Something to Think About

a blog on end of life

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About the BK Team
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...

Pain, Morphine & "Dying in Peace" by Barbara Karnes, RN

It is certainly not within our role to act if a person, in the pain of the moment, wants help in ending their life. In the “pain of the moment”...

A Hospice With Integrity by Barbara Karnes, RN

Be the best hospice you can possibly be, provide the highest quality of care with the most compassionate, caring staff your area has to offer. Build a reputation within the...

Calories Count by Barbara Karnes, RN

When living with a life threatening illness we are eating for two---our physical body and our disease. In most cases the disease eats before we do. If we don’t eat,...

The Balancing Act of Caring for the Dying by Barbara Karnes, RN

For healthcare professionals it is often a balancing act to care for patients and then deal with the sense of futility that is triggered when they are doing their job...

DYING Young or Old, The Signs Are The Same by Barbara Karnes, RN

There are other signs of approaching death that indicate a person with a disease (at any age) has weeks to live...

The Profound Affect Of Dementia On Families By Barbara Karnes, RN

I can say that dementia doesn’t play by the rules for end of life. Withdrawing and sleeping can be present for years and does not signify approaching death. Not eating...

This Is How People Die, A New Film By Barbara Karnes, RN : Award Winning End of Life Educator & Hospice Pioneer

My message throughout all this time has been to educate, educate, educate. Educate anyone who will listen about how people die. To help people understand how death comes, what it...

Nursing Home Blues, Part 2 by Barbara Karnes, RN

...Fortunately, I suppose, my mother is now bed-bound and we were able toget Hospice to help out, so she now fits the bill for a 'model patient'... but itstill seems...

The Nursing Home Blues by Barbara Karnes, RN www.bkbooks.com

As we get older, life presents us with different challenges. We adapt to them in the same way we have lived our life and dealt with all the challenges in...

Grief During the Last Stages of His Life

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 death...

How Do I Pick A Good Hospice? by Barbara Karnes, RN  www.bkbooks.com

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...

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