Something to Think About

a blog on end of life

We love sharing helpful info on our blog.

About the BK Team

QUESTION: Would you write about guilt? My husband died two weeks ago and I wish I had been more aware of what he was going through but I wasn’t. So...

Hospice Care in Nursing Facilities

How can Hospice and Nursing Facilities work well together?I think there are as many ways for a hospice to work with a nursing facility as there are hospices and facilities...

Question: I am caregiving for my 84 year old stroke victim Dad. Just recently he has been pawing at the air with his hands in his sleep. He only took...

QUESTION: Should children be told of their impending death or do they somehow know it? It is interesting to me that we can talk about adults approaching death and all...

Dementia and Family Care Giving article by Dying Expert, Barbara Karnes, RN

At this point in her disease process really the only medications your Mom needs to be taking are for pain. You could crush up the pills (make sure they are...

Question: My beloved cat is dying. My heart is broken. What do you think happens when animals die? Talk about dealing with grief from the loss of a pet. (The...

Dying From Alzheimer's or Dementia

QUESTION: Would you write about dying from Alzheimer's? There is a reason Alzheimer's is referred to as “the long goodbye.” From diagnosis until death it is generally a very long...

The Emptiness of Grief

At first the pain and emptiness of loss is with us every waking and even sleeping moment. Over a period of months we gradually begin to see life moving around...

After food and sleep, the third area to look at to see if a person with a life threatening illness has entered the dying process is their social interactions with...

Another part of the natural dying process is a person begins sleeping more. Starting 2 to 4 months before death occurs from disease a person begins taking an afternoon nap...

Some people have talked to me about “bad” hospice experiences so I want to address the subject. Unfortunately, there are agencies calling themselves hospice that really don’t practice the philosophy....

Dear Barbara, Will you talk about the use of morphine to ease the dying on their way? I am going to take that statement to mean “to ease the pain...

On the journey toward physical death, as the body stops eating food, it also stops drinking water. We all recognize the body’s need for hydration, for water, to live and...

There will come a time when a person just can’t and won’t eat but in the months before death a bit of time and energy can sometimes be bought by...

Dementia and the Toll it Takes on Caregivers

The bottom line is that no one can possibly imagine the ongoing challenges of living with and caring for a person with dementia until they find themselves caring for a...

My Unresolved Grief

Unresolved grief is not having figured out how to go on living after the death of a loved one. There are a lot of reasons why this happens. Here are...

Guilt and Grief After the Death of an Alcoholic Son

Remember we all do the best we can in any given situation. None of us sets out to do a “bad” job, to live life poorly, to make mistakes, or...

It Is Okay For Our Loved One to Not Eat

It’s okay for our loved one not to eat once they have entered the dying process. They are reaching a point of just not being able to eat. The body doesn’t want...

Comment: “How sad it is. My brother, age 51, is a single dad with one son and (my brother is) dying of kidney cancer. He gave a fight but he's...

Hi Barbara, I just finished a CNA/HHA program and am looking for a career in hospice work. What options do I have? I took hospice training in 2001 through Kaiser...

We Say Our Final Goodbye in Stages

There is a saying, “Live each day as if it were your last.” It makes sense that the last day of our lives is the day we would want to...

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