Something to Think About

a blog on end of life

We love sharing helpful info on our blog.

About the BK Team
New to Hospice Nursing? Here's What I Want You to Know by Hospice Pioneer, Barbara Karnes, RN

New hospice nurses often ask me what matters most. It isn't medications or procedures. Hospice nursing is about teaching, guiding, and helping families feel safe as they walk through one...

When Grief Is Complicated: Healing After a Difficult Relationship | Barbara Karnes, RN

Grief doesn't erase the difficult parts of a relationship. If there were hurts, regrets, or things left unsaid, those feelings may remain after death. Healing begins when we allow ourselves...

When the Caregiver Becomes the Patient article by Hospice Pioneer, Barbara Karnes, RN

Recently, I found myself on the receiving end of healthcare after breaking my ankle. As a patient, I was reminded how vulnerable it feels to be seen as a diagnosis,...

When You Don't Understand What the Doctor Is Saying | Understanding Medical Jargon by Barbara Karnes, RN

I watched my mother nod as her doctor explained her lung cancer. She looked like she understood, but neither of us did. Medical language can be confusing, especially when the...

My Father Is Dying and Won't Tell His Family.

When a dying parent refuses to tell the rest of the family about a terminal diagnosis,  should you keep the secret or encourage open conversations?

What Families Need to Know in the Final Hours Before Death by Hospice Pioneer, Barbara Karnes, RN

Most people don't know what to do or can do in the final hours before death. Here are gentle ways families and caregivers can create a meaningful goodbye and bring...

Why Caregivers Need Written Guidance at the End of Life article by Barbara Karnes, RN

Caregivers are often alone when caring for someone who is dying. Written guidance can provide reassurance and support when it is needed most.

When a Dying Person Stops Eating: Food at End of Life article by Hospice Pioneer, Barbara Karnes, RN

Food becomes a major concern for families when special person is dying. This article explains why the body naturally stops eating and how caregivers can respond with less frustration.

Grief Is About the Living: What We Feel After a Loss by Barbara Karnes, RN

Grief is not one feeling—it is many. If what you are feeling seems confusing or overwhelming, you are not alone. This is how grief works.

Why Doctors Can’t Predict When Someone Will Die

Physicians are often asked how long someone has to live, but the truth is no one can predict an exact timeline. Dying follows a natural process with recognizable signs that...

They Sit With the Dying: Why Hospice Volunteers Matter by Hospice Innovator, Barbara  Karnes, RN

Hospice volunteers are at the heart of end-of-life care—but their role goes far beyond what most people understand. Let's look at what draws people to this work, why self-awareness matters,...

Why You Need an Advance Directive (Before You Think You Do) article by Barbara Karnes, RN to encourage filling out end of life wishes

Most of us don’t think about healthcare decisions until something is wrong. But in crisis, emotions take over and clear thinking becomes difficult. Planning ahead—through an advance directive and sharing...

Can You Be “Full Code” in Hospice? What Families Need to Understand blog article by End of Life Educator, Barbara Karnes, RN

Hospice and palliative care are not the same—and understanding that difference matters. If the goal is comfort and a natural death, certain medical interventions no longer fit. Let’s talk about...

What Matters Most at the End of Life: Treatment or Time Together? article by hospice nurse Barbara Karnes, RN for caregivers

Sometimes the question is not how long we can live, but how we want to live with the time we have.

Is It Normal to Feel Angry at Someone Who Died? article by Hospice legend, Barbara Karnes, RN

Grief doesn’t follow a timeline or a set of stages. If you’ve ever questioned your feelings after a loss, you’re not alone—and nothing you’re feeling is wrong.

Who Cares for the Caregiver in End-of-Life Work?

Those of us who work in end-of-life care walk beside people and families during one of the most intimate times of life. Because of the emotional nature of this work,...

Why Does Dying Look So Disturbing? By Barbara Karnes, RN  Sounds, restlessness, and physical changes can be unsettling to witness, but they usually don't mean there is suffering. Understanding what is normal can ease fear for those keeping vigil.

Sounds, restlessness, and physical changes can be unsettling to witness, but they usually don't mean there is suffering. Understanding what is normal can ease fear for those keeping vigil.

When Death Is Sudden

Sudden death does not follow the usual patterns of dying. One moment a person is alive, and the next they are gone. There is no preparation, no final words, no...

The Quiet Work of Old Age

Eating less. Sleeping more. Turning inward. What if this is the quiet work of old age?

Preparing Hospice Volunteers for Intimate Work

Hospice volunteers do intimate work at the bedside.Preparing them for that role requires education and clear boundaries.

The Quiet Loneliness of Sundays After Loss

A reflection on the quiet, often overlooked work of grief—learning how to live as a “me” instead of a “we.” Through the story of “Pajama Sunday,” I share how new...

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