Something to Think About

a blog on end of life

We love sharing helpful info on our blog.

About the BK Team
Is a Peaceful Unmedicated Death Possible? Barbara Karnes, RN

QUESTION: I am a 30 year old woman working as a psychology intern at a local hospital. My engagement in the hospice program has me thinking a lot about my...

Oxygen, Morphine and Air Hunger: Barbara Karnes, RN

QUESTION: What do you think of use of oxygen at the end of life? – Does it hasten or prolong death? I consider use of oxygen at end of life...

Dementia Doesn't Play By The Rules: Barbara Karnes, RN

QUESTION: My question is about when someone with advanced dementia is in that sort of vague pre-active dying period, say those months in and out of the hospital, the time...

God or no God? Barbara Karnes, RN

QUESTION: I am a Hospice Nurse for 3+ years but have been a nurse for over 35 years with varying experiences with death and dying prior to my present Hospice...

Labor: Barbara Karnes, RN

QUESTION: Please expound upon the "Labor of Dying" mentioned in this blog. Dying from disease and old age has a process to it. That process begins two to four months...

The Odds, Google and The Big Question: Barbara Karnes, RN

Generally speaking, a person goes to a physician because something is amiss with their physical body. We don't feel well so we go to doctors for help. Physicians "fix" what...

Telling Bad News: Barbara Karnes, RN

No one wants to be the bearer of bad news. Americans are a death denying society. We view death as the enemy and a failure: something to be feared and...

If we talk about dying, death or even make our advanced directives and a will then it must mean that we are going to die---soon. My husband and I were...

Pop's Letter - End of Life Inspiration

Shortly after he was diagnosed with cancer this letter was written to family by Truette Wayne Frank (March 6, 1919 to July 27, 1998). I have asked permission from his...

American Hospice Pioneer, Barbara Karnes, RN writes ideas for best practices for new hospice nurses as they care for the dying. www.bkbooks.com

If you teach your families well about the approaching end of life there will be no problems with them understanding the labor of dying. Having someone you care about dying is...

I received the following comment on my Blog. "They are overmedicating Mom” (The family said of hospice professionals). “Following a brief rally, she slept most of the time and died...

QUESTION: Can you write about the beauty, the strength, the gifts that death can sometimes bring? I have had the honor of being near a handful of loved ones in...

Staff Concerned "We Are Starving Mom To Death"

Food is the body’s anchor to this planet. It is what keeps us going, gives us energy, grounds us. As death from disease approaches the body doesn’t want the grounding,...

QUESTION: My father and I have always had a difficult relationship. He is now approaching death. What do I do? There is no perfect relationship. Life is a series of...

Confusion At End Of Life article by End of Life Expert and Author Barbara Karnes, RN

The phenomenon generally occurs in the weeks before death and can be accompanied with restlessness and agitation. Generally, medication is not required unless the confusion and restlessness puts the person...

Approaching the Question of Faith or It's Absence in End of Life Care

We must always respect a person’s choices. Remember, we approach this final challenge in our life in the same manner we have approached all of our challenges. If a belief...

QUESTION: Could you write about the fear of dying from the perspective of a patient not willing to go on hospice due to his fear of death and dying? It...

This is a letter I received from Colleen Todd. She has given me permission to reprint this edited version. The love and beauty in this letter touched me greatly. It...

Comfort As Death Approaches article by Hospice Innovator, Barbara Karnes, RN

It is my hope that people will read “Gone From My Sight,” “The Eleventh Hour” and watch “New Rules for End of Life Care” so that their experience will be...

Should I Tell? Discussing Terminal Prognosis by Barbara Karnes, RN

There are pros and cons to telling a person they can’t be fixed. I've touched on some of them. I don't know the "right" answer. I do know that we...

Question: What about dying and coming to peace? A lot has been talked about people accepting and “coming to terms” with their approaching death. Even Elizabeth Kubler-Ross talked about acceptance...

1 6 7 8 9 10