Something to Think About

a blog on end of life

We love sharing helpful info on our blog.

About the BK Team
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...

"WHY?" Questions Arising Following A Death by Barbara Karnes, RN www.bkbooks.com 360-828-7132

When we die we work to leave our body. That work begins months before death from disease actually occurs but we only really see the work happening when death is...

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...

I Don't Want Dad To Die On My Birthday by Barbara Karnes, RN

Dad was in his 11th hour and it happened to be my birthday. I was mixed on how I would feel if it happened on that day. In talking with...

Some Think Hospice Kills by Barbara Karnes, RN

It is because end of life care is different than caring for someone who is going to get better that we think the care being provided is causing harm. It...

Deathbed Promises by Barbara Karnes, RN www.bkbooks.com

We need to look at the promises made, evaluate them as to: can it be done, should it be done, and am I willing to do it? 

Do Not Resuscitate & Hospice by Barbara Karnes, RN www.bkbooks.com

I believe that everyone has the right to decide how they will live and how they will die. There are people that no matter the disease will want to have...

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...

Food and the Dying process by Barbara Karnes, RN BKBOOKS.COM

As a person enters the dying process, months before death occurs, they will gradually stop eating. Months before death they will stop eating meats, then fruits and vegetables, then soft...

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...

Caring for the Alzheimer's Patient

Living with someone who has dementia is a daily challenge. It requires the constant reminder that this person is not who they once were. It presents the challenge of learning...

Barbara Karnes, RN speaks to the question, "Do people really die of a broken heart?"

I know “dying of a broken heart” is used frequently when death comes as a result of a tragic life event. I’m not sure that is actually why the person...

American Hospice Pioneer, Barbara Karnes, RN writes ideas for best practices for new hospice nurses as they care for the dying. www.bkbooks.com

If you teach your families well about the approaching end of life there will be no problems with them understanding the labor of dying. Having someone you care about dying is...

NHPCO Hospice Innovator, Barbara Karnes, RN writes about caring for a patient with ALS as they approach end of life, and the dying experience. www.bkbooks.com

ALS is horrific disease, not that there is a “good” disease but ALS traps a good mind in a slowly deteriorating, non functioning body affecting not only the ability to...

It Is Okay For Our Loved One to Not Eat

It’s okay for our loved one not to eat once they have entered the dying process. They are reaching a point of just not being able to eat. The body doesn’t want...

NHPCO Hospice Innovator, Barbara Karnes, RN explains Terminal Restlessness.

Terminal restlessness is a medical term for the restlessness and agitation that often begins one to three weeks before death from disease. The restlessness shows itself by random body movements,...

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