Something to Think About: a blog on end of life

Dynamics of Dying
Dying Without Faith? Barbara Karnes, RN

Dying Without Faith?

We die the way we have lived and there are few death bed conversions. Facing the end of our life does make us look at life and its meanings, but...

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Hospice- The Initial Visit: Barbara Karnes, RN

Hospice- The Initial Visit

Dear Barbara, I recently had a meeting with a family that was referred to hospice from a facility. They had about 10 family members at the meeting. The topic of...

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Caring for Mom at Home: Barbara Karnes, RN

Caring for Mom at Home

Barbara, I am caring for my Mother in our home. She is in denial over her situation. She is bed bound but insists she is going to walk again and...

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Be The Voice: Barbara Karnes, RN

Be The Voice

QUESTION to Barbara: I need some help. As of yesterday afternoon I am officially fed up. I have been an RN case manager for seven years. The whole “industry” is...

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When To Use The Books: Barbara Karnes, RN

When To Use The Books

Barbara, People have asked me when and how I can offer others your booklets. With anyone, an acquaintance or close friend, you can always just say, “I have some materials...

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The Highs and Lows of COPD: Barbara Karnes, RN

The Highs and Lows of COPD

Barbara, my husband is dying with Chronic Obstructive Pulmonary Disease (COPD) and its complications. At this time I believe we are pretty early in the process. My question is how...

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Dying Awareness: Barbara Karnes, RN

Dying Awareness

Question: How much is comprehended by the patient as they approach end of life? Do they know who is present, if someone is absent? How does the patient feel knowing...

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The Final Hours Before Death: Barbara Karnes, RN

The Final Hours Before Death

When someone is dying a gradual death from disease and is hours tominutes from death they don't need a doctor, nurse, social worker, or evena chaplain. They need someone who...

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