February 4th, 2026
Barbara Karnes
When my husband of 62 years died, I struggled with learning how to be a “me” instead of a “we.” He had done the finances and house and yard maintenance. I did the everyday running of the house – cooking and other day to day tasks. We generally watched the TV shows and movies that […]
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January 27th, 2026
Barbara Karnes
I was a hospice nurse for a hospice that was just getting started. This was in 1985, when all hospices in the U.S. were just getting started. Part of our goal was to be with the patient and their family at the moment of death. To do that, we had an on-call, 24/7 system. Now […]
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January 21st, 2026
Barbara Karnes
If we end of life caregivers are providing care for those approaching death, why are we not with them during the moments they are actually dying? Everything we do leads up to that moment of death – that is our arrival point. I know it sounds unsettling, but death is the end result of our work. […]
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January 14th, 2026
Barbara Karnes
The life cycle. We are born, we experience, and then we die. What I find interesting is that the beginning and the ending are similar but reversed. There are two ways to be born, vaginally or by cesarean section. With a C-section, one minute you are floating in a warm, quiet place and the next […]
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January 7th, 2026
Barbara Karnes
When I was 17, a junior in high school, I worked on weekends as a nurse’s aide in a small midwestern hospital. One day the head nurse told me to go sit with a patient and tell her when she was dead. Talk about being scared! The only previous experience I had with death was […]
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December 30th, 2025
Barbara Karnes
When it comes to death and dying and preparing advance directives, most of us are ostriches, our heads in the sand, stuck in a “not me or anyone close to me” kind of denial. There is a “not now, I don’t want to talk about it” mentality. Is it a fear that exploring the possibilities […]
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December 24th, 2025
Barbara Karnes
When we have experienced the loss of someone significant in our lives, normal holiday stress becomes magnified by “He’s not here. I miss her. What would he think? What would she do?” Tension adds to grief. Stress adds to grief. Fear adds to grief. Really, most emotions affect the intensity of our grieving. This year […]
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December 16th, 2025
Barbara Karnes
I have said many times, “There are two ways to die — fast or gradual.” Today, I am going to address the control we have over our dying. Yes, we have limited control over the time that we die. The operative word here is “limited.” I don’t know as much about fast deaths, alive one […]
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December 2nd, 2025
Barbara Karnes
We are born, we experience, and then we die. That is how the “game” of life works. If it is a guarantee of life that living will at some point end, why do we have such a challenge coming to terms with a terminal diagnosis? Yes, medical advances have been amazing in curing and healing, […]
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November 18th, 2025
Barbara Karnes
Oh guilt! We carry so much in our minds and our hearts. Feeling guilty seems to be a natural part of living. BUT how much is worthy of all the energy we give it? How much is built on prior thoughts and conditioning? Even though guilt is unproductive, we humans experience and carry way too […]
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