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
Trying To Understand Grief article by Dying Expert, Barbara Karnes, RN at BKBooks

Grief is whole bunch of normal emotions rolled up into a package we call grieving. It isn’t new emotions. It is our emotions. It is how we have handled everything...

Cleaning Out Their Belongings After Death article by End of Life Expert, Barbara Karnes, RN

First, if you don’t have to clean out belongings, don’t for awhile, wait even months if necessary. There can be great comfort found in putting on an unwashed sweater of...

Does Everyone Need Grief Counseling? article by End of Life Expert, Barbara Karnes, RN

Counseling is a support offering, a choice. Some personalities would never consider counseling. They would not be comfortable sharing their personal thoughts and life with someone else no matter how professional...

We Are Born, We Experience, And Then We Die, an article about the dying process from Barbara Karnes, RN

... if we would educate ourselves before we need the information, before someone we care about is dying, before we are faced with a life threatening illness, or before someone we...

The Scar In Your Heart, Grief In End of Life Care by American Hospice Pioneer, Barbara Karnes, RN

You asked why your relationship to your hospice work was affected following the death of your dad. I think because every time you entered a patient's home and life it...

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....

DYING SCARED article by End of Life Expert, Barbara Karnes, RN

I get a lot of letters like the one I’ve edited below. We, as a culture, are so unprepared for witnessing a death. We have no accurate role models. We...

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...

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...

Award winning End of Life Educator, Barbara Karnes, RN writes about how necessary grief support is right now in her article, Bereavement Support Is Important At ANy Time, Now, It is Vital

Hospice Bereavement support, as well as any bereavement support program (church, Community Support, Senior Activity Program) is important during the best of times. Now it is vital.  Here are my recommendations;...

In This Time of Fear, Dying 101 by Barbara Karnes, RN

People don’t die like they do in the movies—alive one minute, saying something profound and dead the next. There is a way that the body dies. A way it is...

Taking Some of the Fear Out of Dying Alone by end of life expert, Barbara Karnes, RN

I see families devastated by not being able to be with their loved one as they are dying. I am writing this for any person who is faced with a...

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...

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...

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