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Barbara Karnes

Using “Baby Talk” with End of Life Patients

Dear Barbara,  Some seniors seem to respond well to baby-talk. Some absolutely hate it. How do you know when to use baby-talk and when not to?  When to use baby-talk while providing adult end of life care? NEVER. I find it hard to imagine anyone “liking” to be talked to as if they were a […]

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Our Personality Will Affect Our Dying Process

I believe we have the right to be told about our disease, its progression, the options of care, and the probability of being cured vs. not cured.  If it is not curable, what kind of quality can be expected? Being told we can’t be fixed gives us an opportunity to live until we die and […]

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Hospice Care Is For the Patient AND the Family

Dear Barbara, My husband was diagnosed with dementia.He has been under hospice care for over 2 years in a residential care home and has now entered EOL stage. Our hospice “service” in AZ focus solely on providing for the needs of my husband so I’m looking for resources to support me and our son. I […]

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Caregiving Is Love

Dear Barbara, I have heard on a recent podcast that you did not have the best relationship with your mom. I would love to learn more about the strategies you used to keep grounded in the present, that allowed you to do the best caregiving of self plus your family unit plus your mom, minimizing […]

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Dementia- When Does The Dying Process Begin?

Dear Barbara, what do you think about a patient who has been in hospice for months. He has dementia. I thought when patient’s got on hospice they would die soon yet I hear there are patients here in this nursing facility that have been here a year or more. I heard a saying, “dementia patients […]

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By Your Side, a Guide for Caring for the Dying at Home

What would you do if your loved one was diagnosed with a life threatening or life ending illness? Where would you get your support? Where would you learn how to take care of them? End of life expert, Barbara Karnes, RN has created the tool that you would need–By Your Side, A Guide for Caring […]

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“We Can’t Fix You- Let’s Talk…”

This study was brought to my attention:   A study of 117 nursing students examines their communication skills in having difficult conversations with patients near the end of life.  Researchers noted one major theme: “delivering bad news is difficult.” Students expressed “fear, sadness, stress, feeling awkward, and a general lack of self-confidence in communicating bad news.” […]

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Winding Down as End of Life Approaches

I was thinking about life and living the other day——- what? doesn’t everybody?  Anyway, I envisioned life as a line. Birth, living, dying, death is how life unfolds. We are born with labor to get into this world. We learn how to eat, to sleep, and to socialize as part of being alive. Then we […]

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End of Life Guideline Series

When you or someone you know has been told by a physician that they have a disease that may not be treatable or if treatment is an option where the chances of cure or remission are slim, life as we know it changes instantly. We enter a phase of life that we have no preparation […]

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Reaching out to a Non-Religious Person At End of Life

Dear Barbara, How important is spirituality and how do you reach out to a non-religious person who believes the end is the end? One of the “End of Life Rules” in supporting someone is to accept them with their belief system. It is not our place to try to share our beliefs, only to support theirs. […]

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