Something to Think About

a blog on end of life

We love sharing helpful info on our blog.

About the BK Team
Dying Is Not Pretty

People don’t die like they do in the movies. Mom is not going not going to say some profound words, close her eyes and be dead...

How Are You Spending This Gift of Life?

The space between birth and death is the most important part of life YET we somehow go through the living part unaware. In a hurry, with a great deal of tension, and very little...

The Words We Use When It Comes to Death

Our job as end of life workers is to educate. We walk a thin line. Our words can be heard and misunderstood so easily. They can be interpreted differently than...

Is Dying Different For Older People?

As for the “signs of what is to come” for someone who is young and dying, those signs are also the same for everyone, young and old. People dying from...

Medical Interventions on a  Body That Can’t Be Fixed

How tragic that none can come forward and say, "Your father is dying. Let's stop all these extras and keep him comfortable”. Family as well as many individual physicians do...

Dying Is About The Emotional, Communal Response

Dying isn’t about the disease a person has. It is about the emotional, communal response to the person dying from the disease. It doesn’t require medical intervention. It requires comfort...

Supporting a Colleague With A Dying Loved One

This has led me to think about what any of us can do for an acquaintance who has a serious illness or is caring for someone who has a serious...

Hospice and End of Life (EOL) Workers article by Hospice Pioneer Barbara Karnes, RN

What is the difference between what hospice provides and what the EOL Workers provide? Hospice services are more medically oriented. They also provide a variety of services that are non...

Stay Until The Job Is Done- Hospice & Home Health article by End of Life Expert, Barbara Karnes, RN

With Hospice you never know what you will find once you enter the home. Service can’t be time based. Visits have to be stay until the job is done and...

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...

Using Hospice Volunteers During COVID article by Barbara Karnes, RN

I was Zooming with a hospice today for Q & A’s and the subject of not being able to use volunteers because of Covid came up. WHOA!!! What do you...

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...

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...

During this pandemic, Award Winning Hospice Pioneer, Barbara Karnes, RN speaks to her gratitude for the front line workers keeping our country from falling apart in her article, Can We Ever Thank You Enough, Front Line Workers?

Our frontline workers: nurses, nursing assistants, doctors, hospital employees, first responders, housekeeping, grocery, delivery, and transportation personnel, all people who are out front while most of us shelter in place,...

During Self Isolation, I Needed A Daily Routine. Do You? by Barbara Karnes, RN

I am now writing this. Here is what I am thinking: The way I have lived my life up to now will probably be changed forever. How long physical distancing...

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...

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...

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