Something to Think About

a blog on end of life

Barbara Karnes Books team members Julia, Danny, Barbara Karnes, Cher, and Jacquelyn providing trusted end-of-life education, hospice resources, and caregiver support.

We love sharing helpful info on our blog.

About the BK Team
When It Comes To End of Life Care, It Takes a Village

Hospice is widely known for providing end of life care. It has grown in size and in its original scope of services. Even its definition of “end of life care”...

How do you tell someone something they don’t want to hear?

It is our job, our responsibility as end of life workers to be honest with our patients. In a “don’t tell mom” situation I first assess where everyone is, who...

Do I Stay In Contact After the Death?

We in health care, enter a family's life at a challenging, sad and fearful time. It is our acts of thoughtfulness that will be remembered and provide comfort.

Entering Into "Precious Time"

In our medical society today, it seems to be very difficult for physicians to tell patients and/or families that death is approaching; That this special person will die, and probably...

Hospice Services Pulled for Dementia Patient

There is a huge void in our medical system that so many families living with dementia fall into. These families have a loved one too sick and require too much...

IF I WERE -- a funeral home, a hospice worker, an attorney, a physician, a social worker, a nursing facility...

Dying isn't like it is in the movies. We don't know what it is like to die from disease or old age and while everyone is going to do it,...

"We Can't Fix You- Let's Talk..."

We are not able to fix everyone. The physical body is programmed to die. It is made to die. So at some point the medical professionals will have to have...

Dementia- When Does The Dying Process Begin?

There is a reason dementia is referred to as the "long goodbye;" the mind is gone long before the body...

What Role Does the Hospice Chaplain Fulfill?

In today’s hospice environment time spent with patients and families seem to be what agencies have the least to offer. My suggestion is the chaplain can fill in that time...

Spiritual Support for a Dying Person of a Different Faith

We support others in their belief system no matter what we believe. It is not about us...

END OF LIFE CARE- Providing Education, Support and Guidance

Dying is not a medical event. Dying is a communal, social event. Nursing and physicians are part of care, but not the all encompassing focus. The main focus of end...

Can a Death Call Take 10 Minutes?

Here is my idea of a death call. I have to warn you, it may take more than 10 minutes.

A Hospice Nurse Diagnosed With Cancer

What to do? First, look at the wording you wrote to me "could be dying." Actually, everyone is dying. Everyday we are one step closer to the end of our life. You're...

I Love Hospice and All It Does

I want to clarify my thoughts about hospice in today’s environment...  

NHPCO 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...

A Hospice Waiting List?

A waiting list seems incongruous with end of life. Particularly since most people wait until a person is literally on death’s door before reaching out to hospice...

Do Children Die Differently?

There are signs that we look for that indicate a person who has entered the dying process has months, weeks, days, or hours to live BUT not everyone “plays by...

The Hospice CNA: An Anchor in a Time of Uncertainty

Often the patient shares more with the CNA than with their own family members. We are so open and vulnerable when someone is giving us a bath, changing our bed,...

Healthcare Workers, Hospices, Home Health, Deathcare Workers~  7 Recommendations  for Taking Care of Yourself

I keep shouting from the roof top to hospitals, hospices, home health care agencies, and nursing facilities, “TAKE CARE OF YOUR PEOPLE!!!!!” How can we expect healthcare workers to continue...

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...

“Should we tell parents what their dying child is saying?”

We, as a people, are never truly prepared for death but with guidance, honestly, and gentleness we, as caregivers for those people, can ease the fear and uncertainty most bring to the...

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