Something to Think About

a blog on end of life

We love sharing helpful info on our blog.

About the BK Team
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...

Would She Still Be Alive? By Barbara Karnes RN NHPCO Hospice Innovator

It sounds like she was given morphine to ease her transition from this world to the next. Not knowing your grandmother's medical history I cannot say if the morphine was...

How Can I Celebrate The Holidays When I Feel So Sad? Barbara Karnes, RN

In our culture the holidays, Thanksgiving, Hanukkah, Kwanzaa, and Christmas, emphasize family and friend togetherness. The absence of a friend or family member becomes more evident. Our sense of loss...

"One Lone Tear", Dementia At End Of Life by Barbara Karnes

The guilt, frustration, uncertainty, and helplessness of family caregivers is as much a problem to our healthcare system as the patient with dementia...

Developing End of Life Expertise by Barbara Karnes, RN

You have to walk the walk before you can talk the talk. Learn from your patient/family interactions. At the same time read everything you can get your hands on...

Hospice Pioneer, Barbara Karnes, RN writes Our Children Aren't Supposed to Die Before Us

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...

GRIEF- Struggling After Mom's Death by Barbara Karnes, RN

Often after a person dies we forget that there is no perfect relationship, that there are easy times and difficult times. Somehow once a person dies we elevate them to...

IT HAPPENED FOR A REASON? Death Of A Child by Barbara Karnes, RN

I suggest writing a letter to the person that died and saying from your heart what you need to say that you didn't say before. I recommend that you write...

A PLACE IN MY HEART, When A Pet Dies by Barbara Karnes, RN

We can be as much at a loss when our pet is dying as we are when a person is dying but there doesn’t seem to be the support and...

Where Is The Hospice I Know And Love? by Barbara Karnes, RN www.bkbooks.com

Hospice can not take the experience and sadness of a loved one dying away. Our goal is to help the family create a sacred experience, to help their loved one...

This Is How People Die, A New Film By Barbara Karnes, RN : Award Winning End of Life Educator & Hospice Pioneer

My message throughout all this time has been to educate, educate, educate. Educate anyone who will listen about how people die. To help people understand how death comes, what it...

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...

"WHY?" Questions Arising Following A Death by Barbara Karnes, RN www.bkbooks.com 360-828-7132

When we die we work to leave our body. That work begins months before death from disease actually occurs but we only really see the work happening when death is...

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...

Be Gentle With Yourself- Grief and Guilt article by Barbara Karnes, RN

What do I mean by being "gentle" with yourself? I mean forgive yourself forall the things you feel guilty about. Remember we always do the best wecan with the information...

Deathbed Promises by Barbara Karnes, RN www.bkbooks.com

We need to look at the promises made, evaluate them as to: can it be done, should it be done, and am I willing to do it? 

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...

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....

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