Something to Think About

a blog on end of life

We love sharing helpful info on our blog.

About the BK Team
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?...

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...

Why Didn't They Tell Me? article by Hospice Nurse Barbara Karnes, RN

Your book explained so much. Mom's dying was almost exactly like you explained in your book. In hindsight, I am unsure why we, her family, were not advised, taught, or...

Would She Still Be Alive? By Barbara Karnes RN NHPCO Hospice Innovator

It sounds like she was given morphine to ease her transition from this world to the next. Not knowing your grandmother's medical history I cannot say if the morphine was...

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...

National Hospice Pioneer, Barbara Karnes, RN explains why she wrote her new booklet/resource, PAIN AT END OF LIFE for families, death doulas, nurses, hospice staff.

In todays culture with the opioid crisis rampant, fear of narcotic use is everywhere. That fear hinders our ability to provide appropriate comfort management and is leading to misconceptions about...

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...

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...

I Hear You, But I Don't Understand

...I remember being with my mother in my hospice Medical Director’s office. He was explaining to my mother his medical findings as they related to her illness. I, being a...

SOCIAL WORKERS: I Want To Be Like You When I Grow Up by End of Life Educator, Barbara Karnes, RN

This is the story that came to mind when I decided to write a blog for National Social Work month. Social work, to me, is about saying the right words...

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...

NHPCO Hospice Innovator, Barbara Karnes, RN speaks to those who are living with cancer that can't be fixed. The dying may not want to talk about death. www.bkbooks.com

We often think because a person is facing the end of their life we have to do whatever they want us to, regardless of how it affects us. We treat...

As Death Draws Closer: Barbara Karnes, RN

...Most people, I am sorry to say, are so caught up in the process of getting treatment (and generally get very sick in that process) that  they don’t feel well...

For Those With Heavy Feelings of Loss

How to let go and stop feeling guilty? At first you probably aren't even aware of your feelings. When someone close to us dies, even if we are told it...

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