Something to Think About

a blog on end of life

We love sharing helpful info on our blog.

About the BK Team
A Hospice Nurse Diagnosed With Cancer

What to do? First, look at the wording you wrote to me "could be dying." Actually, everyone is dying. Everyday we are one step closer to the end of our life. You're...

For some doctors, it just isn’t in their tool kit to stop trying treatments.  When To Choose Hospice

At this point is when you ask the physician, “What is happening? Is it wise to continue this course of treatment? What are your expectations for this treatment? Are we...

Dying Is About The Emotional, Communal Response

Dying isn’t about the disease a person has. It is about the emotional, communal response to the person dying from the disease. It doesn’t require medical intervention. It requires comfort...

Why Would A Family Refuse Weekly Hospice Visits?

 We teach that taking care of someone as the end of life approaches is different than taking care of someone who is going to get better. We teach, we support...

Caregiver Support Group As An End of Life Doula

Getting the word to caregivers that there is such a thing as a support group may be challenging. You might talk with church groups, case managers, hospital discharge planners, and...

I Love Hospice and All It Does

I want to clarify my thoughts about hospice in today’s environment...  

Discussing End-of-Life Wishes

I often get the question, "How do I start an end of life discussion? How do I get my family to talk about what they want their dying to be...

Living Your Best Until You Can't

With gradual dying from disease or old age, nutrition, what and how much you eat, is the key to quality of living. Over a period of months with disease and...

Is Mouth Care Considered Medical or Comfort Care at End of Life?

There is nothing medical about brushing your teeth, rinsing your mouth or moistening the inside of your mouth. We do it all the time. Why would it be suddenly considered a...

When Is It Time To Choose Comfort Care?

When the doctor says, “We have tried everything and the treatments are not working to eliminate the disease progression;” “Let’s talk about how you can best live your life from this point...

Planning a Loved One's Celebration of Life

Part of the specialness of doing your own service/celebration of his life is the planning. The gathering of those who loved him gathered together deciding how to celebrate his love and life...

NHPCO Hospice Innovator Barbara Karnes, RN explains the 3 Signs of Approaching Death from Disease or Old Age

 Know that all of these signs of approaching death, whether indicating months or weeks, are just guideposts. Some people will show all of them...

The Challenge of a Loved One Who is Dying

Deciding not to “tell mom she can’t be fixed" takes away that gift. Who are we (yes, even family) to determine what a person needs to or does not need...

Refusing Morphine For a Dying Loved One

Fear, lack of knowledge, lack of being able to really hear and understand the knowledge being given, lack of trust, living in a country where opioids (identified under the word...

"Grieving For Someone Who Treated Me Badly"

Part of grieving is how you channel the feelings. Channel your anger, your disdain into how well you live your life now. Let your life experience be the learning tool...

"I Wanted Dad To Have a Gentle Death, But..."

...Rapid breathing like your dad was doing is exactly where a small bit of morphine (5 ml is small) helps slow down those 40/50 breaths a minute to a more...

A Hospice Waiting List?

A waiting list seems incongruous with end of life. Particularly since most people wait until a person is literally on death’s door before reaching out to hospice...

How to Train Your Hospice Volunteers

A person who wants to be of service, wants to give back to the community, has some spare time on their hands, and is not overly uncomfortable with the concept of...

Why Do Children Die

Unfortunately, children die. We are born, we experience, and then we die. That's the name of this game called life...

Making Sense of Last Words

What is normal is the person may be talking BUT they won’t be making sense. They may be talking to people you don’t see or hear. Yes, I believe our...

Do Children Die Differently?

There are signs that we look for that indicate a person who has entered the dying process has months, weeks, days, or hours to live BUT not everyone “plays by...

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