Something to Think About

a blog on end of life

We love sharing helpful info on our blog.

About the BK Team
How Does Hospice Work At Home? article by end of life expert, Barbara Karnes, RN

Hospice works at home for you. It provides support, guidance, and education but even more it provides understanding, concern, and heart felt caring for you, the family, and your support...

Does Everyone Need Grief Counseling? article by End of Life Expert, Barbara Karnes, RN

Counseling is a support offering, a choice. Some personalities would never consider counseling. They would not be comfortable sharing their personal thoughts and life with someone else no matter how professional...

A Reason To Get Out of Bed, Part II is the follow up article from Hospice Pioneer, Barbara Karnes, RN

...Then a physician says “I can’t fix you. You are going to die sometime soon”, it is generally not said so bluntly. Actually often it is not said at all....

A Reason To Get Out of Bed article on End Of Life by Hospice Pioneer, Barbara Karnes, RN

When someone has told you you can’t be fixed, that sooner than you expected you will die, your reason for living, your purpose, that which fills your time each day, is...

We Are Born, We Experience, And Then We Die, an article about the dying process from Barbara Karnes, RN

... if we would educate ourselves before we need the information, before someone we care about is dying, before we are faced with a life threatening illness, or before someone we...

Mom's Dying Alone And It's Unbearable an article on End of Life by expert, Barbara Karnes, RN

Zooming is certainly helpful but know as she progresses toward death she will not be able to respond, even to know you.  Continue the zooming and talking to her even when...

DYING SCARED article by End of Life Expert, Barbara Karnes, RN

I get a lot of letters like the one I’ve edited below. We, as a culture, are so unprepared for witnessing a death. We have no accurate role models. We...

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 author, Barbara Karnes, RN explains what happens during a death rally

We believe from all signs that death is rapidly approaching. Then one morning they seem to actually wake up. They are less confused,  they want to eat, or get up....

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...

End of Life Educator, Barbara Karnes, RN author of GONE FROM MY SIGHT, The Dying Experience, writes about possible changes in personality during the dying process

First, what is meant by “dying person”? In the months before death most people really don’t believe they are dying. “Other people die, not me. There will be a cure,...

NHPCO Hospice Innovator, Barbara Karnes, RN writes about caring for a patient with ALS as they approach end of life

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...

NHPCO Hospice Innovator, Barbara Karnes, RN speaks to those who have had a loved one die in a violent way in her new blog, How To Grieve a Violent Death. www.bkbooks.com

Sudden death by accident, suicide and certainly by violence intensifies those normal grief responses. Everything we feel with normal grief is as if we are being held under a magnifying...

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...

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

People are dying and in a manner we are not used to. We, in America, have become accustomed to having our loved one either at home with family close, or...

What Does Death Look Like? By Barbara Karnes, RN author of Gone From My Sight

We bring our fears, our childhood experiences with death, our culture, our belief systems, and our stereotypes to the bedside of the dying and the dead. Generally, none of that...

How To Help Families Care For Their Dying Loved One During Social Distancing by Barbara Karnes, RN

Hospices seem to be struggling with how to provide services now that being in homes and facilities is not an option. When we cannot rely on routines, when there is...

Taking Some of the Fear Out of Dying Alone by end of life expert, Barbara Karnes, RN

I see families devastated by not being able to be with their loved one as they are dying. I am writing this for any person who is faced with a...

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...

Be Aware of the Risk We Present to Those We Are Hired to Care For by Barbara Karnes, RN

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...

We've Just Begun Social Distancing~ Here Are My Thoughts by Barbara Karnes, RN

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?...

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