Something to Think About

a blog on end of life

We love sharing helpful info on our blog.

About the BK Team
Do Families Want Hospice Present During The Death?

We need to explain the way most people die — especially the not so pretty parts. This includes the sounds, movements, pees, poops, frowns, grimaces, and the struggles that accompany...

Rushing Your Hospice Nurses Benefits No One

Families are stressed and frightened and by the time they finally reach out for hospice services, they have already wanted and needed them for days if not weeks.

Denial of a Life Limiting Illness

Denial by the person with a life threatening illness, denial by the caregiver, and I’ll even add denial by some attending physicians. Denial is often the reaction to diseases that have...

Establishing a Bond- The Admission Visit

How do we get beyond the social conventions of strangers meeting and getting to know and trust each other in a very short time? From the time we ring the...

Can We Revive the Essence of Hospice?

In the ideal picture, the goal is the patient’s death. Everything that is done before the death is preparation for the actual moment death occurs. Everything after the death gradually eases...

It’s Called “Beyond Burnout”

We tend to live our lives like gerbils on a wheel, going round and round but really going nowhere. Day in and day out, same old, same old, fall into...

Why do you want to support people who are dying?

support people who are dyingBeing involved with end of life care is not something most people want to do, so what brings you? 

Reaching out to a  Non-Religious  Person At End of Life

"How do you reach out to a non-religious person who believes the end is the end?" You don't...

TO THOSE WHO WORK IN END OF LIFE  During National Hospice Month

The greatest gift you have to give is time. It won’t be the words you say, even the guidance you give, although that is all very important. It will be...

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...

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...

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...

End of Life author, Barbara Karnes, RN explains what happens during a death rally

We believe from all signs that death is rapidly approaching. Then one morning they seem to actually wake up. They are less confused,  they want to eat, or get up....

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...

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...

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...

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...

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