Something to Think About

a blog on end of life

We love sharing helpful info on our blog.

About the BK Team
The Maps We Need to Care For the Dying

Because of knowledge we’ve lost when people began dying in places other than home, we judge approaching death by the treatments and procedures used in getting people better...

“Who will take care of us when we can’t take care of ourselves?”

Unfortunately, as death approaches none of us will be able to take care of ourselves. There will come a point when we will need assistance. We probably won’t even be aware we...

Developing a  Cooperative Relationship Between Nursing Facilities and Hospice

For many people, nursing facilities have become their home. It is therefore reasonable that Hospice services be available in facilities. BUT care in a facility is not the same as...

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,...

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...

American Hospice Pioneer, Barbara Karnes, RN writes about self-care for those on the front lines of the Covid19 pandemic

During this time of crisis work it is hard to remember to take care of yourself. There doesn’t seem time for that but if you don’t at least try to...

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...

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...

Be Aware of the Risk We Present to Those We Are Hired to Care For by Barbara Karnes, RN

Touch in with the families, “What’s happening? Do you need anything?” Use the same volunteer for each family to develop confidence and bonding. You are saving your staff while providing a sense...

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...

Hospice Pioneer, Barbara Karnes, RN weighs the pros and cons of home health and hospice care.

I know it is scary to think of using hospice. It says death will happen soon, but there is such guidance and support to help that at least ask for...

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...

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...

3 Things You Can Do As Someone Is Dying by Barbara Karnes, RN

The hours before actual death is very scary, a "I don't know what to do" time, for anyone present. Someone who knows the normal natural way a person dies can...

A Hospice With Integrity by Barbara Karnes, RN

Be the best hospice you can possibly be, provide the highest quality of care with the most compassionate, caring staff your area has to offer. Build a reputation within the...

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,...

Nursing Home Blues, Part 2 by Barbara Karnes, RN

...Fortunately, I suppose, my mother is now bed-bound and we were able toget Hospice to help out, so she now fits the bill for a 'model patient'... but itstill seems...

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...

What Does the Future Hold for Mom With ALS?

Is life worth living with all this assistance? For some it will be, for others is won’t...

Hospice Care in Nursing Facilities

How can Hospice and Nursing Facilities work well together?I think there are as many ways for a hospice to work with a nursing facility as there are hospices and facilities...