Something to Think About

a blog on end of life

We love sharing helpful info on our blog.

About the BK Team
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?...

MOM IS DYING and There's So Much Blame by Barbara Karnes, RN

I'm sorry to say when a family member is dying it can bring us together and be our finest hour as a family or it can bring out the worse...

How Does "Fear of Life" Affect Dying? by Barbara Karne, RN

Yes, love of life and fear of death are a part of our personality expression as is our fear of life. In Gone From My Sight I was making a point of...

DYING CHILDREN, How Much Do They Know? By Barbara Karnes RN

...If an adult knows at some point in their disease progression that they aregoing to die (and they do know whether they share that knowledge withothers or not) why should...

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...

Why Didn't They Tell Me? article by Hospice Nurse Barbara Karnes, RN

Your book explained so much. Mom's dying was almost exactly like you explained in your book. In hindsight, I am unsure why we, her family, were not advised, taught, or...

Would She Still Be Alive? By Barbara Karnes RN NHPCO Hospice Innovator

It sounds like she was given morphine to ease her transition from this world to the next. Not knowing your grandmother's medical history I cannot say if the morphine was...

How Can I Celebrate The Holidays When I Feel So Sad? Barbara Karnes, RN

In our culture the holidays, Thanksgiving, Hanukkah, Kwanzaa, and Christmas, emphasize family and friend togetherness. The absence of a friend or family member becomes more evident. Our sense of loss...

Is Talking About Death Insensitive? article by Hospice Author, Barbara Karnes, RN

We really aren’t doing people any favors by not being honest with them. We aren't giving their families the opportunity to do and say what needs to be said and...

What Comes Next? Dementia at End of Life is an article written by Hospice Pioneer, Barbara Karnes, RN.  She talks about the progression of dementia and ideas for caregivers.

Dementia is like a road map with many, many roads that eventually lead into a city. Each road is different, each road is of varying lengths and offers various views...

Opioids and narcotics are confusing for families with a loved one who is experiencing pain at end of life.  Hospice Pioneer, Barbara Karnes, RN educates on the subject.

Pain management is different in the last seven days because the body is not functioning in its normal way. Circulation, breathing, oxygen exchange are not happening properly so medications are...

Barbara Karnes, RN, author of "Gone From My Sight, The Dying Process, responds to a question about a hospice nurse who grieves deeply after each of her patients die.

It is how we feel at the end of the day about ourselves and our life that comes first. Our personal well being takes priority over any amount of work...

International Woman of the Year 2015, Barbara Karnes, RN gives you the questions you need to ask when choosing a hospice for a loved one, or yourself.  MOM NEEDS HOSPICE? Here Are Your Questions To Choose the Right One...

There have been many changes in hospice care since it began. Some for the better, some not so much. What I am suggesting as representing a “good” hospice is becoming...

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...

American Hospice Pioneer, Barbara Karnes, RN answers the question: Can you look back after a death and see that yes, they were dying and no one knew it?

In our personal situations we may never have an answer to the question did he know or had the process started months earlier. What I suspect is that at some...

"One Lone Tear", Dementia At End Of Life by Barbara Karnes

The guilt, frustration, uncertainty, and helplessness of family caregivers is as much a problem to our healthcare system as the patient with dementia...

National Hospice Pioneer, Barbara Karnes, RN explains why she wrote her new booklet/resource, PAIN AT END OF LIFE for families, death doulas, nurses, hospice staff.

In todays culture with the opioid crisis rampant, fear of narcotic use is everywhere. That fear hinders our ability to provide appropriate comfort management and is leading to misconceptions about...

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...

Hospice Pioneer, Barbara Karnes, RN writes Our Children Aren't Supposed to Die Before Us

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...

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...

Setting Up A Hospice Program by Barbara Karnes, RN

...You really don't need a doctor or nurse at the bedside when someone is dying. You need someone who understands the natural way people die and can educate and guide...

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