Something to Think About

a blog on end of life

We love sharing helpful info on our blog.

About the BK Team
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...

BIRTH BACKWARDS, A Daughter's Death by Barbara Karnes, RN

At 8:17pm she took one more breath and then at 8:18 there was one more which I describe as hot caramel pouring onto vanilla ice cream. It was the most...

Family Discord As Death Approaches

What I have discovered is that a family member dying can bring a family together. It can be their finest moment of closeness and comfort. But for other families it...

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...

3 Things You Can Do As Someone Is Dying by Barbara Karnes, RN

The hours before actual death is very scary, a "I don't know what to do" time, for anyone present. Someone who knows the normal natural way a person dies can...

A Hospice With Integrity by Barbara Karnes, RN

Be the best hospice you can possibly be, provide the highest quality of care with the most compassionate, caring staff your area has to offer. Build a reputation within the...

The Balancing Act of Caring for the Dying by Barbara Karnes, RN

For healthcare professionals it is often a balancing act to care for patients and then deal with the sense of futility that is triggered when they are doing their job...

DYING Young or Old, The Signs Are The Same by Barbara Karnes, RN

There are other signs of approaching death that indicate a person with a disease (at any age) has weeks to live...

Nursing Home Blues, Part 2 by Barbara Karnes, RN

...Fortunately, I suppose, my mother is now bed-bound and we were able toget Hospice to help out, so she now fits the bill for a 'model patient'... but itstill seems...

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...

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...

I Don't Want Dad To Die On My Birthday by Barbara Karnes, RN

Dad was in his 11th hour and it happened to be my birthday. I was mixed on how I would feel if it happened on that day. In talking with...

Some Think Hospice Kills by Barbara Karnes, RN

It is because end of life care is different than caring for someone who is going to get better that we think the care being provided is causing harm. It...

Hospice Middle Management & Oreo Cookies by Barbara Karnes, RN www.bkbooks.com

Many years ago I attended a workshop at The Menninger Clinic in Topeka, Kansas. The topic was about when a clinician enters the administration work field. I don’t remember much...

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