Something to Think About

a blog on end of life

We love sharing helpful info on our blog.

About the BK Team
Do Not Resuscitate & Hospice by Barbara Karnes, RN www.bkbooks.com

I believe that everyone has the right to decide how they will live and how they will die. There are people that no matter the disease will want to have...

Hospice Middle Management & Oreo Cookies by Barbara Karnes, RN www.bkbooks.com

Many years ago I attended a workshop at The Menninger Clinic in Topeka, Kansas. The topic was about when a clinician enters the administration work field. I don’t remember much...

Taking Charge With AnAdvanced Directive by Barbara Karnes RN www.bkbooks.com

We must talk about end of life issues NOW while we are healthy, and our thoughts are not clouded with fear. Right now when emotions don’t affect our thinking. When we can...

OXYGEN AT END OF LIFE - Who Does It Comfort? By Hospice Pioneer Barbara Karnes, RN

For us it is very difficult to see our loved one struggling. Most of us are at the bedside of someone who is dying because we are emotionally involved. We...

Food and the Dying process by Barbara Karnes, RN BKBOOKS.COM

As a person enters the dying process, months before death occurs, they will gradually stop eating. Months before death they will stop eating meats, then fruits and vegetables, then soft...

How to Become a Death Doula by Barbara Karnes, RN

 Examine why you want to be a Death Midwife. What is bringing you to this area? If it is because you want to share your religious beliefs with others then...

Whimpers and Tears of the Actively Dying by Barbara Karnes RN

What happens at the moment of death or in the hours before death, is generally just normal body actions. A tear is natural -- the eyes are partially open and...

If I Can't Speak For Myself... Wishes for End of Life

Have a conversation with those people that are closest to you about your ideas of “the perfect death”. “If I can’t speak for myself, here is what I want you...

What It Takes To Be A Hospice Nurse

I used to say I could teach any nurse the skills needed for end of life care, but that it was the nurse's ability to be supportive and their people...

Unexpected Death of a Child

Dear Barbara, Please talk about unexpected youth death. In our minds we understand, that as sad as it is when an older adult dies,they have lived their life and death...

Hospice Nurse Barbara Karnes, RN explains the process of dying from VSED, Voluntary Stopping Eating & Drinking.

What do I personally think? If we want to die, VSED is a way of having total control. It is not illegal. It doesn’t involve others (which is illegal). It...

Distancing From The Dying article by end of life expert, Barbara Karnes, RN

...There is no perfect relationship. There are good times and difficult times. Sometimes the difficulty we have with the person that is dying keeps us from being at the bedside....

Faith and the Dying Process By Barbara Karnes, RN

 If we did not relate to praying in living then we will not necessarily relate now. We die the way we have lived. We don’t change who we are just...

 A "Chemical Straight Jacket" and Dementia at End of Life

I do not think there is a need for narcotics just because death is approaching. Dying is not painful. Disease causes pain...

Support For A Hospice Nurse Who is Yelled At

Most families are stressed, tempers can flare, nerves get frayed. It is up to us, as professionals, to use our communication skills to ease the tensions...

Laboring To Leave ~ Difficult Breathing at End of Life by Barbara Karnes, RN

The congestion that occurs before death will depend upon how hydrated ordehydrated a person is. The more fluids in their body, the more congestion.Sometimes changing their position (laying them on...

Worker Bees, Watchers & Talkers~ Which Kind of Caregivers Are You? by Barbara Karnes, RN bkbooks.com

Sometimes when we think that others think we are not doing enough, it may actually be us thinking that the others are not doing enough. When the worker bee caregiver...

Tears on the Job by Barbara Karnes RN bkbooks.com

Death for those who work in end of life is not failureor the enemy. It is the ending of the work we do. Our satisfaction in thedeath of a patient...

When a Dream is Shattered by Barbara Karnes, RN bkbooks.com

It is not too late to examine the lesson, to rethink your reaction to it and to put all those tormented thoughts and feelings to rest. I am not expecting...

Stuck in Grief by Barbara Karnes, RN bkbooks.com

In normal grieving, time begins to lessen the intensity of the emotional pain of our loss. There is a process to grief (see My Friend, I Care) and although we never forget...

16 Days Without Food or Water- How Long Can She Survive?

If she has had no water of any kind for 16 days I would expect her to die at anytime--maybe before I write this.

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