Anatomy of Leadership

Gone From My Sight: Barbara Karnes on What Happens in the Final Days of Life | Part One

Written by Chris Comeaux | Mar 25, 2026 12:30:55 PM

In this powerful conversation, hospice pioneer Barbara Karnes joins TCNtalks / Anatomy of Leadership to unpack with Chris Comeaux what truly happens in the final days of life—and what healthcare professionals often miss.

 

 

 

Drawing from over four decades of bedside experience, Barbara shares how Hospice Care began as a movement outside the traditional medical model, rooted not in treating disease, but in caring for people and their families during life’s most vulnerable moments.  Her insights challenge modern healthcare to return to a more human-centered approach—one that prioritizes presence, education, and compassion.

 

Barbara offers a deeply practical and emotional perspective on the role of Hospice professionals as “invisible conductors,” guiding families through fear, uncertainty, and grief.  She explains that while death may be the defining moment, the preparation leading up to it—through education, support, and connection—is what truly shapes the experience for patients and loved ones alike.

 

This episode also explores the origin story behind her widely influential booklet Gone From My Sight, now distributed in the tens of millions worldwide.  What began as a simple response to families’ fear and confusion became one of the most trusted resources in end-of-life care—reminding us that clarity, simplicity, and empathy are essential in moments that matter most.

 

5 Key Takeaways:

  • Hospice should prioritize people and families—not just disease.
  • Education reduces fear at end of life.
  • Clinicians guide families as an “invisible conductor.”
  • Self-awareness is essential for effective caregiving.
  • Clear, simple resources empower families.

 

 

Show Transcript

 

 

 

 

Our Guest

 


Barbara Karnes

End of Life Educator and Hospice Pioneer

Biography
 LINKEDIN  

 www.bkbooks.com 

Link to Gone From My Sight

Link to Pain At End of Life

Link to Always Offer, Never Force: Food At End of Life

 

 

 

 

Our Host

 


Chris Comeaux

MLAS, CPA
President / CEO of Teleios

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