Something to Think About

a blog on end of life

Barbara Karnes Books team members Julia, Danny, Barbara Karnes, Cher, and Jacquelyn providing trusted end-of-life education, hospice resources, and caregiver support.

We love sharing helpful info on our blog.

About the BK Team
Do We Choose When We Die?

Just think of a woman in labor and what she is thinking about—-getting that baby out. The person that is dying is in labor also, working to leave the physical...

Is Mom Waiting to Come Home?  FTD Dementia

Dementia causing illnesses, by whatever name we classify them, are becoming more and more prominent. Dementia, and how to care for people with it, has become a big healthcare issue...

Using "Baby Talk" With End of Life Patients

As end of life professionals we have to carefully walk a line.  We are in the tenuous position of caring intimately for adult strangers who often do act as children. ...

The Reluctance to Attend Bereavement Support Groups

This is where bereavement support groups come in. Support groups are for anyone experiencing a death. The groups are not for just those people having challenges in dealing with their...

Our Personality Will Affect Our Dying Process

We cannot put a number on how long someone has to live. There are so many factors that affect the time of our gradual death that the closest anyone can...

"We Can't Fix You- Let's Talk..."

We are not able to fix everyone. The physical body is programmed to die. It is made to die. So at some point the medical professionals will have to have...

Hospice Care Is For the Patient AND the Family

Dying is not a medical event. It is a social, communal event. Dying is not a time for procedures or medications. It is time for support, guidance and reassurance FOR...

Caregiving Is Love article by Barbara Karnes, RN pink graphic, blue circle, black lettering

In those last five months I tried for us to live in the present, to build good memories, to love, give, and live in the moment...

Dementia- When Does The Dying Process Begin?

There is a reason dementia is referred to as the "long goodbye;" the mind is gone long before the body...

Winding Down as End of Life Approaches

When life has run its course (however many years it is) our body begins to "wind down" much like it “wound up” in the beginning...

Reaching out to a  Non-Religious  Person At End of Life

"How do you reach out to a non-religious person who believes the end is the end?" You don't...

I’m a Caregiver and I’m so Beat Up

Life puts us in challenging situations. Often times it is not where we want to be. Sometimes it seems we don’t have a choice...

What Role Does the Hospice Chaplain Fulfill?

In today’s hospice environment time spent with patients and families seem to be what agencies have the least to offer. My suggestion is the chaplain can fill in that time...

Spiritual Support for a Dying Person of a Different Faith

We support others in their belief system no matter what we believe. It is not about us...

How the "Little Hospice Blue Book" Got It's Name

As a hospice nurse I wrote a booklet to guide the families I worked with in understanding the signs of approaching death. I wanted the booklet to be short, direct, and gentle....

We Have End of Life Doulas-  What about "Dementia Doulas"?

What if there was a doula to support a person during this journey? What if there was a person who was educated in the dynamics of dementia who became a...

"I Feel Your Death Is My Fault. I'm Sorry I Let You Die"

From what you have told me I believe your mother's death was no one's fault, certainly not yours. Her body, after all the years of illness, couldn't continue and she...

What Does Teaching End of Life Care Look Like?

I’ve always said I can teach anyone how to take care of someone who is dying, the physical, communication, supportive skills. It is the interpersonal, empathy, and heart skills that...

How Am I Going To Die?  When Will It Come?

I also thought as we get older that question tends to come out of hiding more easily. The older we are the more the question lies in the back of...

Using Subtle Tools To Help Process A Life

In the months before death when the patient is still alert, still actively engaging, watch for clues, for openings to help bring the "what has life been about" thoughts forward...

END OF LIFE CARE- Providing Education, Support and Guidance

Dying is not a medical event. Dying is a communal, social event. Nursing and physicians are part of care, but not the all encompassing focus. The main focus of end...

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