Something to Think About

a blog on end of life

We love sharing helpful info on our blog.

About the BK Team
Award winning End of Life Educator, Barbara Karnes, RN writes about how necessary grief support is right now in her article, Bereavement Support Is Important At ANy Time, Now, It is Vital

Hospice Bereavement support, as well as any bereavement support program (church, Community Support, Senior Activity Program) is important during the best of times. Now it is vital.  Here are my recommendations;...

What Does Death Look Like? By Barbara Karnes, RN author of Gone From My Sight

We bring our fears, our childhood experiences with death, our culture, our belief systems, and our stereotypes to the bedside of the dying and the dead. Generally, none of that...

How To Help Families Care For Their Dying Loved One During Social Distancing by Barbara Karnes, RN

Hospices seem to be struggling with how to provide services now that being in homes and facilities is not an option. When we cannot rely on routines, when there is...

During this pandemic, Award Winning Hospice Pioneer, Barbara Karnes, RN speaks to her gratitude for the front line workers keeping our country from falling apart in her article, Can We Ever Thank You Enough, Front Line Workers?

Our frontline workers: nurses, nursing assistants, doctors, hospital employees, first responders, housekeeping, grocery, delivery, and transportation personnel, all people who are out front while most of us shelter in place,...

American Hospice Pioneer, Barbara Karnes, RN writes about self-care for those on the front lines of the Covid19 pandemic

During this time of crisis work it is hard to remember to take care of yourself. There doesn’t seem time for that but if you don’t at least try to...

In This Time of Fear, Dying 101 by Barbara Karnes, RN

People don’t die like they do in the movies—alive one minute, saying something profound and dead the next. There is a way that the body dies. A way it is...

Taking Some of the Fear Out of Dying Alone by end of life expert, Barbara Karnes, RN

I see families devastated by not being able to be with their loved one as they are dying. I am writing this for any person who is faced with a...

During Self Isolation, I Needed A Daily Routine. Do You? by Barbara Karnes, RN

I am now writing this. Here is what I am thinking: The way I have lived my life up to now will probably be changed forever. How long physical distancing...

Did the AIDS Epidemic Set Us Up To Handle COVID-19? by Barbara Karnes, RN

There are many of the same circumstances with today’s coronavirus as we faced with  HIV/AIDS in the early years— lack of medical knowledge, lack of guidance, and fear. I think...

Be Aware of the Risk We Present to Those We Are Hired to Care For by Barbara Karnes, RN

Touch in with the families, “What’s happening? Do you need anything?” Use the same volunteer for each family to develop confidence and bonding. You are saving your staff while providing a sense...

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...

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