Something to Think About

a blog on end of life

We love sharing helpful info on our blog.

About the BK Team
Making Decisions: Barbara Karnes, RN

QUESTION: If a family member suffers a stroke what is the right decision about whether to use a feeding tube? I think it depends on what a person’s mind and...

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....

Good Decisions: Barbara Karnes, RN

QUESTION: What are we trying to achieve by treatment? That is THE question everyone involved in medical decision making needs to ask. Who is everyone? Physician, patient, and family. Most...

The Future: Barbara Karnes, RN

I caught myself thinking, as I folded laundry this evening, that I want this day to end. I want this week to hurry up as I have something in the...

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...

The Odds, Google and The Big Question: Barbara Karnes, RN

Generally speaking, a person goes to a physician because something is amiss with their physical body. We don't feel well so we go to doctors for help. Physicians "fix" what...

Our Precarious, Fragile Lives: Barbara Karnes, RN

James Dillet Freeman wrote a book years ago titled, Love, Loved, Loving. In the book he tells the story of a King who dies and upon his death meets an...

Telling Bad News: Barbara Karnes, RN

No one wants to be the bearer of bad news. Americans are a death denying society. We view death as the enemy and a failure: something to be feared and...

QUESTION: Death of a child. Why can't I move on? It seems I am stuck in pain all the time. I can’t think of any loss greater than the loss...

If we talk about dying, death or even make our advanced directives and a will then it must mean that we are going to die---soon. My husband and I were...

Pop's Letter - End of Life Inspiration

Shortly after he was diagnosed with cancer this letter was written to family by Truette Wayne Frank (March 6, 1919 to July 27, 1998). I have asked permission from his...

Should I Tell? Discussing Terminal Prognosis by Barbara Karnes, RN

There are pros and cons to telling a person they can’t be fixed. I've touched on some of them. I don't know the "right" answer. I do know that we...

Question: What about dying and coming to peace? A lot has been talked about people accepting and “coming to terms” with their approaching death. Even Elizabeth Kubler-Ross talked about acceptance...

Questions Concerning Grief What are some of the feelings that a spouse expresses after their husband or wife passes? At first, most are just numb: they cry and are surprised...

Question? Anger at the dying loved one for things you feel she could have done that would have kept her healthy longer. Anger that she feels back at you for...

Question: Who decides it is time for you to die? Do we have input to this? Do we control our passing? I don’t know the answer to those questions. I’m...

Question: My 87 year old father has cancer and about six months to live. He will not tell his wife (my mother) or my sister who lives close by and...

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