Something to Think About

a blog on end of life

Barbara Karnes Books team members Julia, Danny, Barbara Karnes, Cher, and Jacquelyn providing trusted end-of-life education, hospice resources, and caregiver support.

We love sharing helpful info on our blog.

About the BK Team
Why We Feel Guilty After a Loved One Dies by Barbara Karnes, RN, Green graphic with pink circle and writing

After someone we love dies, many of us replay every decision, every conversation, and every "what if." In this article, I'll explain why guilt so often becomes part of grief...

What Do I Do in the Final Hours Before Death by Hospice Pioneer Barbara Karnes, RN

Knowing what is happening reduces fear. Knowing what you can do at the bedside helps you be present. Barbara explains how families can move beyond simply watching to  create meaningful...

How Can I Tell When the Dying Process Has Begun by Barbara Karnes,RN yellow graphic, black script, purple circle

The body gives us clues when the dying process begins. Learning to recognize changes in eating, sleeping, and socialization can help you understand what is happening and know when it's...

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.

Grief Is About the Living: What We Feel After a Loss by Barbara Karnes, RN

Grief is not one feeling—it is many. If what you are feeling seems confusing or overwhelming, you are not alone. This is how grief works.

Can You Be “Full Code” in Hospice? What Families Need to Understand blog article by End of Life Educator, Barbara Karnes, RN

Hospice and palliative care are not the same—and understanding that difference matters. If the goal is comfort and a natural death, certain medical interventions no longer fit. Let’s talk about...

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.

The Circle of Life: How Birth and Death Mirror One Another

Just as there are short labors and long labors in birth, there are short and long transitions at the end of life. Recognizing these parallels can help families worry less...

I Was 17 and Told to Sit With a Dying Patient — Alone

When I was 17, I was told to sit with a dying patient — alone. I didn’t know then how profoundly that moment would shape my life’s work...

Blessings to all, especially the grievers

Grief can feel heavier this time of year, especially when the world expects celebration while your heart is grieving.

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...

As a Caregiver, If Words Fail, Let Your Actions Speak

Relationships are challenging. We don’t always get from them what we want or need. As death comes, the yearning for what we didn’t get or have with this person increases...

The Hospice Story: How a Small Idea Changed How We Die

Dame Cicely Saunders — an important and influential physician, nurse, social worker, and writer in end of life care — established a specific facility to care for those people that...

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...

From Cure to Comfort: Matching Your Care to the Illness

Some illnesses are curable. Some are uncertain. And some can’t be fixed—no matter what we do. Knowing which type you or your loved one is facing can help you choose...

4 Myths  About Hospice— and the Truth That Brings Comfort

Hospice isn’t about giving up—it’s about support, comfort, and quality of life. Here is the truth behind 4 common hospice myths families often believe.

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.

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