Something to Think About

a blog on end of life

We love sharing helpful info on our blog.

About the BK Team
My Father Is Dying and Won't Tell His Family.

When a dying parent refuses to tell the rest of the family about a terminal diagnosis,  should you keep the secret or encourage open conversations?

What Families Need to Know in the Final Hours Before Death by Hospice Pioneer, Barbara Karnes, RN

Most people don't know what to do or can do in the final hours before death. Here are gentle ways families and caregivers can create a meaningful goodbye and bring...

Why Caregivers Need Written Guidance at the End of Life article by Barbara Karnes, RN

Caregivers are often alone when caring for someone who is dying. Written guidance can provide reassurance and support when it is needed most.

Why You Need an Advance Directive (Before You Think You Do) article by Barbara Karnes, RN to encourage filling out end of life wishes

Most of us don’t think about healthcare decisions until something is wrong. But in crisis, emotions take over and clear thinking becomes difficult. Planning ahead—through an advance directive and sharing...

What Matters Most at the End of Life: Treatment or Time Together? article by hospice nurse Barbara Karnes, RN for caregivers

Sometimes the question is not how long we can live, but how we want to live with the time we have.

Who Cares for the Caregiver in End-of-Life Work?

Those of us who work in end-of-life care walk beside people and families during one of the most intimate times of life. Because of the emotional nature of this work,...

https://bkbooks.com/products/gone-from-my-sight-the-dying-experience

We educate families about the dying process, but too often no one is there when death actually happens...

Can a Dying Person Choose When to Die? What Caregivers Should Know

In the final days and hours, a person may “wait” for someone to arrive—or let go when everyone is out of the room. Hospice nurse Barbara Karnes, RN, explains the...

To Care for the Dying Well, Look Inward First

End-of-life care isn’t just clinical. It’s deeply personal. Before we can guide others through death, we must understand our own beliefs, fears, and experiences. When we face death honestly within...

Not Every Patient Is a Battle to Win

Everyone dies. Death will not be conquered. It can be forestalled and that is where the medical model comes in. We learn through trying. The medical rounds physician is correct...

Would I Want This? A Question Every Caregiver Must Ask

It will never be “okay” for someone we care about to die, to leave us. We will always want those we care about to stay in our lives...

Think It Might Be Time for Hospice?  You're Probably Right

Death from disease and old age doesn’t just happen. There are signs and changes that begin occurring months before death arrives. You can use those signs as a reference indicating...

Introducing the Approaching Death Support Kit: Gentle, Trusted Guidance for Families and End of Life Doulas

If I could sit beside you at the bedside, this is what I would place in your hands. Whether you’re a family member, a friend, a caregiver, or an end-of-life...

When Death Comes Suddenly: What to Expect and How to Offer Comfort

How do we interact with someone dying a sudden death? The same way we would react with someone dying a gradual death.

Writing Our Final Chapter More Meaningfully article by Barbara Karnes, RN

The experience of dying a gradual death is an important, integral part of life. It is an opportunity to write our final chapter, to define the ending of our story...

This list is a gift for those you will leave behind...

This is a guide all would be wise to complete now (and regularly update) before the information is needed. It is a gift to those left behind...

“It is through the eyes of fear that we react to the unknown of how life ends…”

Knowledge is important for the person dying because they are processing their life on many levels. It is important for the watchers because it is our final opportunity to connect,...

What if everyday was  “I Love You Day?”

Working with end of life all these years has shown me how special each day is. It has also shown me the value and the gift of living, doing, and...

When people don’t die like they do in the movies, we think something bad is happening…

We used to have role models on what dying really looks like. People died at home, in their own bed. Family and friends gathered — held a vigil, so to speak. When...

What I Would Look For In a End of Life Doula Training Course

There are many different approaches and offerings. These multiple choices give you the chance to match your personality with the instructors and teaching methodology...

Denial of a Life Limiting Illness

Denial by the person with a life threatening illness, denial by the caregiver, and I’ll even add denial by some attending physicians. Denial is often the reaction to diseases that have...

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