Something to Think About

a blog on end of life

We love sharing helpful info on our blog.

About the BK Team
What I Would Look For In a End of Life Doula Training Course

There are many different approaches and offerings. These multiple choices give you the chance to match your personality with the instructors and teaching methodology...

Do I Need a POLST and an Advance Directive?

From the time we turn 18 until our last breath, we should have an advance directive in place. Once a person turns 18, parents have no legal standing. Most physicians...

Keep No Secrets From Those at End of Life

When working with families who ask me not to tell mom, I say that I won’t bring the subject up, but if she asks, I will talk about it.

None of Us Really Knows When Death Will Come

By not writing out our end of life wishes, organizing our material affairs, and talking to those involved, we are putting ourselves and those close to us in the hands, minds, and...

"We've done the best we can and we can't fix you..."

Someone has to have the courage to say “We’ve done the best we can. We can’t fix you. Let us help you have some quality time”.

Tomorrow I will Make my Wishes known but not Today.

If we don’t legally make our wishes known in writing and generally notarized, healthcare professionals will make those decisions for us...

Putting  Our House  In Order

In the days to weeks before gradual death occurs a person realizes, at last, that they are dying. They may not share that realization with anyone, but they know. If...

Advance Directives Are Not Written In Stone

Filling out an Advance Directive when you are healthy is different than filling one out when you are elderly or living with a serious illness...

Why I Believe a Person Should Be Told They Can't Be Fixed

Number one, we are all going to die at some point. Of course the operative words here are “at some point.” If we are told death will be the outcome...

When Is It Time To Say Goodbye? article by end of life expert, Barbara Karnes, RN

"When do we say our final goodbye to someone who is dying?" Barbara Karnes talks about how we say goodbye in stages. We say goodbye many, many times.  

NHPCO Hospice Innovator, Barbara Karnes, RN speaks to those who are unable to be with their loved one at the time of death. www.bkbooks.com

Our job as an end of life specialist is to address the elephant in the room, to be direct and honest in the gentlest way possible. We are not doing...

Did the AIDS Epidemic Set Us Up To Handle COVID-19? by Barbara Karnes, RN

There are many of the same circumstances with today’s coronavirus as we faced with  HIV/AIDS in the early years— lack of medical knowledge, lack of guidance, and fear. I think...

MOM IS DYING and There's So Much Blame by Barbara Karnes, RN

I'm sorry to say when a family member is dying it can bring us together and be our finest hour as a family or it can bring out the worse...

HOSPICE DEATH CALL~ How To Comfort A Family You've Never Met by Barbara Karnes RN

We do this all the time. We enter tense situations where people are frightened and unsure, with people who have never seen us before. This is what we do: We create...

Developing End of Life Expertise by Barbara Karnes, RN

You have to walk the walk before you can talk the talk. Learn from your patient/family interactions. At the same time read everything you can get your hands on...

I Hear You, But I Don't Understand

...I remember being with my mother in my hospice Medical Director’s office. He was explaining to my mother his medical findings as they related to her illness. I, being a...

Calories Count by Barbara Karnes, RN

When living with a life threatening illness we are eating for two---our physical body and our disease. In most cases the disease eats before we do. If we don’t eat,...

DYING Young or Old, The Signs Are The Same by Barbara Karnes, RN

There are other signs of approaching death that indicate a person with a disease (at any age) has weeks to live...

This Is How People Die, A New Film By Barbara Karnes, RN : Award Winning End of Life Educator & Hospice Pioneer

My message throughout all this time has been to educate, educate, educate. Educate anyone who will listen about how people die. To help people understand how death comes, what it...

Nursing Home Blues, Part 2 by Barbara Karnes, RN

...Fortunately, I suppose, my mother is now bed-bound and we were able toget Hospice to help out, so she now fits the bill for a 'model patient'... but itstill seems...

Telling A Loved One They're Dying by Barbara Karnes, RN www.bkbooks.com

...not telling a person they can’t be fixed is taking away their opportunity to do and say that which is important to them. It is taking away their ability to...

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