Something to Think About

a blog on end of life

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About the BK Team
Healthcare Workers, Hospices, Home Health, Deathcare Workers~  7 Recommendations  for Taking Care of Yourself

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...

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...

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 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 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...

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...

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?...

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...

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...

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...

8 Things to Consider Regarding End of Life Pain Management by Barbara Karnes, RN

Often dying looks painful to the people watching. Dying is a struggle to get out of the body. There are sounds that ordinarily would indicate discomfort but, when a person...

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...

Where Is The Hospice I Know And Love? by Barbara Karnes, RN www.bkbooks.com

Hospice can not take the experience and sadness of a loved one dying away. Our goal is to help the family create a sacred experience, to help their loved one...

A Hospice With Integrity by Barbara Karnes, RN

Be the best hospice you can possibly be, provide the highest quality of care with the most compassionate, caring staff your area has to offer. Build a reputation within the...

DYING Young or Old, The Signs Are The Same by Barbara Karnes, RN

There are other signs of approaching death that indicate a person with a disease (at any age) has weeks to live...

This Is How People Die, A New Film By Barbara Karnes, RN : Award Winning End of Life Educator & Hospice Pioneer

My message throughout all this time has been to educate, educate, educate. Educate anyone who will listen about how people die. To help people understand how death comes, what it...

Grief During the Last Stages of His Life

From the moment of a diagnosis of a life threatening illness we begin grieving. We grieve not just the eventual losses that come with serious illness but the approaching death...

How Do I Pick A Good Hospice? by Barbara Karnes, RN  www.bkbooks.com

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...

Telling A Loved One They're Dying by Barbara Karnes, RN www.bkbooks.com

...not telling a person they can’t be fixed is taking away their opportunity to do and say that which is important to them. It is taking away their ability to...

Hospice Middle Management & Oreo Cookies by Barbara Karnes, RN www.bkbooks.com

Many years ago I attended a workshop at The Menninger Clinic in Topeka, Kansas. The topic was about when a clinician enters the administration work field. I don’t remember much...

Taking Charge With AnAdvanced Directive by Barbara Karnes RN www.bkbooks.com

We must talk about end of life issues NOW while we are healthy, and our thoughts are not clouded with fear. Right now when emotions don’t affect our thinking. When we can...

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