Something to Think About

a blog on end of life

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About the BK Team
Always Offer, Never Force: Food At End of Life

My husband Jack  has been dead eight months. In processing the five months from his diagnosis to his death, what stands out most for me is the tension that surrounded food....

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...

In This Time of Fear, Dying 101 by Barbara Karnes, RN

People don’t die like they do in the movies—alive one minute, saying something profound and dead the next. There is a way that the body dies. A way it is...

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?...

Developing End of Life Expertise by Barbara Karnes, RN

You have to walk the walk before you can talk the talk. Learn from your patient/family interactions. At the same time read everything you can get your hands on...

Alzheimer's, Cancer and Hospice by Barbara Karnes RN

Dementia isn’t a terminal illness in that it doesn’t have a limited prognosis. It is like dying from old age, it takes longer. Alzheimer’s, or any form of dementia, is...

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...

Calories Count by Barbara Karnes, RN

When living with a life threatening illness we are eating for two---our physical body and our disease. In most cases the disease eats before we do. If we don’t eat,...

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...

The Profound Affect Of Dementia On Families By Barbara Karnes, RN

I can say that dementia doesn’t play by the rules for end of life. Withdrawing and sleeping can be present for years and does not signify approaching death. Not eating...

This Is How People Die, A New Film By Barbara Karnes, RN : Award Winning End of Life Educator & Hospice Pioneer

My message throughout all this time has been to educate, educate, educate. Educate anyone who will listen about how people die. To help people understand how death comes, what it...

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...

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...

Food and the Dying process by Barbara Karnes, RN BKBOOKS.COM

As a person enters the dying process, months before death occurs, they will gradually stop eating. Months before death they will stop eating meats, then fruits and vegetables, then soft...

16 Days Without Food or Water- How Long Can She Survive?

If she has had no water of any kind for 16 days I would expect her to die at anytime--maybe before I write this.

"If They Would Just Eat, Everything Would Be Better" Barbara Karnes, RN

Dear Barbara, what are the physical changes in appearance during the dying process? Also talk about not forcing food upon the dying. The physical changes in appearance during the dying...

Signs of Approaching Death with Dementia: Barbara Karnes, RN

The process of a gradual death from disease takes two to four months (old age with no disease takes longer). Three things are the sign posts that say the dying...

Forcing Fluids At End Of Life: Barbara Karnes, RN

As death comes closer we tend to see that families have a hard time with the fact that the patient does NOT want to eat or drink. Not wanting to...

When Doctors Can't Fix My Ailing Body, I Want to Close My Eyes And...

We have all sorts of fears around dying and death so we keep thoughts of end of life at bay. We are like ostriches who bury their heads in the...

The Amazing Grace of Mary Nell: Barbara Karnes, RN

Mary Nell’s son in law, Ted, sent me this writing. It is so poignant I asked him if I could share it with my blog readers. It is longer than...

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