Journal of Sacred Work

Caregivers have superpowers! Radical Loving Care illuminates the divine truth that caregiving is not just a job. It is Sacred Work.

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Improvisation_kandinsky
   Strength lies in improvisation. All the decisive blows are struck left-handed.
     -Walter Benjamin

   We think that planning plays some part in our lives. But all plans are illusions. Every plan is subject to change at the last moment. No plan is so powerful as to survive, exactly in tact, the realities of life. Some of the great 20th century artists, like Wassily Kandinsky (1866-1944) attempted to create paintings devoid of any preparation (see Kandinsky’s Improvisation #23 at left.) At first, they were ridiculed. But certain truths emerged from their work including the notion that great art could be a spontaneous creation.
   One kind of truth emerged when people attempted to interpret abstract art using traditional standards. "What the devil is that?" a conventional viewer would complain when confronted with what looked like random blobs of paint. And many may still wonder at the whole notion of art that is created purely in response to the moment’s emotion. Abstract art may not be planned, but it requires preparation nevertheless. Improvisation turns out to be so important (and so under-appreciated) that is the subject of each of this week’s essays…
   Isn’t improvisation something all of us do all the time? Aren’t caregivers called to improvise many times across any day?…      

    The human desire to plan creates enormous stress when the natural winds of the
world blow careful planning off course. Nice evidence of this appeared as I wrote
this. As I sat on my daughter’s third story porch in Cambridge,
Massachusetts, I jotted some notes about things to write to you about
improvisation. A gust of wind blew them over the railing and away
forever. My need to improvise became immediate.
Improv
   The more we can accept the changeability of life, the better we are able to live it. How close is your life to the dreams you had as a child or young adult? How have you been at improvising around the way your life developed. Did you always dream of being the caregiver you are today? If not, how can you fulfill that dream in your life today? Finally, can you imagine the courage it takes to stage a performance that is largely created on the spot (as at left)?
   I have always had over-large dreams for my own life because I always believed myself among the lucky people in the world. Born with so many advantages, I grew up believing it was my responsibility to accomplish great things for others. My life was supposed to be a sort of pay back. As I planned out the steps, I found myself occupying jobs with ever increasing responsibility. But life, as it does with all of us, kept tossing both obstacles and opportunities in front of me. Sometimes the later were hard to recognize.
   The height of my life’s biggest sadness arrived as unexpectedly as any hard surprise. Cut from my job after a merger, I found myself with plenty of money but a feeling of being divorced from my life’s meaning. My ego had become so fully enmeshed with my role as a CEO, I could not grasp an existence separate from my job.
   The ego has no ears for raw truth. What some egos want is a level of praise unavailable in this world. When the ego doesn’t receive what it wants, it may retreat to nurse its wounds or, worse, attempt to force false praise, creating a bubble of unreality.
   If we are tied too much too our ego, we risk being deaf to genuine honesty. Our ego rejects whatever does not support it.
   Improvisation, by its nature, requires extraordinary presence. Because improvisation forbids planning, there is a pure need for response to the situation and the people in the room. Improvisational comedy requires that the comedians react to the energy they feel in the moment. There’s no learning lines, just making them up.
   But this does not necessarily disengage the ego. Actors, comedians and public speakers are all performers. Ego may well be the energy that drives their performance.
   And aren’t we all performers?
   Perhaps that is the center of it for caregivers. Each day and each night’s work calls for a kind of performance for patients, family, fellow caregivers and supervisors. Each of these audiences calls us to meet certain needs. Caregiving is about real life and death, real pain and suffering, real joy and celebration, as well as the day to day drumbeat of the ordinary. Every moment, we are called to improvise.
   We can act from love, or we can act from fear. Those who are good at improvising understand the difference between planning and preparation. Planning makes the chancy assumption that the world will unfold in a particular way and tries to make the world conform to the plan. Preparation, on the other hand, including deep spiritual work, enables the loving spirit to deal with whatever life offers.
   When caregivers act from love, they need never worry about the outcome. They need never concern themselves with either praise or blame. Love calls us to prepare our hearts and to open them to each moment of life. Love is always its own best reward.

-Erie Chapman

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8 responses to “Improvisation & Ego”

  1. Edwin Loftin Avatar

    In the midst of our science of helathcare we get immersed in Care Planning, Order sets, Procedures, Care Pathways and all of the professed best practice guidlines for healthcare operations. As you have said so well Erie, this is a falseto in that it is planning and not preperation. For as we attempt to carry out these one size fits all mechanisms of care this individual who has specific needs called our patient shows up. This patients’ needs can only be met with the improvisation that loving care can provide.
    Todays journal has allowed me to look back many years ago to my days in the high school drama society and reflect upon the best perfomances of Fiddle on the Roof and West Side Story. They were not when the script and song went exactly as planned…..The best was when “something happened” and the emotion and preperation allowed us to improv/live the scene to its fullest. This should be a guide to us today in our grown up world.
    I too urge us to work with every care partner to approch this love and devotion to heathcare wtih a sense of focus on the patients’ needs (physical, mental, spiritual) with preperation, not planning, so that that one patient receives no less than complete loving care.

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  2. liz Wessel Avatar
    liz Wessel

    I agree there is a level of performance in caregiving. A delicate balance is required as a caregiver leaves personal concerns at the door to be genuinely present to a patient/family/friend and offer a sincere attitude, versus a false pretense. This is the true beauty of caregiving, to step out and forget ourselves for a time, for the sake of another in a moment of grace. I think caregivers in home health and hospice are called to improvise, more so than most, as the home environment lacks the conveniences and security of the controlled hospital setting. I feel a deep sense of admiration for these courageous caregivers.
    On a personal level, I heard James Finley say, “When choosing a spiritual path one gets a whole lot more than one bargained for.” This certainly seems true, as I wrestle with the trickster ways of my ego. I long for praise in the form of approval and love, yet what I seek can only come from within. Still, I turn to friends with the excitement of a child on show and tell day, finding the praise I receive is falsely deserved. I experience honesty between friends to be a treasured gift, that helps me move beyond the boundaries of ego, and see the underlying good in all things. I believe that is what today’s meditation is offering us, and I receive this gift with thankfulness.

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  3. Karen York Avatar
    Karen York

    I appreciate your wisdom on the issue of ego and improvisation. I understand the energy it takes to be out in front of people or doing something that affects a large number of folks. I have felt the energy also that comes from a few folks who pass words of appreciation and thanks. Also, I have felt slighted by many who may not have grasped the message. It’s a struggle sometimes to remain focused on the message and the mission and not on the remarks of others. Preparation and presence is what enables us to be ready for those moments.

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  4. Diana Gallaher Avatar
    Diana Gallaher

    Thank you for this distinction between “planning” and “preparation.” You can’t force the heart, so I am likely to be unable to “improvise” love unless there has been intentionality in cultivating love, compassion, wisdom. Preparing the heart to respond with love – this resonates with me. A very meaningful meditation.

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  5. Shirley Irby RN Avatar
    Shirley Irby RN

    ” We think that planning plays some part in our lives. But all plans are illusions. Every plan is subject to change at the last moment. No plan is so powerful as to survive, exactly intact, the realities of life. ” So True!
    Today my husband woke me up with a good bye kiss and “Happy Anniversary”, it has been 26 years. As I lay back in bed I thought about the many mile stones in my life, some planned and some unplanned. So it was so interesting to read the journal today. I began first remembering my brothers unexpected death when I was 12 1/2 yrs old, truly the saddest day of my life, then skip ahead 12 1/2 yrs to my wedding day, truly the happiest. Although planned, you could certainly never plan a marriage or family. We had three planned children, then 12 1/2 years after our marriage, when we thought we would never have children again, I found myself unexpectedly pregnant, truly the best unplanned event of my life, now 12 1/2 yrs later what planned or unplanned events will life grace me with their illusions.
    When my 21 yr old son gave me a book last night, “Apprentice Of The Heart” by Guy Finley, about love, I thought it so sweet. This book is about Love: it’s essence, forms, yearnings, disappointments and how to find love that enriches each moment. I had contemplated the many forms of love in my life. I had thought how nursing is the easiest, purest form of Love. The journal today fit in perfectly with my thoughts and helped me see even more clearly how it is the improvisation of patient care that gives me this pure type of Love.
    It is that impromptu moment in patient care when I find myself present, lost to ego, when my heart unfolds as it dances with my patients unfolding heart. It is so simple, nothing earth shattering happens, just a gentle acceptance of finding a need and helping it.
    Home Health Nursing for me, is the easiest place for me to experience this Love. I give a brief example of yesterday when working, but it is so simple it will probably sound a bit boring. I’ve recently been changed from our IV team to a new Team at our agency and I was to see a patient with a Wound and IV. To be honest I dreaded the new experience, the wound sounded large and complex. When I arrived at the unlatched screen door, a “Boxer” type dog charged, barking. I thought my worst fears would be realized. After thirty years doing Home Health, I know to quickly bar the screen with my foot. I yelled out, “Please lock your dog up.” It took forever for a frail 80 lb. lady to get to the door. As the dog continue to growl and jump at the door, she assured me he wouldn’t hurt me. My heart was racing. Much more assertively than usual, I insisted he be locked up. She rolled her eyes and sighed. Not a good way to begin. Now I had repair work to do also. But as the visit unfolded, gradually we warmed up to each other. I did my assessment, found an undetected nursing diagnosis that required intervention and gave her hope of relief for her suffering. I knew we were in the “Zone” by the time she laid down for me to change the sacral wound dressing and she asked me, “Did you say your name is Shirley?”, ” Yes, why?” “Just kind of funny mine being LaVerne” . I laughed, “Oh ya, to bad we’re not having as much fun as them”. And yet I was!
    ” Improvisation, by its nature, requires extraordinary presence. Because improvisation forbids planning, there is a pure need for response to the situation and the people in the room.”

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  6. Diane Barrows Avatar
    Diane Barrows

    This was brought home to me last Monday when all my planets mal-aligned. Nothing went the way it was planned from the puppy being frightened by a horse and not wanting to do it’s business, (making me late for work), to my work hardrive crashing, to being told by a highschool classmate, who I hadn’t heard from in years, that my co-graduates all thought that I was dead! whoops!
    It was improvisation and a lot of acting that helped my coerce the puppy down from the backyard deck. I learned how connected we are to our computers and have improvised lots of files since my computer crashed. I also learned gratefulness – just to be alive to even have these silly problems. And the bottom line to all of it, acting and re-acting from a place of preparation and security in love and being loved.

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  7. Jan Keeling Avatar
    Jan Keeling

    Thank you for this meaningful meditation, Erie. And thank you for the personal sharing that is a part of it. I found it very moving.

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  8. Erie Chapman Avatar
    Erie Chapman

    Thanks so much to each person who commented. Your insights and reflections are deeply appreciated.

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