Something to Think About

a blog on end of life

We love sharing helpful info on our blog.

About the BK Team
“Who will take care of us when we can’t take care of ourselves?”

Unfortunately, as death approaches none of us will be able to take care of ourselves. There will come a point when we will need assistance. We probably won’t even be aware we...

Six Months After My Husband Died

It has been almost six months since my husband of 62 years died. As an end of life educator I have taught about loss and grief, and even wrote a booklet about it. BUT...

Supporting  Hospice Caregivers and their daily encounters with death

Working with end of life in the medical field often leaves us feeling like outliers. The medical model is to fix people. Working with dying generally isn’t addressed in training. (It’s...

When Our Emotions Blind Us From What is Happening

I knew all the signs of approaching death, of labor beginning. What I didn’t know was how much we don’t want to see those signs, and by not wanting to see them,...

The Sacred Moment of Death

All the work we do leads up to the moment of death. Our goal is to guide and support those present through the moment the last breath occurs.

Entering Into "Precious Time"

In our medical society today, it seems to be very difficult for physicians to tell patients and/or families that death is approaching; That this special person will die, and probably...

Hospice Services Pulled for Dementia Patient

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...

Using "Baby Talk" With End of Life Patients

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. ...

Caregiving Is Love

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...

I’m a Caregiver and I’m so Beat Up

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...

Spiritual Support for a Dying Person of a Different Faith

We support others in their belief system no matter what we believe. It is not about us...

It's Here!  BY YOUR SIDE, A Guide For Caring For The Dying At Home

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...

Caregiver Support Group As An End of Life Doula

Getting the word to caregivers that there is such a thing as a support group may be challenging. You might talk with church groups, case managers, hospital discharge planners, and...

Is Mouth Care Considered Medical or Comfort Care at End of Life?

There is nothing medical about brushing your teeth, rinsing your mouth or moistening the inside of your mouth. We do it all the time. Why would it be suddenly considered a...

The Challenge of a Loved One Who is Dying

Deciding not to “tell mom she can’t be fixed" takes away that gift. Who are we (yes, even family) to determine what a person needs to or does not need...

Making Sense of Last Words

What is normal is the person may be talking BUT they won’t be making sense. They may be talking to people you don’t see or hear. Yes, I believe our...

The Hospice CNA: An Anchor in a Time of Uncertainty

Often the patient shares more with the CNA than with their own family members. We are so open and vulnerable when someone is giving us a bath, changing our bed,...

A Hospice Halloween

In the early days of hospice no one told us how long we could stay with the patient and families. We simply made it up as we went along. Our goal...

The "Labor" To Enter This World, And The "Labor" To Leave

End of Life Expert Barbara Karnes, RN explains the similarities in the "labor" to enter this world and the "labor" to leave it. Read on...

Hospice Innovator Barbara Karnes, RN explains the 3 Signs of Approaching Death from Disease or Old Age

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

End of Life Expert, Barbara Karnes, RN explains the use of narcotics in hospice care.

There are so many reasons your father could have been receiving medicine by a “needle”. I am not fond of IV or giving medication by a “needle” as end of...

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