Guest Articles

Video Excerpt About a Young Mother & $0.99 eBook for NHDD

In honor of National Healthcare Decisions Day, we in the palliative world have been sharing tools and information to help persons understand the importance of making their healthcare wishes known. When we can hear what it is persons most want,…

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Barbara Karnes: The Three Key Signs of Approaching Death

When thinking about how to define the stages of death, I was surprised to discover that one of the major search words on Google for end of life issues is “stages of death”. Surprised because dead is dead. Well, you…

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Making Treatment Decisions

What are we trying to achieve by treatment? That is THE question everyone involved in medical decision making needs to ask. Who is everyone?  Physician, patient, and family. Most people (patients and family) faced with an illness look for the…

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Making the Shift ~ Caregiving and Alzheimer’s

I received an email asking, “What do you think about families that insist their Alzheimer’s patient get out of bed and be with others when all the patient wants to do is sleep, stay prone, and not eat or drink?”…

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Caring Respectfully for Non-Theists Part III: Definitions & Myths

In 2013, the Spiritual Caregivers Section of the National Hospice and Palliative Care Organization conducted a survey of spiritual care counselors and their managers from over 3800 hospice and palliative care programs across the country.  When asked about their top…

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Compassion Fatigue

QUESTION: Wikipedia states: “Compassion fatigue, also known as secondary traumatic stress (STS), is a condition characterized by a gradual lessening of compassion over time. It is common among individuals that work directly with trauma victims such as nurses, psychologists, and…

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Caring Respectfully for Non-Theists Part II: How We Conduct This Dialogue

In 2013, the Spiritual Caregivers Section of the National Hospice and Palliative Care Organization conducted a survey of spiritual care counselors and their managers from over 3800 hospice and palliative care programs across the country.  When asked about their top…

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One of Our Own ~ Hospice Nurse in Hospice

I’ve been asked this question: Could you talk about healthcare workers, hospice workers specifically, who have a loved one in hospice? We might feel we have all the answers, but we are human before we are hospice workers. When my…

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Caring Respectfully for Non-Theists Part I: Introduction

In 2013, the Spiritual Caregivers Section of the National Hospice and Palliative Care Organization conducted a survey of spiritual care counselors and their managers from over 3800 hospice and palliative care programs across the country.  When asked about their top…

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Don’t Go Where You’re Not Invited, Reaching out to One in need

Barbara Karnes, RN

Over the years people have told me stories of a friend or neighbor who was dealing with end of life issues. They then have asked that I call that person and talk with them. I learned the embarrassing way to…

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