Anticipatory Grief Scale. This tool was used by Cardinal Glennon after being adapted from recommendations and other sources. (see references)
This is a 27 question survey given to parents before the death of their child to measure grief reactions; used to assess bereavement needs and outcomes.
Clinical Care Tools - Grief & Bereavement
SSM Cardinal Glennon Children's Hospital
1465 South Grand Boulevard
St. Louis, MO 63104
Mary Ann Collins, MHA
How the grantee used this instrument:
This pre death interview is conducted between project staff and the child's primary caregiver, either in person or by phone, at baseline and every 3 months.
pediatrics, bereavement care, family experience
To use this tool:
You may print and copy this tool for your own use from this site. Please credit source.
Theut SK, Jordan L, Ross LA, & Deutsch SI. (1991). Caregivers' anticipatory grief in dementia: A pilot study. Int'l J. Aging & Human Development, Vol. 33 (2): 113-8.
To view this tool:
To view the tool in your browser left-click on the link below or to download to your computer right-click on the link.
PDF 110 KB / 1 page
Posted June 30, 2003
SSM Cardinal Glennon Children's Hospital overview page
# GLEN9, type:grief_bereavementPromoting Excellence in End-of-Life Care was a national program of the Robert Wood Johnson Foundation dedicated to long-term changes in health care institutions to substantially improve care for dying persons and their families. Visit PromotingExcellence.org for more resources.