June 4th, 2024 Barbara Karnes
FOOD! We eat to live. It sustains living. Everyone and everything needs some form of food, of nourishment, to maintain life. Animals (and that includes humans), plants, insects, all need some form of food to live. It seems that with humans, we add to the nourishment aspect of eating a social component as well as […]
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May 29th, 2024 Barbara Karnes
I was thinking about hospice volunteer training. What makes a good training program? I am hearing stories about the lack of professional staff training for new hires, which led me to wonder about volunteer training. So—here are my thoughts for a hospice volunteer training program: At the first meeting of the training, have a discussion […]
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May 22nd, 2024 Barbara Karnes
I hear “don’t tell mom” way too frequently. Mom has a life threatening illness or may even be showing signs of approaching death and her family says to me as I walk in the door, “don’t tell mom.” They want to protect her. They don’t want to worry her or scare her. SO everyone is […]
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May 15th, 2024 Barbara Karnes
In response to “how are you,” “I’m fine” seems to be a universal reply from people suffering. This suffering can be the result of pain, grief, illness, family upheaval, or any other major distress a person is experiencing. Well, my mother would have told you everything and more than you’d ever want to know in response […]
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May 8th, 2024 Barbara Karnes
There is no “if” in dying – only “when.” Yet we act like (and/or pretend) we will live forever. We make no advance directive and assign no power of attorney or durable medical power of attorney. We don’t tell others our thoughts or wants regarding the ending of our lives. We don’t prepare others close […]
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May 1st, 2024 Barbara Karnes
“You can’t use an old map to explore a new world.” ~Albert Einstein Taking care of someone at end of life is different from taking care of someone who is going to get better. The challenge is that most people, including healthcare professionals, don’t know this. Most use “old maps to explore this […]
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April 17th, 2024 Barbara Karnes
We think of grief as mourning, of our emotional reaction to a loss. The tears, the “I miss her so much,” the sadness she is no longer with you. Grief is sadness. For some, it may be a relief that someone or something is no longer a part of our life. We don’t just grieve […]
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April 10th, 2024 Barbara Karnes
Where does someone go who doesn’t have anyone to care for them as end of life approaches? Most people, when told they can’t be fixed, believe they will stay at home, alone if necessary, and die in their own bed. Unfortunately, as death approaches none of us will be able to take care of ourselves. […]
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April 3rd, 2024 Barbara Karnes
For many people, nursing facilities have become their home. It is therefore reasonable that Hospice services be available in facilities. BUT care in a facility is not the same as care in the home. Here are some of the differences—and challenges. Nursing facilities’ focus, by regulations, is to keep people alive. All the care is […]
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March 27th, 2024 Barbara Karnes
Sometimes our patients and families don’t want to hear the words “hospice” or “end of life care.” I have been asked, “should we use words that are more sensitive?” I don’t think so; I don’t think we need to use other words to be more sensitive to end of life issues. This seems to be […]
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