-appropriate information about their illness and what is happening to their body. Shielding children from the truth causes confusion, fear, and missed opportunity for meaningful conversations.

SPIKES Framework — Adapted for Paediatrics

S
S — Setting
Private room, no interruptions, child-friendly. Sit at eye level. Ask who the family want present. GCC: Senior family members may attend — establish their role early.
P
P — Perception
Explore what family and child already understand: "Can you tell me what you know so far?" Identify and gently correct misconceptions.
I
I — Invitation
Ask how much information is wanted. Invite but don't force. GCC: Some families request information before the child. Acknowledge while maintaining child's rights.
K
K — Knowledge
Share in small pieces. Plain language. For children: "Your body is getting weaker. The illness will stop your body working one day." Pause and check understanding.
E
E — Empathy
Respond to emotion before continuing. Silence is therapeutic. "This is so hard to hear. We are here with you." Do not rush past distress.
S
S — Summary
Summarise key points. Agree next steps. Provide written information. Document fully: who present, language used, responses, questions asked.
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Sibling Communication
Siblings are often overlooked yet experience fear, confusion, guilt and grief. Include them in age-appropriate conversations. Avoid excluding them "to protect" — this increases anxiety. Answer questions honestly with simple language, normalise their emotions, and involve school pastoral support.
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Adolescent Autonomy (Gillick Competence)
Older teenagers may have capacity to make their own decisions — Gillick competence applies. Involve in care planning, discuss preferred place of care and death, and seek assent even when parental consent is obtained. Adolescent autonomy must be respected.
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Maintaining Hope
"Hoping for the best while preparing for the worst" — the concept of parallel planning. Families do not need to give up hope for life to begin planning for death. Hope can be reframed: hope for comfort, for good days, for a peaceful death, for quality of life.
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Prognosis Communication
Avoid specific timeframes — illness trajectories in children are unpredictable. Use trajectory language: "We expect [name]'s condition to get gradually weaker over weeks to months" rather than "3 weeks." Revisit prognosis conversations regularly as condition changes.
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Documentation standard: All significant conversations must be documented in full — date, time, who was present, language used (or interpreter used), key information given, child's and family's responses, questions asked, plans agreed. A witness signature is best practice.

End-of-Life Care Planning

Early, honest, and family-centred end-of-life planning improves the quality of a child's death, reduces family trauma, and prevents unnecessary hospitalisation.

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Preferred place of death: Most families express a preference for their child to die at home. This requires robust community nursing support, anticipatory prescribing in the home, and a clear emergency care plan. Not all families can or will achieve a home death — the plan must be flexible and reviewed regularly.
📋 Advance Care Planning — Parallel Planning +

Parallel planning means pursuing curative/life-prolonging AND palliative goals simultaneously — families never need to "give up" on cure to receive palliative support. Introduce palliative input at diagnosis. Document goals of care. Plan for multiple scenarios: improvement, deterioration, crisis, death. Review regularly. Ensure all teams (oncology, respiratory, community) share the same plan.

🚫 DNACPR in Children +

A Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) order for a child is a senior medical decision. It is not a parental decision alone — parents are partners in the process, not solely responsible.

  • Parental consent is usually obtained through discussion and agreement — not a formal signature in all jurisdictions
  • A competent older child or adolescent can assent
  • DNACPR does not mean "do not treat" — it means CPR would not be attempted in the event of cardiorespiratory arrest
  • Decision must be reviewed regularly and documented clearly
  • Copies provided to: hospital notes, community team, family (to show paramedics/emergency services)
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GCC context: DNACPR discussions can be particularly sensitive in cultures where "fighting" illness is strongly valued and death seen as in God's hands. Engage religious and cultural support. Frame as preventing harm and suffering, not "giving up."
💉 Anticipatory Prescribing +

Medications prescribed in advance to be available at home — allowing community nurses and parents to act quickly without awaiting GP/physician prescriptions in a crisis. Essential for home death to be achievable.

Standard anticipatory prescription (syringe driver/as-needed):

  • Morphine — pain and breathlessness
  • Midazolam — anxiety, agitation, seizures
  • Glycopyrronium — respiratory secretions

All doses weight-based. Prescribed by paediatric palliative physician. Dispensed to family in advance. Community nurse demonstrates administration. Written instructions provided.

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The syringe driver allows continuous subcutaneous infusion — maintaining consistent drug levels and preventing distressing "peaks and troughs" in symptom control.
🆘 Emergency Care Plan +

A written plan for managing crises at home — reduces panic and prevents unnecessary emergency admissions. Must cover: seizure management (buccal midazolam dose/technique); severe pain response (drug, dose, route); severe breathlessness; when to call the palliative team; DNACPR status for emergency services; 24/7 contact numbers. Given to family with community nurse education before the crisis occurs.

🌅 Recognising the Last Days of Life +

Preparing families for what to expect as death approaches reduces trauma and allows meaningful time together. Signs include:

  • Reduced oral intake — decreased interest in food and fluids
  • Increased sleeping — difficult to rouse, spending most of day asleep
  • Mottling — livedo reticularis (blue/purple blotching) on knees, feet, hands
  • Changed breathing pattern — Cheyne-Stokes (periods of apnoea), slowed rate, altered depth
  • Peripheral cooling — cold extremities despite normal core temp
  • Withdrawn / unresponsive — less interaction, eyes may remain open

Reassure families that these are normal signs of the body preparing — not suffering. Encourage them to hold, talk to, and be present with their child.

🌸 Last Offices & Bereavement Follow-Up +

Last offices: Invite parents to wash and dress their child — deeply therapeutic. Never rush. Respect cultural and religious traditions (Islamic last rites in GCC). Arrange photographer if family wishes.

Bereavement follow-up: Proactive contact at 1 week, 1 month, and anniversaries. Memory-making: hand/footprints, locks of hair, photographs. Sibling grief support with school liaison. Bereavement counsellor and social worker referral. Support groups for bereaved parents.

Neonatal Palliative Care

The most common end-of-life context in neonatal intensive care involves withdrawal of life-sustaining treatment. Skilled nursing care, family presence, and memory-making are central to compassionate neonatal end-of-life care.

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Unique grief context: Neonatal death carries a unique form of grief — parents have bonded prenatally but the baby has had little existence outside the womb. This loss is profound and real, yet may be minimised by others ("at least you didn't know them long"). Nurses must validate the full weight of this loss.
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Common WLST Diagnoses
  • Trisomy 13 (Patau syndrome)
  • Trisomy 18 (Edwards syndrome)
  • Extreme prematurity (<22–23 weeks)
  • Severe hypoxic-ischaemic encephalopathy (HIE)
  • Lethal congenital anomalies (cardiac, pulmonary)
  • Irreversible multi-organ failure
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Decision-Making Process
WLST decisions in the NICU are reached by team consensus involving neonatologist, palliative care, nursing leads, and ethics when needed. Parents are central partners — but the burden of the decision is shared with the medical team, not placed solely on parents.
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Comfort Medications
  • Morphine — pain and breathlessness; SC or IV
  • Midazolam — sedation for distress; SC or IV
  • Dose titrated to comfort — not to hasten death
  • Pre-medicate before extubation
  • Glycopyrronium for secretions

WLST Nursing Process

1
Prepare the environment. Side room, dim lights, reduced noise. Invite family members. Arrange chaplaincy/religious support. Ensure comfort medications are drawn up and ready.
2
Pre-medicate 15–20 minutes before extubation. Morphine and/or midazolam given before ventilator removal. Document time and doses. Ensure baby positioned comfortably in parent's arms (kangaroo care) — skin-to-skin is profoundly meaningful.
3
Extubation — ongoing comfort assessment. Remove ventilator tube. Assess for distress (grimacing, agitation, tachypnoea) continuously. Titrate comfort medication promptly. Remain present. Document time of death.
4
After death — memory-making and support. Offer photographs, hand/footprints, lock of hair, birth certificate, memory box. Allow unlimited time with the baby. Support cultural last rites. Begin bereavement follow-up planning.
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Memory-making & bereavement: Offer photographs, hand/footprint kits, locks of hair, name cards, and memory boxes proactively — families may not think to ask. Social worker/bereavement coordinator leads this. Validate the full weight of neonatal loss. Provide written bereavement resources before discharge. Proactive follow-up at 1 week, 1 month, and key anniversaries. Midwifery input for maternal recovery.

GCC Exam Focus & Quick Reference

High-yield paediatric palliative care content for DHA, DOH, SCFHS, and QCHP licensing examinations.

FLACC Pain Scale — Exam Format
DomainScore 0Score 1Score 2
FaceNo expression / smileOccasional grimaceFrequent grimace, clenched jaw
LegsNormal / relaxedRestless, tenseKicking, legs drawn up
ActivityLying quietlySquirmingArched, rigid, jerking
CryNo cryMoans/whimpersScreaming continuously
ConsolabilityContent, relaxedDistracted occasionallyDifficult to console
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Score interpretation: 0 = Relaxed/comfortable | 1–3 = Mild discomfort | 4–6 = Moderate pain | 7–10 = Severe pain/discomfort
WHO Analgesic Ladder — Paediatrics
StepMedicationsKey Notes
Step 1Paracetamol (15 mg/kg) ± NSAIDs (ibuprofen 10 mg/kg)Non-opioid baseline analgesia
Step 2Low-dose opioid — oral morphine 0.1–0.2 mg/kg/dose q4hMild-moderate pain not controlled by Step 1
Step 3Opioid titration — increase by 25–50% per dose; consider syringe driverSevere or escalating pain
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Codeine is contraindicated in children <12 and after tonsillectomy/adenoidectomy. Risk of fatal respiratory depression in ultra-rapid CYP2D6 metabolisers. Use morphine directly. This is a high-yield exam point.
Anticipatory Prescribing — Components
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Morphine
For pain and breathlessness. Subcutaneous (syringe driver or bolus). Weight-based dosing. Titrate upward by 25–50% if inadequate control.
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Midazolam
For anxiety, agitation, terminal restlessness, and seizures. SC infusion or buccal/intranasal for seizures. Weight-based dosing.
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Glycopyrronium
For respiratory secretions (death rattle). Does not cross blood-brain barrier — preferred over hyoscine where sedation is a concern. SC bolus or infusion.
Developmental Stages & Understanding of Death — Quick Reference
AgeConcept of DeathNurse Action
<3 yrsNone — responds to separation/distressComfort, routine, parental presence
3–5 yrsMagical thinking; reversible; may feel guiltyHonest, simple language; reassure not their fault
6–9 yrsPermanent; external cause; curiousDirect answers; use correct words "dying/dead"
10+ yrsAdult understanding; existential distress possibleFull information; involve in planning; adolescent autonomy
DHA / DOH / SCFHS / QCHP High-Yield Questions
Q: A 4-year-old child with cancer is unable to self-report pain. Which pain tool should the nurse use?
The FLACC scale (Face, Legs, Activity, Cry, Consolability). It is validated for pre-verbal and cognitively impaired children. Score 0–10. Score 4–6 = moderate pain requiring treatment.
Q: A 2-year-old in palliative care is prescribed codeine. What should the nurse do?
Question the prescription. Codeine is contraindicated in children under 12 due to risk of fatal respiratory depression from variable CYP2D6 metabolism. Escalate to prescriber immediately and request morphine instead.
Q: What are the three components of a standard anticipatory prescription for a child dying at home?
Morphine (pain/breathlessness), Midazolam (agitation/seizures), and Glycopyrronium (respiratory secretions). All prescribed weight-based and dispensed in advance to enable community management without delays.
Q: A child with DMD is deteriorating. His parents have not told him what is happening. What is the nurse's role?
Explore parental concerns empathetically. Advocate for the child's right to age-appropriate, honest information. Arrange a family meeting with the palliative care team and chaplaincy. Document all discussions.
Q: Which benzodiazepine is most practical for managing seizures at home in a child with a brain tumour?
Buccal midazolam (0.3–0.5 mg/kg, max 10 mg). Rapidly absorbed, easy for parents to administer. Should be prescribed and dispensed anticipatorily before a seizure occurs. Intranasal midazolam is an alternative.
Q: A dying child has noisy, rattling breathing. The parents are very distressed. What is the priority?
Reassure the family that the sound is pooled secretions — not suffering. Then consider lateral positioning, glycopyrronium SC or hyoscine patch to reduce secretions. Avoid distressing suctioning unless absolutely necessary.
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GCC regulatory context: DHA (Dubai), DOH (Abu Dhabi), SCFHS (Saudi Arabia), and QCHP (Qatar) licensing exams test paediatric palliative care principles with particular emphasis on: pain assessment in non-verbal children, opioid safety (codeine avoidance), family-centred and culturally sensitive communication, and neonatal end-of-life decision-making. Demonstrating knowledge of Islamic perspectives on end-of-life care is advantageous.