Something to Think About

a blog on end of life

We love sharing helpful info on our blog.

About the BK Team
Why do you want to support people who are dying?

support people who are dyingBeing involved with end of life care is not something most people want to do, so what brings you? 

Why do I say “Dying is not a Medical Event?”

In the months and weeks before death, medical intervention and medical tools are an active part of care. Pain management, skin care, mouth care,and bowel and urine care are all...

Do We Choose When We Die?

Just think of a woman in labor and what she is thinking about—-getting that baby out. The person that is dying is in labor also, working to leave the physical...

Living Your Best Until You Can't

With gradual dying from disease or old age, nutrition, what and how much you eat, is the key to quality of living. Over a period of months with disease and...

The "Labor" To Enter This World, And The "Labor" To Leave

End of Life Expert Barbara Karnes, RN explains the similarities in the "labor" to enter this world and the "labor" to leave it. Read on...

Nobody Can Say For Sure When Death Will Happen is an article about the dying process written by hospice nurse, Barbara Karnes, RN

How do you answer a family member when they ask you how much longer their loved one has to live?  That is a question most family members want to know and...

Rapid Heart Rate in the Dying

Their body is trying to keep going even while it is shutting down. The body's defenses are doing whatever they can to keep the body functioning THAT is why there...

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...

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...

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...

Setting Up A Hospice Program by Barbara Karnes, RN

...You really don't need a doctor or nurse at the bedside when someone is dying. You need someone who understands the natural way people die and can educate and guide...

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...

My Personal Integrity Was Wounded Tonight by Barbara Karnes

When hospice began it was outside of the medical model. It provided end of life care based on quality, not quantity, of life. It recognized when physical healing couldn't be...

BIRTH BACKWARDS, A Daughter's Death by Barbara Karnes, RN

At 8:17pm she took one more breath and then at 8:18 there was one more which I describe as hot caramel pouring onto vanilla ice cream. It was the most...

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...

3 Things You Can Do As Someone Is Dying by Barbara Karnes, RN

The hours before actual death is very scary, a "I don't know what to do" time, for anyone present. Someone who knows the normal natural way a person dies can...

WHY NOT HOSPICE? A Reluctance To Refer by Barbara Karnes, RN

If the signs are there, get the referral and let a hospice professional determine if Hospice is appropriate. Three things I look for to tell me if it is time...

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...

Nursing Home Blues, Part 2 by Barbara Karnes, RN

...Fortunately, I suppose, my mother is now bed-bound and we were able toget Hospice to help out, so she now fits the bill for a 'model patient'... but itstill seems...

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...

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