Something to Think About

With old age and no active debilitating disease process, all the signs of approaching death (less eating, more sleeping and gradual decline in social interests) occur, BUT they occur over...

There is a huge void in our medical system that so many families living with dementia fall into. These families have a loved one too sick and require too much...

The elderly, after a fall or illness, often are not much interested in eating. If there are no other health issues, they gradually return to normal eating. In the meantime...

Dying isn't like it is in the movies. We don't know what it is like to die from disease or old age and while everyone is going to do it,...

Dementia causing illnesses, by whatever name we classify them, are becoming more and more prominent. Dementia, and how to care for people with it, has become a big healthcare issue...

As end of life professionals we have to carefully walk a line.  We are in the tenuous position of caring intimately for adult strangers who often do act as children. ...

In those last five months I tried for us to live in the present, to build good memories, to love, give and live in the moment...

Life puts us in challenging situations. Often times it is not where we want to be. Sometimes it seems we don’t have a choice...

By Your Side offers guidance in the area of making choices: cure, life sustaining, comfort care, making advanced directives, and funeral planning. It details signs of approaching death (what to look...

The more you learn about end of life, what happens, what it looks like, the less fear you will bring to the experience and with less fear you can get...

I often get the question, "How do I start an end of life discussion? How do I get my family to talk about what they want their dying to be...

I keep shouting from the roof top to hospitals, hospices, home health care agencies, and nursing facilities, “TAKE CARE OF YOUR PEOPLE!!!!!” How can we expect healthcare workers to continue...

With all the loss that we are experiencing during this pandemic, it isn't just physical death that we are mourning. End of Life Expert Barbara Karnes, RN has some grief...

 Know that all of these signs of approaching death, whether indicating months or weeks, are just guideposts. Some people will show all of them...

Our children are not supposed to die before we do. I cannot think of any grief more intense than watching our child deteriorate before our eyes. We grieve their dying...

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...

Our frontline workers: nurses, nursing assistants, doctors, hospital employees, first responders, housekeeping, grocery, delivery, and transportation personnel, all people who are out front while most of us shelter in place,...

I am now writing this. Here is what I am thinking: The way I have lived my life up to now will probably be changed forever. How long physical distancing...

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...

Touch in with the families, “What’s happening? Do you need anything?” Use the same volunteer for each family to develop confidence and bonding. You are saving your staff while providing a sense...

Isolation from others is teaching me this about my self ——- I do a lot for others, for their thoughts of me, why else do I wear makeup? Get dressed?...