Something to Think About

a blog on end of life

We love sharing helpful info on our blog.

About the BK Team
My Father Is Dying and Won't Tell His Family.

When a dying parent refuses to tell the rest of the family about a terminal diagnosis,  should you keep the secret or encourage open conversations?

What Families Need to Know in the Final Hours Before Death by Hospice Pioneer, Barbara Karnes, RN

Most people don't know what to do or can do in the final hours before death. Here are gentle ways families and caregivers can create a meaningful goodbye and bring...

Why Caregivers Need Written Guidance at the End of Life article by Barbara Karnes, RN

Caregivers are often alone when caring for someone who is dying. Written guidance can provide reassurance and support when it is needed most.

When a Dying Person Stops Eating: Food at End of Life article by Hospice Pioneer, Barbara Karnes, RN

Food becomes a major concern for families when special person is dying. This article explains why the body naturally stops eating and how caregivers can respond with less frustration.

Can You Be “Full Code” in Hospice? What Families Need to Understand blog article by End of Life Educator, Barbara Karnes, RN

Hospice and palliative care are not the same—and understanding that difference matters. If the goal is comfort and a natural death, certain medical interventions no longer fit. Let’s talk about...

Stop Chasing Vitals. Start Comforting.

As death approaches, taking a blood pressure is one more unnecessary intrusion for the patient and for the family. Will what you learn affect anything?

Caring for the Person, Not Just the Disease

Healing is not just about the physical body. We are mental and emotional beings that have a physical body.

What I Learned About Dying While Caring for My Husband

It is hard to comprehend that our special person will die no matter what we do. No matter how many treatments, how much medicine, or how much food we give,...

The Hospice Story: How a Small Idea Changed How We Die

Dame Cicely Saunders — an important and influential physician, nurse, social worker, and writer in end of life care — established a specific facility to care for those people that...

When Treatment Stops Working: What Hospice Really Offers

What do you say to someone to get them to accept hospice? Well, one thing to say after explaining the services hospice offers is to ask what they think will...

Not Every Patient Is a Battle to Win

Everyone dies. Death will not be conquered. It can be forestalled and that is where the medical model comes in. We learn through trying. The medical rounds physician is correct...

Think It Might Be Time for Hospice?  You're Probably Right

Death from disease and old age doesn’t just happen. There are signs and changes that begin occurring months before death arrives. You can use those signs as a reference indicating...

4 Myths  About Hospice— and the Truth That Brings Comfort

Hospice isn’t about giving up—it’s about support, comfort, and quality of life. Here is the truth behind 4 common hospice myths families often believe.

How do you get a terminally-ill patient to accept hospice care?

How do you get a terminally-ill patient to accept hospice care?

Are You Called to Comfort? The Quiet Power of Hospice Volunteering

Someone recently asked me, “What do Hospice volunteers do?” She was interested in becoming one. She was most interested in helping in an area most people are afraid to even...

Hospice nurse providing end of life care and support to family

End of life care is about bonding and developing trust — not just with the patient, but with the family and the caregiver, as well...

How Long Should It Take for Hospice Services To Begin After a Referral?

By the time the family has mustered the courage to call, they are usually at their wit's end. They probably have needed services weeks...

Should we look for a hospice house?

Today most hospices have some sort of a hospice house arrangement. It may be in a designated portion of a nursing facility or in a free standing building of its...

What if everyday was  “I Love You Day?”

Working with end of life all these years has shown me how special each day is. It has also shown me the value and the gift of living, doing, and...

“That weekend was the birth of Gone From My Sight”

That weekend I sat  on my sofa with a yellow legal pad (before computers) and wrote what I wanted families and caregivers to know about the natural dying process. I...

Did Morphine Exacerbate Her Condition?

 90% of end of life care is education. People don’t die like they do in the movies, yet movies are our current role models. This leads to unrealistic expectations...

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