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

If we talk about dying, death or even make our advanced directives and a will then it must mean that we are going to die---soon. My husband and I were...

Pop's Letter - End of Life Inspiration by Barbara Karnes, RN

  Shortly after he was diagnosed with cancer this letter was written to family by Truette Wayne Frank (March 6, 1919 to July 27, 1998). I have asked permission from...

I received the following comment on my Blog. "They are overmedicating Mom” (The family said of hospice professionals). “Following a brief rally, she slept most of the time and died...

QUESTION: Can you write about the beauty, the strength, the gifts that death can sometimes bring? I have had the honor of being near a handful of loved ones in...

QUESTION: Could you write about the fear of dying from the perspective of a patient not willing to go on hospice due to his fear of death and dying? It...

Should I Tell? Discussing Terminal Prognosis by Barbara Karnes, RN

There are pros and cons to telling a person they can’t be fixed. I've touched on some of them. I don't know the "right" answer. I do know that we...

QUESTIONS: Suicide Obviously this is a very big subject and I can’t begin to cover it so I will just address suicide in relation to end of life issues. I've...

QUESTION: Talk about denial. All of us deny the realities of life to some degree. The operative words here are “to some degree.” Some of us rely on denial more...

QUESTION: Do dementia patients have fears different from the rest of the community? (Included with the question submitted to BKB): Response from the Frontotemporal Dementia (FTD) Support Forum FTD Response:...

Sedation At The End of Life

Many families fear that dying is painful and that narcotics are always needed. In my experience, dying itself does not cause pain—disease does. When we understand the difference between pain,...

Question: Who decides it is time for you to die? Do we have input to this? Do we control our passing? I don’t know the answer to those questions. I’m...

Most people diagnosed with a life threatening illness think about suicide. Suicidal thoughts are normal thoughts in someone who has been told they can’t be fixed. We think about it...

We live inside of our bodies so it is no secret to us when death from disease or old age is close. We may not share the knowledge with anyone...

Frequently I will hear a person say “I am ready to die,” “I just want to die,” “Why am I not dead yet?” or “Why is this taking so long?”...

I have been at the bedside of many, many people at their exact moment of death. Those people have taught me what happens in the hours to minutes before death....

What would you like me to write about? Bargaining--the patient (with terminal brain cancer) trying to find a cure; trying to find holistic cures to save his life and spending...

I received a letter from a person whose chronic illness has put her at “death's door” many times over the years. She requested my thoughts on her ongoing illness and...

Why Morphine Is Used When Someone Is Dying by Barbara Karnes, RN mustard graphic with blue circle

Morphine is one of the most misunderstood medications in end-of-life care. Let me explain when it is used, how it relieves pain, and why its purpose is always comfort—not to...

Afraid to Talk About Dying? Why are we so afraid to talk about dying, our own or someone else’s? I have a booklet about living with a life threatening illness....

Many physicians are reluctant to recommend hospice. It is sad and confusing why they would not give their patients the guidance and comfort that trained hospice professionals can offer. Maybe...

What Does A Dying Person Look Like?

What does a dying person look like in the hours to minutes before death? Generally they are non responsive, their eyes are partially open, the skin color is palish often...

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