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Barbara Karnes

Saying Goodbye at the Bedside

I think one of the most helpless times in life is sitting at the bedside watching death slowly approach. So often I have walked into a room when family is standing at the side of the room, watching. Watching their special person dying. They don’t know what to do, what is okay to do, not […]

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A Simple Practice to Help You Notice What Matters

I was thinking about my day after I turned out the light tonight. I always ask myself these questions and thought I would share my thoughts with you to plant the seed of what life is about. While I lay in the dark waiting for sleep to come I asked myself: Where did I have […]

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When Treatment Stops Working: What Hospice Really Offers

Hospice takes care of people the doctors are having a difficult time fixing; people the doctors probably can’t fix. What does hospice do?  Hospice helps people live with the greatest possible comfort during the limited time they have left. It is interesting that a person who can’t be fixed, who is approaching death through disease, […]

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Not Every Patient Is a Battle to Win

Over the years, I have given inservice trainings on a variety of hospice-related topics to various hospitals, Grand Rounds, or monthly physician’s meetings.I talked about end of life care and the ways hospice does and does not fit into the medical model. It was always a hard sell. It seemed at every meeting a physician […]

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What Did I Trade a Day of My Life For?

It seems it isn’t until we are told our life may be ending that we begin to appreciate what we have generally taken for granted. I suppose working with end of life situations all these years gives me more awareness of what a gift having a working body and mind is. I’m aware of the […]

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We Die the Way We Live: Patterns at the End of Life

Dying a gradual death, as opposed to dying suddenly,  has certain patterns that tend to accompany it. There are similarities that can be found in most people as they approach death from disease or old age. Our personality and how we have lived our life up to this point are major factors in how we […]

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Think It Might Be Time for Hospice? You’re Probably Right

By the time a hospice referral is made and/or the family and caregiver are thinking about hospice services, it is already well past the time guidance is needed. Waiting too long before calling hospice can happen for a couple of reasons. Some may be in denial of the signs of approaching death. Others simply don’t know what […]

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From Cure to Comfort: Matching Your Care to the Illness

On one of those 3:00 in the morning, “I can’t sleep so I’ll think instead” nights it occurred to me that there are actually three kinds of diseases. There are diseases that are fixable. You go to the doctor, receive medicines or treatments, and you become well. There is no question that you will get […]

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4 Myths About Hospice—and the Truth That Brings Comfort

The word “hospice” alone, to say nothing of the actual care hospice provides, is widely misunderstood. Most people generally know that hospice takes care of people that are dying. But as to the details, there is much that is gotten wrong. Here are four hospice myths that people hold and some clarifying information to dispel […]

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