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
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...

There Is No Pattern~ Dementia At End of Life article by Hospice Pioneer, Barbara Karnes, RN

Most diseases have a pattern. You generally know what to expect. With dementia there seems to be no pattern, at least as far as approaching death is concerned until they...

Stay Until The Job Is Done- Hospice & Home Health article by End of Life Expert, Barbara Karnes, RN

With Hospice you never know what you will find once you enter the home. Service can’t be time based. Visits have to be stay until the job is done and...

Using Hospice Volunteers During COVID article by Barbara Karnes, RN

I was Zooming with a hospice today for Q & A’s and the subject of not being able to use volunteers because of Covid came up. WHOA!!! What do you...

FOUR “NAUGHTIES” FOR END OF LIFE article by End of Life Expert, Barbara Karnes, RN

Keeping Secrets: “Don’t tell mom.” Don’t say that she could die.” Don’t talk to her about “sad” things.” “Pretend everything is going to be alright.”  Mom lives inside of her body....

DYING SCARED article by End of Life Expert, Barbara Karnes, RN

I get a lot of letters like the one I’ve edited below. We, as a culture, are so unprepared for witnessing a death. We have no accurate role models. 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 Expert, Barbara Karnes, RN explains the use of narcotics in hospice care.

There are so many reasons your father could have been receiving medicine by a “needle”. I am not fond of IV or giving medication by a “needle” as end of...

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...

What Does Death Look Like? By Barbara Karnes, RN author of Gone From My Sight

We bring our fears, our childhood experiences with death, our culture, our belief systems, and our stereotypes to the bedside of the dying and the dead. Generally, none of that...

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,...

Taking Some of the Fear Out of Dying Alone by end of life expert, Barbara Karnes, RN

I see families devastated by not being able to be with their loved one as they are dying. I am writing this for any person who is faced with a...

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?...

How Does "Fear of Life" Affect Dying? by Barbara Karne, RN

Yes, love of life and fear of death are a part of our personality expression as is our fear of life. In Gone From My Sight I was making a point of...

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...

Would She Still Be Alive? By Barbara Karnes RN NHPCO Hospice Innovator

It sounds like she was given morphine to ease her transition from this world to the next. Not knowing your grandmother's medical history I cannot say if the morphine was...

How Can I Celebrate The Holidays When I Feel So Sad? Barbara Karnes, RN

In our culture the holidays, Thanksgiving, Hanukkah, Kwanzaa, and Christmas, emphasize family and friend togetherness. The absence of a friend or family member becomes more evident. Our sense of loss...

Is Talking About Death Insensitive? article by Hospice Author, Barbara Karnes, RN

We really aren’t doing people any favors by not being honest with them. We aren't giving their families the opportunity to do and say what needs to be said and...

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