Something to Think About

a blog on end of life

We love sharing helpful info on our blog.

About the BK Team
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...

An Unpleasant Memory of Dad's Care, Article by End of Life Expert Barbara Karnes RN

I am sharing this letter and my response because this family is not the only family that has carried memories, sometimes for years, of situations that occurred as their loved...

8 Things to Consider Regarding End of Life Pain Management by Barbara Karnes, RN

Often dying looks painful to the people watching. Dying is a struggle to get out of the body. There are sounds that ordinarily would indicate discomfort but, when a person...

I Hear You, But I Don't Understand

...I remember being with my mother in my hospice Medical Director’s office. He was explaining to my mother his medical findings as they related to her illness. I, being a...

SOCIAL WORKERS: I Want To Be Like You When I Grow Up by End of Life Educator, Barbara Karnes, RN

This is the story that came to mind when I decided to write a blog for National Social Work month. Social work, to me, is about saying the right words...

My Personal Integrity Was Wounded Tonight by Barbara Karnes

When hospice began it was outside of the medical model. It provided end of life care based on quality, not quantity, of life. It recognized when physical healing couldn't be...

GRIEF- Struggling After Mom's Death by Barbara Karnes, RN

Often after a person dies we forget that there is no perfect relationship, that there are easy times and difficult times. Somehow once a person dies we elevate them to...

Refusing Treatment At Age 93, Article by Hospice Innovator Barbara Karnes, RN

Why make your mother’s remaining time be unhappy and with more discontent than is already there due to age and illness? Being old is hard work. Our thinking processes aren't...

Six Months To Live? A Doctor's Prediction by Barbara Karnes, RN

So many factors affect the length of our labor to leave this world that it is imprudent to put a specific time frame on approaching death. The closest we can...

IT HAPPENED FOR A REASON? Death Of A Child by Barbara Karnes, RN

I suggest writing a letter to the person that died and saying from your heart what you need to say that you didn't say before. I recommend that you write...

Hospice~ What Have We Accomplished?

We’ve had over 40 years of providing end of life care to the community. And yes, it is acknowledgment of our work that there is a national Hospice month but...

BIRTH BACKWARDS, A Daughter's Death by Barbara Karnes, RN

At 8:17pm she took one more breath and then at 8:18 there was one more which I describe as hot caramel pouring onto vanilla ice cream. It was the most...

7 Things to Consider Regarding End of Life Pain Management

Dying is not painful. Disease causes pain. If pain has not been an issue during the disease process then just because a person is actively dying does not mean they...

Family Discord As Death Approaches

What I have discovered is that a family member dying can bring a family together. It can be their finest moment of closeness and comfort. But for other families it...

FOUR QUESTIONS WE ASK WHEN FACED WITH OUR MORTALITY by Barbara Karnes, RN

We cannot put a number on how long our last experience will be. No one, doctors included, can be so specific as to say 6 months, 3 weeks or 24...

Explaining Pet Death To Children by Barbara Karnes, RN www.bkbooks.com

The death of a pet is a great opportunity for a life lesson. As parents part of our job is to give our children life skills, to prepare them for...

A PLACE IN MY HEART, When A Pet Dies by Barbara Karnes, RN

We can be as much at a loss when our pet is dying as we are when a person is dying but there doesn’t seem to be the support and...

Purpose, Forgiveness and Meaning at End of Life

What is the aim of a life review? As a caregiver my aim is not to direct a life review but to be a presence, a listener, and a friend....

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...

WHY NOT HOSPICE? A Reluctance To Refer by Barbara Karnes, RN

If the signs are there, get the referral and let a hospice professional determine if Hospice is appropriate. Three things I look for to tell me if it is time...

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