Something to Think About

a blog on end of life

We love sharing helpful info on our blog.

About the BK Team
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....

Tears on the Job by Barbara Karnes RN bkbooks.com

Death for those who work in end of life is not failureor the enemy. It is the ending of the work we do. Our satisfaction in thedeath of a patient...

Stuck in Grief by Barbara Karnes, RN bkbooks.com

In normal grieving, time begins to lessen the intensity of the emotional pain of our loss. There is a process to grief (see My Friend, I Care) and although we never forget...

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...

Reaching for the Far Side of Grief: Barbara Karnes, RN

We are generally very tired, physically and emotionally, by the time our caregiving is over. Our thinking processes are not what we are used to. We are tired, weepy, aimless,...

Grieving for Grandma article by American Hospice Pioneer, Barbara Karnes, RN

...Children and their grieving process is affected by their age and their maturity level.  We all grieve, no matter our age, but our understanding of this normal life experience varies...

Compassion: Barbara Karnes, RN

First, let’s not judge a person’s grief by their words or actions. We don’t really know what is going on inside this person...

Living With The Maybe: Barbara Karnes, RN

Grief is a reaction to loss. Loss equates to a death, a death of something or someone. Death comes in many ways, many forms. There is the death of a...

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