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Barbara Karnes

As Unique As Each Death Is, There Are Also Commonalities

When dying a gradual death, there are a variety of dynamics and patterns, as well as the individual’s personality that makes each death unique. Yet as unique as each death is, there are also commonalities.   In the months before death from disease, and often years before death from old age, parts of our personality begin to […]

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Demystifying Narcotics for Pain at End of Life

Pain at end of life is so misunderstood. It seems like the letters I receive from family members saying “Hospice gave my mom morphine and they killed her” are increasing instead of decreasing. SO here are my thoughts on how to help our families:  education, education, education. Before beginning use of morphine or fentanyl sit […]

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“Am I Going To Die Today?”

When doctors and healthcare professionals place a number on how long someone has to live, they are doing that person a disservice.   We have the right to be told about our disease, its progression, and the options of care and their expected outcomes. We need to know what the probability of our being cured is […]

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“I’m So Angry That He’s Sick!”

“I’m so angry! I’m angry that he is sick. I am angry that I’m angry that he is sick.”  “I feel guilty that I’m angry. I’d better not tell anyone how angry I feel. They’ll see what a ‘bad’ person I am. I won’t tell anyone——I’m so depressed.” Anger held inward becomes depression. The above […]

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Sleep Is a Sign of the Dying Process

We tend to forget that life is a terminal illness. We are born, we experience, and then we die. All of living is on the road to death. How is that for a downer?   The thing is dying is a part of living. Like living, it has stages – a road to travel. The road from […]

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Continued Sporadic Breaths After Mom Was ‘Gone’

Dear Barbara, I have two questions please, if you would help. 1. My Mother’s eyes turned color a few hours before she died. Do you know anything about this? 2. When my Mother was struggling (fighting) at the end the pulse oximeter displayed no numbers, the hospice nurse said, ‘She’s gone.’ However, my Mother still […]

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Is Dying Different For Older People?

Dear Barbara, Is the process of dying different for the elderly? Is it different for children? There is no difference for a young person dying from disease, a medium aged or an older person. People dying from disease, whether old or young or in-between, go through the same process.  An older person with no disease […]

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