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 speaks to the question, "Do people really die of a broken heart?"

I know “dying of a broken heart” is used frequently when death comes as a result of a tragic life event. I’m not sure that is actually why the person...

Caring For One of Our Own article by Hospice Pioneer Barbara Karnes, RN

My husband tells the story of me asking our hospice nurse how long she thought my mother had to live (a question all families ask). My husband knew that I...

Letting Go... Barbara Karnes, RN

QUESTION: What to do if the Doctor suggests stopping life support? RESPONSE: No one wants to be in the position of determining when a person dies, not doctors, not family....

Three Keys: Barbara Karnes, RN

We can die gradually two ways. We just get old and our body wears out or we get a life threatening illness, disease, and die gradually that way....

Alzheimer's, Dementia Patients and Hospice: Barbara Karnes, RN

QUESTION: Please speak to Hospice Approval Denied due to only major diagnosis code being Alzheimer's and not considered to be in final stage. But person not eating, ~70 lbs now,...

Is a Peaceful Unmedicated Death Possible? Barbara Karnes, RN

QUESTION: I am a 30 year old woman working as a psychology intern at a local hospital. My engagement in the hospice program has me thinking a lot about my...

Oxygen, Morphine and Air Hunger: Barbara Karnes, RN

QUESTION: What do you think of use of oxygen at the end of life? – Does it hasten or prolong death? I consider use of oxygen at end of life...

Dementia Doesn't Play By The Rules: Barbara Karnes, RN

QUESTION: My question is about when someone with advanced dementia is in that sort of vague pre-active dying period, say those months in and out of the hospital, the time...

God or no God? Barbara Karnes, RN

QUESTION: I am a Hospice Nurse for 3+ years but have been a nurse for over 35 years with varying experiences with death and dying prior to my present Hospice...

Labor: Barbara Karnes, RN

QUESTION: Please expound upon the "Labor of Dying" mentioned in this blog. Dying from disease and old age has a process to it. That process begins two to four months...

American Hospice Pioneer, Barbara Karnes, RN writes ideas for best practices for new hospice nurses as they care for the dying. www.bkbooks.com

If you teach your families well about the approaching end of life there will be no problems with them understanding the labor of dying. Having someone you care about dying is...

QUESTION: Could you write about why it's so difficult for people to start end-of-life care conversations? I was just on the phone with a woman who told me the doctor...

Uncomfortable Using the Word Hospice

Timing of the “hospice” talk is important as well as having an end of life talk before having the hospice talk. 

QUESTION: Why do so many health workers working in palliative care carry on smoking /drinking even though many of their patients are dying due to smoking/alcohol related cancers? This has...

QUESTION: We are having a terrible time with hospice nurses and compassion here where we live. My daughter is suffering and taking care of her dad (who is dying). There...

QUESTION: Talk about self care for professionals who work in end of life. No matter our chosen career taking care of ourselves is important but working with end of life...

Approaching the Question of Faith or It's Absence in End of Life Care

We must always respect a person’s choices. Remember, we approach this final challenge in our life in the same manner we have approached all of our challenges. If a belief...

I had a dream last night. I dreamt I was visiting a facility. There were several women walking through the rooms showing me the beds where people lay. Most people...

QUESTION: Could you write about the fear of dying from the perspective of a patient not willing to go on hospice due to his fear of death and dying? It...

QUESTION: I wonder if you have any insight on Compassion Fatigue within Hospice staff? Wikipedia states: “Compassion fatigue, also known as secondary traumatic stress (STS), is a condition characterized by...

The Role of the Hospice Volunteer

A patient/family support person. A trained volunteer is assigned to a specific hospice family to be a friend: a presence in their life during a time of great emotional upheaval...

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