Something to Think About

a blog on end of life

We love sharing helpful info on our blog.

About the BK Team
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...

How Does "Fear of Life" Affect Dying? by Barbara Karne, RN

Yes, love of life and fear of death are a part of our personality expression as is our fear of life. In Gone From My Sight I was making a point of...

DYING CHILDREN, How Much Do They Know? By Barbara Karnes RN

...If an adult knows at some point in their disease progression that they aregoing to die (and they do know whether they share that knowledge withothers or not) why should...

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...

Is Talking About Death Insensitive? article by Hospice Author, Barbara Karnes, RN

We really aren’t doing people any favors by not being honest with them. We aren't giving their families the opportunity to do and say what needs to be said and...

What Comes Next? Dementia at End of Life is an article written by Hospice Pioneer, Barbara Karnes, RN.  She talks about the progression of dementia and ideas for caregivers.

Dementia is like a road map with many, many roads that eventually lead into a city. Each road is different, each road is of varying lengths and offers various views...

Opioids and narcotics are confusing for families with a loved one who is experiencing pain at end of life.  Hospice Pioneer, Barbara Karnes, RN educates on the subject.

Pain management is different in the last seven days because the body is not functioning in its normal way. Circulation, breathing, oxygen exchange are not happening properly so medications are...

Barbara Karnes, RN, author of "Gone From My Sight, The Dying Process, responds to a question about a hospice nurse who grieves deeply after each of her patients die.

It is how we feel at the end of the day about ourselves and our life that comes first. Our personal well being takes priority over any amount of work...

International Woman of the Year 2015, Barbara Karnes, RN gives you the questions you need to ask when choosing a hospice for a loved one, or yourself.  MOM NEEDS HOSPICE? Here Are Your Questions To Choose the Right One...

There have been many changes in hospice care since it began. Some for the better, some not so much. What I am suggesting as representing a “good” hospice is becoming...

American Hospice Pioneer, Barbara Karnes, RN answers the question: Can you look back after a death and see that yes, they were dying and no one knew it?

In our personal situations we may never have an answer to the question did he know or had the process started months earlier. What I suspect is that at some...

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...

Hospice Pioneer, Barbara Karnes, RN writes Our Children Aren't Supposed to Die Before Us

From the moment of a diagnosis of a life threatening illness we begin grieving. We grieve not just the eventual losses that come with serious illness but the approaching...

WORKING TOGETHER, Hospice & Nursing Facilities by Barbara Karnes, RN

Hospice has worked with nursing facilities for many years now. Our relationship  and interactions with patients and their families is now better understood and better defined. That said, some nursing facilities...

An Unpleasant Memory of Dad's Care, Article by End of Life Expert Barbara Karnes RN

I am sharing this letter and my response because this family is not the only family that has carried memories, sometimes for years, of situations that occurred as their loved...

8 Things to Consider Regarding End of Life Pain Management by Barbara Karnes, RN

Often dying looks painful to the people watching. Dying is a struggle to get out of the body. There are sounds that ordinarily would indicate discomfort but, when a person...

GRIEF- Struggling After Mom's Death by Barbara Karnes, RN

Often after a person dies we forget that there is no perfect relationship, that there are easy times and difficult times. Somehow once a person dies we elevate them to...

Refusing Treatment At Age 93, Article by Hospice Innovator Barbara Karnes, RN

Why make your mother’s remaining time be unhappy and with more discontent than is already there due to age and illness? Being old is hard work. Our thinking processes aren't...

Six Months To Live? A Doctor's Prediction by Barbara Karnes, RN

So many factors affect the length of our labor to leave this world that it is imprudent to put a specific time frame on approaching death. The closest we can...

BIRTH BACKWARDS, A Daughter's Death by Barbara Karnes, RN

At 8:17pm she took one more breath and then at 8:18 there was one more which I describe as hot caramel pouring onto vanilla ice cream. It was the most...

Family Discord As Death Approaches

What I have discovered is that a family member dying can bring a family together. It can be their finest moment of closeness and comfort. But for other families it...

FOUR QUESTIONS WE ASK WHEN FACED WITH OUR MORTALITY by Barbara Karnes, RN

We cannot put a number on how long our last experience will be. No one, doctors included, can be so specific as to say 6 months, 3 weeks or 24...

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