January 24th, 2024
Barbara Karnes
Why are professional boundaries so important? First let’s define “professional.” Being professional means being reliable, setting your own high standards, and showing that you care about every aspect of your job. It is about being industrious and organized and holding yourself accountable for your thoughts, words, and actions. That definition can apply to any job. […]
Read More
January 17th, 2024
Barbara Karnes
Dear Barbara, What are ways to provide support to hospice staff (RN’s, CNA’s, SW’s, CP’s) who see death on a nearly daily basis? What actions would be meaningful in an industry where death is an integral part of our lives? Working with end of life in the medical field often leaves us feeling like outliers. […]
Read More
January 10th, 2024
Barbara Karnes
I was recently asked how to be a Hospice volunteer. My answer was to call any hospice and ask how to be part of their volunteer program. However the real question is “Why do you want to be a hospice volunteer? Why do you want to support people who are dying?” Being involved with end […]
Read More
January 3rd, 2024
Barbara Karnes
It isn’t until you walk in another’s shoes that you really know what something feels like. As most of you know my husband was on hospice services recently and died. Here are some thoughts after being on the other side of hospice, on the receiving side. *Once we get up the courage to call hospice, […]
Read More
December 27th, 2023
Barbara Karnes
As a new widow (that word sounds strange and startling) I have had many new insights. In my work in end of life, the focus has been on approaching death. Grief has been an afterthought, not a primary issue. With Jack’s death, I know how powerful grief is. Emotionally, now a month after Jack’s death, […]
Read More
December 20th, 2023
Barbara Karnes
Death has touched us all, some more recently than others. Grief has no actual timeline, no end point where we are suddenly “fine.” Each of us responds to our loss in different ways. Each of us in our own way and on our own time figure out how to go on living without our special […]
Read More
December 13th, 2023
Barbara Karnes
The physician is frontline, the top of the pyramid in healthcare. All care follows from there. The physician can set the tone for the entire patient experience. How do you set that tone to be a positive experience for the patient? Be honest, open, and direct. Talk at a fifth grade level, and not rushed. […]
Read More
December 6th, 2023
Barbara Karnes
Words. How we say them and how they are heard are often two different things. This morning my husband and I had a few words over what I gave him for breakfast. I would say it was a “tirade.” He would say it was an “explanation.” That little exchange got me thinking about how words […]
Read More
November 29th, 2023
Barbara Karnes
“I just wonder how individuals deal with getting discharged from Hospice because the patient didn’t decline quickly enough for Medicare?” is a question I received recently– and it’s not the first one of its kind I’ve received. Why is the patient being discharged, you ask? Is it because the patient just didn’t decline as rapidly […]
Read More
November 22nd, 2023
Barbara Karnes
Dear Barbara, I am a hospice nurse struggling with going back to work while still deep in grief after losing my mom. How/when did you go back to work? I’m doing all the things I’d advise my patients’ family members to do when grieving. Just broken and lost. Any and all advice is welcome. When […]
Read More