Something to Think About

a blog on end of life

We love sharing helpful info on our blog.

About the BK Team
Does Morphine = Euthanasia in the Dying? Barbara Karnes, RN

A great question. You have actually touched on a line of thinking that a lot of people have about the use of narcotics at end of life: that the narcotic...

Dangers of Morphine for the Dying

Dear Barbara, Talk about the dangers of giving morphine to one who is dying? I have written many articles on morphine yet I repeatedly get this question. What that tells...

Death As The Enemy: Barbara Karnes, RN

I was just on the phone with a woman who told me the doctor told her friend he was surprised she had lived this long with the disease having spread...

"If They Would Just Eat, Everything Would Be Better" Barbara Karnes, RN

Dear Barbara, what are the physical changes in appearance during the dying process? Also talk about not forcing food upon the dying. The physical changes in appearance during the dying...

Pneumonia, The Old Man's Friend: Barbara Karnes, RN

Now, all this said, there are thin lines and points to debate, in what istreatment to get better and treatment for comfort. Is pneumonia related to alife threatening illness or...

Abstain From Doing Harm: Barbara Karnes, RN

Where is medicine that treats PEOPLE that have diseases? Where is medicine that looks at the PERSON and finds out how they want to live and die based upon their...

Does "No Code" mean "No Care"? Barbara Karnes, RN

First, lets define “No Code”. The simplest explanation I found was Googled from the Free Dictionary http://medical-dictionary.thefreedictionary.com/no+code“a note written in the patient record and signed by a qualified, usually senior or...

Unnecessary Suffering and Indignity at End of Life

We have the medical capabilities and procedures to keep a person alivealmost indefinitely BUT is it in the best interest of the person to do so? Wehave to ask “what...

Reaching for the Far Side of Grief: Barbara Karnes, RN

We are generally very tired, physically and emotionally, by the time our caregiving is over. Our thinking processes are not what we are used to. We are tired, weepy, aimless,...

Dying Without Faith? Barbara Karnes, RN

We die the way we have lived and there are few death bed conversions. Facing the end of our life does make us look at life and its meanings, but...

What to Ask When Looking for a Quality Hospice: Barbara Karnes, RN

Because we don’t really think about end of life care until we or someone close to us needs it we enter into relationships with hospice that may not be satisfactory...

Have We Lost the Essence of Hospice? By end of life expert, Barbara Karnes, RN

...The end of life avocation that hospice originally presented is becoming a gift of the past. Now it is a business with high censuses, detailed and often confusing regulations, and...

Hospice- The Initial Visit: Barbara Karnes, RN

Dear Barbara, I recently had a meeting with a family that was referred to hospice from a facility. They had about 10 family members at the meeting. The topic of...

NHPCO Hospice Innovator, Barbara Karnes, RN speaks to those who are living with cancer that can't be fixed. The dying may not want to talk about death. www.bkbooks.com

We often think because a person is facing the end of their life we have to do whatever they want us to, regardless of how it affects us. We treat...

Grieving for Grandma article by American Hospice Pioneer, Barbara Karnes, RN

...Children and their grieving process is affected by their age and their maturity level.  We all grieve, no matter our age, but our understanding of this normal life experience varies...

Tired of Fighting: Barbara Karnes, RN

Barbara, I have a 23 year old daughter that has a chronic illness. She says she is tired of fighting. I don't want to lose her. I am lost.
 Having...

Caring for Mom at Home by Barbara Karnes, RN

I appreciate how much you love your mother. I see the challenge you are dealing with in her attitude and behavior. As much as we love someone our feelings can...

As Death Draws Closer: Barbara Karnes, RN

...Most people, I am sorry to say, are so caught up in the process of getting treatment (and generally get very sick in that process) that  they don’t feel well...

Be The Voice: Barbara Karnes, RN

QUESTION to Barbara: I need some help. As of yesterday afternoon I am officially fed up. I have been an RN case manager for seven years. The whole “industry” is...

Compassion: Barbara Karnes, RN

First, let’s not judge a person’s grief by their words or actions. We don’t really know what is going on inside this person...

When To Use The Books: Barbara Karnes, RN

Barbara, People have asked me when and how I can offer others your booklets. With anyone, an acquaintance or close friend, you can always just say, “I have some materials...

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