Something to Think About

a blog on end of life

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About the BK Team
Grieving for Grandma article by American Hospice Pioneer, Barbara Karnes, RN

...Children and their grieving process is affected by their age and their maturity level.  We all grieve, no matter our age, but our understanding of this normal life experience varies...

Tired of Fighting: Barbara Karnes, RN

Barbara, I have a 23 year old daughter that has a chronic illness. She says she is tired of fighting. I don't want to lose her. I am lost.
 Having...

Caring for Mom at Home by Barbara Karnes, RN

I appreciate how much you love your mother. I see the challenge you are dealing with in her attitude and behavior. As much as we love someone our feelings can...

When To Use The Books: Barbara Karnes, RN

Barbara, People have asked me when and how I can offer others your booklets. With anyone, an acquaintance or close friend, you can always just say, “I have some materials...

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...

It's About Humanity: Barbara Karnes, RN

In the End of Life Care and Bereavement Group I have on Facebook some of us who are or have been hospice nurses were talking about what we, as hospice...

Living With The Maybe: Barbara Karnes, RN

Grief is a reaction to loss. Loss equates to a death, a death of something or someone. Death comes in many ways, many forms. There is the death of a...

The Highs and Lows of COPD

COPD is a very challenging disease. A patient can look and feel like they are dying right now and still feel that way 10 years later. Because of this it...

Honest Answers: Barbara Karnes, RN

QUESTION: A large tumor was surgically removed and I immediately went into chemotherapy. I get very frustrated when people consistently say "you look great today" but I’m not really looking...

Dying Awareness: Barbara Karnes, RN

Question: How much is comprehended by the patient as they approach end of life? Do they know who is present, if someone is absent? How does the patient feel knowing...

A Moment of Death Guide: Barbara Karnes, RN

I wrote this post as a follow up to last week's post, The Final Hours Before Death. To: End of life doulas, in-home caregivers, hospice nurses, social workers and chaplains,...

The Final Hours Before Death: Barbara Karnes, RN

When someone is dying a gradual death from disease and is hours tominutes from death they don't need a doctor, nurse, social worker, or evena chaplain. They need someone who...

This Is The Moment: Barbara Karnes, RN

Being a type A personality I am moving and doing something most of the time. Tasks are finished before they need to be. Goals are the drive behind me, not...

Medicare, Hospice & Trustworthy Doctors: Barbara Karnes, RN

QUESTION: The doctor recommended hospice for my father today (89, congestive heart failure). I believe this is probably the right thing, but how do I know this isn't about money...

Shhhh…Don't tell Grandma! Barbara Karnes, RN

Don’t tell Grandma. There has been many a time when I did a hospice assessment and a family member has said to me “Don’t tell Grandma she can’t be fixed....

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...

Infant Loss: Barbara Karnes, RN

October 15 was National Pregnancy and Infant Loss Remembrance Day. I’ve been asked to write about the grief experienced with the loss of a baby through miscarriage or stillbirth. I...

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...

The Only Survivor: Barbara Karnes, RN

Having friends, interacting with others, is an important part of that living. Even introverts need one or two people with whom to relate. I don’t know how old you are,...

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