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CHAPTER 11  Katie Eriksson  185


            horizons,  the  sacrifice  of  the  caregiver  is  con-  we often recognize the importance of teaching the
            stantly available.                            patient to be able to mourn disappointments and
              We work with people who often have the feeling   affirm the possibilities of forgiveness in the move-
            that they do not deserve the love they encounter   ment of reconciliation.
            and who, in various ways, try to convince us care-  We also try to bring about the open invitation to
            givers of this. We experience patients’ disappoint-  the  suffering  human  being  to  join  a  communion
            ment  in  their  destructive  acts,  and  we  constantly   with  the  help  of  myths,  legends,  and  tales  con-
            have to remember that it may be broken promises   cerned  with  human  questions  about  evil  versus
            that produce such dynamics. Sometimes, it may be   good and about eternity and infinity. Reading aloud
            difficult to recognize that suffering expressed in this   with common reflective periods often provides us
            way in an abstract sense seeks an embrace that does   caregivers a possibility of getting closer to patients
            not give way but is strong enough to give shelter to   without getting too close, and opens the door for
            this  suffering,  in  a  way  that  makes  a  becoming   the suffering the patient bears.
            movement possible. In recognizing what is bad and   In the act of caring, we strive for openness with
            what is difficult, horizons in the field of force are   regard to the patient’s face and a confirmative attitude
            expanded, and the possibility of bringing in a ray of   that responds to the appeal that we can recognize that
            light and hope is opened.                     the  patient  directs  to  us.  When  we  as  caregivers
              As  caregivers,  we  constantly  ask  ourselves   respond  to  the  patient’s  appeal  for  charity,  we  are
            whether  the  words,  the  language  we  use,  bring   faced with the task of confirming the holiness of the
            promise, and how we can create linguistic foot-  other  as  a  human  being.  Our  constant  effort  is  to
            holds in the void by means of images and sym-  make it possible for the patient to reestablish his or
            bols.  In  our  effort  to  nourish  and  cleanse,  that   her  dignity,  accomplish  his  or  her  human  mission,
            which constitutes the basic movement of tending,   and enter true communion.


            CRITICAL THINKING ACTIVITIES
             1.  Reflect on the meaning of caritas as the ethos of     3.  How have you recognized the elements of
             caring.                                       caring—faith, hope, love and tending, playing,
              a.  How is caritas culture formed in a care setting?  and learning—in a concrete caring situation?
              b.  How do caritative elements appear in caring?  Give examples.
              c.  What is the nature of nursing ethics based on     4.  Suffering as a consequence of lack of caritative
               caritas?                                    caring is a violation of a human being’s dignity.
            2.  Health and suffering are each other’s preconditions.   Think about a situation in which you saw this
             Think of what this meant in the life of a patient   occur, and consider what can be done to prevent
             you cared for recently.                       suffering related to care.


            POINTS FOR FURTHER STUDY
           n	 Eriksson, K. (2007). Becoming through suffering—  n	 Eriksson, K. (2010). Concept determination as
             The path to health and holiness. International Jour-  part of the development of knowledge in caring
             nal for Human Caring, 11(2), 8–16.            science. Scandinavian Journal of Caring Sciences,
           n	 Eriksson, K. (2007). The theory of caritative caring:   24, 2–11.
             A vision. Nursing Science Quarterly, 20(3), 201–202.  n	 Eriksson, K. (2010). Evidence—To see or not to
           n	 Eriksson, K. (2006). The suffering human being.   see. Nursing Science Quarterly, 23(4), 275–279.
             Chicago: Nordic Studies Press. [English transla-  n	 For further literature and information visit
             tion of Den Lidande Människan. Stockholm: Liber   our website at: http://www.abo.fi/institution/
             Förlag, 1994.]                                vardvetenskap
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