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Barbara Karnes

How the “Little Hospice Blue Book” Got Its Name

In the early 1980s I was in an antique/junk kind of shop and saw an old beat up picture frame with a faded poem written in it. Gone From My Sight was the poem’s name. I smiled when I read the poem, thought “how beautiful,” and bought the framed poem.  Fast forward to 1985. As a hospice […]

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What Does Teaching End of Life Care Look Like?

“Dying is not a medical event” and “The medical model views death as a failure, something to be fixed, to address” are two quotes you will hear from me repeatedly. The second quote is actually part of the foundation of healthcare so when working with end of life caretakers (nurses, social workers, home health aides, […]

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How Am I Going To Die? When Will It Come?

Dear Barbara, I am 90 years old and have been healthy for most of those years. I take a thyroid pill and have a bit of arthritis. I am active, do yoga, and lead an independent life. Being old and healthy, my question is how am I going to die? Do you think I’ll just […]

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Using Subtle Tools To Help Process A Life

I was visiting with a friend today about aging and looking at life. She used the words “building blocks” to describe the various and numerous life events we all have from birth to the present. These key events have determined who we have become, the life experiences that, put together, have created who we are. […]

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END OF LIFE CARE- Providing Education, Support and Guidance

I was thinking about the mission of those of us working in end of life. Whether we are nurses, social workers, hospice and palliative care physicians, certified nurses aides, chaplains or volunteers our core goals are the same: education, support, and guidance. With so much focus on meeting medicare requirements sometimes these goals get sidelined. […]

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If I Stop Treatment Will I Start Dying?

If I stop treatment does it mean I stop trying? If I stop trying does it mean I’ll start dying? I don’t want to die. When faced with the above considerations, what decision do we make? How do we face the realization “I am going to die”? Most of us go through life with the notion […]

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End of Life Doula Training- Finding The Right Fit

Dear Barbara, can you recommend a resource to educate me on how to become a private EOL practitioner? About EOL training? I’m taking that to mean end of life doula training. There are many groups offering training.  I would suggest doing a Google search and start contacting different programs to find the “fit” for you. […]

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