Something to Think About

a blog on end of life

We love sharing helpful info on our blog.

About the BK Team
It's National Hospice Month 2021

During these two years hospice has had to work through Zoom meetings, masked face to face, and lots and lots of phone calls. There has been very little face to face,...

A Hospice Halloween

In the early days of hospice no one told us how long we could stay with the patient and families. We simply made it up as we went along. Our goal...

"If We Don't Take Care Of Our Hospice Staff..." From an Old Time Hospice Nurse

A hospice that does not take care of its staff cannot take care of it’s patients and their families in a manner consistent with the original hospice philosophy...

Ritual Bathing After the Death article

I don't think it is about the cleanliness of the body but of the hands-on ritual of saying goodbye. Bathing is an intimate ritual. It can be a way of...

Hospice Works For You- Ask Questions!

If you are not satisfied with the conversation with your hospice nurse, if you are not completely comfortable with the nurse’s explanations, then call her supervisor and explain what you...

Hospice and End of Life (EOL) Workers article by Hospice Pioneer Barbara Karnes, RN

What is the difference between what hospice provides and what the EOL Workers provide? Hospice services are more medically oriented. They also provide a variety of services that are non...

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...

Hospice Innovator Barbara Karnes, RN explains the 3 Signs of Approaching Death from Disease or Old Age

 Know that all of these signs of approaching death, whether indicating months or weeks, are just guideposts. Some people will show all of them...

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 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...

During this pandemic, Award Winning Hospice Pioneer, Barbara Karnes, RN speaks to her gratitude for the front line workers keeping our country from falling apart in her article, Can We Ever Thank You Enough, Front Line Workers?

Our frontline workers: nurses, nursing assistants, doctors, hospital employees, first responders, housekeeping, grocery, delivery, and transportation personnel, all people who are out front while most of us shelter in place,...

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...

Barbara Karnes, RN, author of "Gone From My Sight, The Dying Process, responds to a question about a hospice nurse who grieves deeply after each of her patients die.

It is how we feel at the end of the day about ourselves and our life that comes first. Our personal well being takes priority over any amount of work...

Setting Up A Hospice Program by Barbara Karnes, RN

...You really don't need a doctor or nurse at the bedside when someone is dying. You need someone who understands the natural way people die and can educate and guide...

WORKING TOGETHER, Hospice & Nursing Facilities by Barbara Karnes, RN

Hospice has worked with nursing facilities for many years now. Our relationship  and interactions with patients and their families is now better understood and better defined. That said, some nursing facilities...

An Unpleasant Memory of Dad's Care, Article by End of Life Expert Barbara Karnes RN

I am sharing this letter and my response because this family is not the only family that has carried memories, sometimes for years, of situations that occurred as their loved...

My Personal Integrity Was Wounded Tonight by Barbara Karnes

When hospice began it was outside of the medical model. It provided end of life care based on quality, not quantity, of life. It recognized when physical healing couldn't be...

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...

Hospice~ What Have We Accomplished?

We’ve had over 40 years of providing end of life care to the community. And yes, it is acknowledgment of our work that there is a national Hospice month but...

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