Something to Think About

a blog on end of life

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About the BK Team
Initiating Religious Talks in Hospice Care

What happens if you are a hospice nurse or CNA or social worker and the patient or family begins a conversation about spirituality? Listen, facilitate the conversation but...

Letting Some Light In This Holiday Season

First we have to recognize that to some degree we are all grieving this season. Then we make a conscious decision to lift the heavy veil and peek beyond it, let a...

The Hospice CNA: An Anchor in a Time of Uncertainty

Often the patient shares more with the CNA than with their own family members. We are so open and vulnerable when someone is giving us a bath, changing our bed,...

My New Tool  For Working  With Grief

We tend to carry within our memory every death encounter we have ever had.  Yes, even we professionals who work with end of life. BUT it is the personal deathbed memory,...

Healthcare Workers, Hospices, Home Health, Deathcare Workers~  7 Recommendations  for Taking Care of Yourself

I keep shouting from the roof top to hospitals, hospices, home health care agencies, and nursing facilities, “TAKE CARE OF YOUR PEOPLE!!!!!” How can we expect healthcare workers to continue...

TO THOSE WHO WORK IN END OF LIFE  During National Hospice Month

The greatest gift you have to give is time. It won’t be the words you say, even the guidance you give, although that is all very important. It will be...

It's National Hospice Month 2021

During these two years hospice has had to work through Zoom meetings, masked face to face, and lots and lots of phone calls. There has been very little face to face,...

A Hospice Halloween

In the early days of hospice no one told us how long we could stay with the patient and families. We simply made it up as we went along. Our goal...

How Are You Doing With The Collective Grief We Are All Feeling?

I’ll say again we are a planet grieving. What does grief look like? Grief is an emotional expression. It comes out in the way we have learned to express our...

Comfort Care is Palliative care, Hospice, and End of Life Doulas

Comfort Care describes a focus on the quality of life being lived, as opposed to concentrating on the lengthening of that life no matter the quality. Comfort Care is good...

The "Labor" To Enter This World, And The "Labor" To Leave

End of Life Expert Barbara Karnes, RN explains the similarities in the "labor" to enter this world and the "labor" to leave it. Read on...

By Taking Care of Ourselves We Can Be a Light

With all the loss that we are experiencing during this pandemic, it isn't just physical death that we are mourning. End of Life Expert Barbara Karnes, RN has some grief...

Why Don't I Cry?

The showing and expressing of emotions is so individual, expressing our grief is individual also. Some cry, some show anger, some depression, some “tough it up" and move forward, some...

"If We Don't Take Care Of Our Hospice Staff..." From an Old Time Hospice Nurse

A hospice that does not take care of its staff cannot take care of it’s patients and their families in a manner consistent with the original hospice philosophy...

Ritual Bathing After the Death article

I don't think it is about the cleanliness of the body but of the hands-on ritual of saying goodbye. Bathing is an intimate ritual. It can be a way of...

Have You Heard of Nurse Honor Guard?

A group of nurses who volunteer to perform an honor presentation at funerals or memorial services for licensed practical and registered nurses. It reminds me of a veteran's honor guard and...

Grief and Dating- Will Family Say It's Too Soon?

Aside from pleasing or displeasing others let's look at some issues that can occur as the result of becoming socially and or romantically involved soon after a death of a...

Traumatic Hospice Experience article by Barbara Karnes, RN

Immediately following the death I clean the body (offer family, if they want, to help or not), tidy the room, turn off overhead lights and have a small lamp on....

Supporting a Colleague With A Dying Loved One

This has led me to think about what any of us can do for an acquaintance who has a serious illness or is caring for someone who has a serious...

Was It Panic Or A Final Moment Grimace? by Barbara Karnes, RN

Trying to "calm" a person who is choking or panicking doesn't actually work whether death is close or not. The question we have to ask is how close to death...

Where Do I Scatter Mom's Ashes?  article by Barbara Karnes, RN

Maybe, at some point, you can find a place even though you move frequently. A place that has meaning to them or to you. Plant a tree in a park...

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