Something to Think About

a blog on end of life

We love sharing helpful info on our blog.

About the BK Team
Calories Count by Barbara Karnes, RN

When living with a life threatening illness we are eating for two---our physical body and our disease. In most cases the disease eats before we do. If we don’t eat,...

DYING Young or Old, The Signs Are The Same by Barbara Karnes, RN

There are other signs of approaching death that indicate a person with a disease (at any age) has weeks to live...

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...

The Nursing Home Blues by Barbara Karnes, RN www.bkbooks.com

As we get older, life presents us with different challenges. We adapt to them in the same way we have lived our life and dealt with all the challenges in...

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...

Telling A Loved One They're Dying by Barbara Karnes, RN www.bkbooks.com

...not telling a person they can’t be fixed is taking away their opportunity to do and say that which is important to them. It is taking away their ability to...

Do Not Resuscitate & Hospice by Barbara Karnes, RN www.bkbooks.com

I believe that everyone has the right to decide how they will live and how they will die. There are people that no matter the disease will want to have...

Unexpected Death of a Child

Dear Barbara, Please talk about unexpected youth death. In our minds we understand, that as sad as it is when an older adult dies,they have lived their life and death...

Hospice Nurse Barbara Karnes, RN explains the process of dying from VSED, Voluntary Stopping Eating & Drinking.

What do I personally think? If we want to die, VSED is a way of having total control. It is not illegal. It doesn’t involve others (which is illegal). It...

Distancing From The Dying article by end of life expert, Barbara Karnes, RN

...There is no perfect relationship. There are good times and difficult times. Sometimes the difficulty we have with the person that is dying keeps us from being at the bedside....

Faith and the Dying Process By Barbara Karnes, RN

 If we did not relate to praying in living then we will not necessarily relate now. We die the way we have lived. We don’t change who we are just...

Does Morphine = Euthanasia in the Dying? Barbara Karnes, RN

A great question. You have actually touched on a line of thinking that a lot of people have about the use of narcotics at end of life: that the narcotic...

Dangers of Morphine for the Dying

Dear Barbara, Talk about the dangers of giving morphine to one who is dying? I have written many articles on morphine yet I repeatedly get this question. What that tells...

Death As The Enemy: Barbara Karnes, RN

I was just on the phone with a woman who told me the doctor told her friend he was surprised she had lived this long with the disease having spread...

"If They Would Just Eat, Everything Would Be Better" Barbara Karnes, RN

Dear Barbara, what are the physical changes in appearance during the dying process? Also talk about not forcing food upon the dying. The physical changes in appearance during the dying...

Pneumonia, The Old Man's Friend: Barbara Karnes, RN

Now, all this said, there are thin lines and points to debate, in what istreatment to get better and treatment for comfort. Is pneumonia related to alife threatening illness or...

Abstain From Doing Harm: Barbara Karnes, RN

Where is medicine that treats PEOPLE that have diseases? Where is medicine that looks at the PERSON and finds out how they want to live and die based upon their...

Does "No Code" mean "No Care"? Barbara Karnes, RN

First, lets define “No Code”. The simplest explanation I found was Googled from the Free Dictionary http://medical-dictionary.thefreedictionary.com/no+code“a note written in the patient record and signed by a qualified, usually senior or...

Dying Without Faith? Barbara Karnes, RN

We die the way we have lived and there are few death bed conversions. Facing the end of our life does make us look at life and its meanings, but...

What to Ask When Looking for a Quality Hospice: Barbara Karnes, RN

Because we don’t really think about end of life care until we or someone close to us needs it we enter into relationships with hospice that may not be satisfactory...

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