Something to Think About

a blog on end of life

We love sharing helpful info on our blog.

About the BK Team
Entering Into "Precious Time"

In our medical society today, it seems to be very difficult for physicians to tell patients and/or families that death is approaching; That this special person will die, and probably...

Hospice Services Pulled for Dementia Patient

There is a huge void in our medical system that so many families living with dementia fall into. These families have a loved one too sick and require too much...

Reaching out to a  Non-Religious  Person At End of Life

"How do you reach out to a non-religious person who believes the end is the end?" You don't...

END OF LIFE CARE- Providing Education, Support and Guidance

Dying is not a medical event. Dying is a communal, social event. Nursing and physicians are part of care, but not the all encompassing focus. The main focus of end...

It's Here!  BY YOUR SIDE, A Guide For Caring For The Dying At Home

By Your Side offers guidance in the area of making choices: cure, life sustaining, comfort care, making advanced directives, and funeral planning. It details signs of approaching death (what to look...

Discussing End-of-Life Wishes

I often get the question, "How do I start an end of life discussion? How do I get my family to talk about what they want their dying to be...

NHPCO 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...

"Grieving For Someone Who Treated Me Badly"

Part of grieving is how you channel the feelings. Channel your anger, your disdain into how well you live your life now. Let your life experience be the learning tool...

When Is It Time To Say Goodbye? article by end of life expert, Barbara Karnes, RN

"When do we say our final goodbye to someone who is dying?" Barbara Karnes talks about how we say goodbye in stages. We say goodbye many, many times.  

A Reason To Get Out of Bed, Part II is the follow up article from Hospice Pioneer, Barbara Karnes, RN

...Then a physician says “I can’t fix you. You are going to die sometime soon”, it is generally not said so bluntly. Actually often it is not said at all....

FOUR “NAUGHTIES” FOR END OF LIFE article by End of Life Expert, Barbara Karnes, RN

Keeping Secrets: “Don’t tell mom.” Don’t say that she could die.” Don’t talk to her about “sad” things.” “Pretend everything is going to be alright.”  Mom lives inside of her body....

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...

In A Time Of Overwhelming Loss article by End of Life Expert, Barbara Karnes, RN about grief and bereavement

When someone we know or are close to dies we expect to grieve. We recognize our sadness but often we don’t recognize our impulsiveness to clean the house, or our...

End of Life Educator, Barbara Karnes, RN author of GONE FROM MY SIGHT, The Dying Experience, writes about possible changes in personality during the dying process

First, what is meant by “dying person”? In the months before death most people really don’t believe they are dying. “Other people die, not me. There will be a cure,...

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 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...

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