1

The art of Caring and the applications in the nursing

Made By

Lydia Ireine Lintong

17061770

CLASS C, 5 TERM

NURSING FACULTY

DE LA SALLE UNIVERSITY OF MANADO

2019
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PREFACE
Why I chose a nurse? Because of caring is the heart of nursing, I have seen many

literature of caring. The actual practice,and when we do a treatment and we do it with our hearts.

There are some ways of caring but we do it for patien’s holistic health. Hopefuly this papercan

be useful for us as a students, for the audience and all the nurses

Manado, 2019

Writer
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TABLE OF CONTENTS
PREFACE......................................................................................................................................................2
CHAPTER 1...................................................................................................................................................3
INTRODUCTION...........................................................................................................................................3
Why Is Caring an Important Part of Nursing?.........................................................................................3
Chapter 2.....................................................................................................................................................5
The source of Caring....................................................................................................................................5
Definition.................................................................................................................................................5
Caring science..........................................................................................................................................6
Human Caring..........................................................................................................................................6
The caring arts based on carrative factors...............................................................................................6
Caring: the role of the nurse....................................................................................................................7
CHAPTER 3...................................................................................................................................................8
THE VALUE OF CARING................................................................................................................................8
Why Is Caring an Important Part of Nursing?..........................................................................................8
Chapter 4...................................................................................................................................................11
The art of caring appications.....................................................................................................................11
Front-line caring: Worlds outside our comfort zone.............................................................................11
Mutually enriching experiences.............................................................................................................12
Working against the odds in Afghanistan..............................................................................................12
Heart-to-heart sharing...........................................................................................................................12
Caring on the home front......................................................................................................................13
Acts of caring, works of art and healing.................................................................................................13
Behind-the-scenes caring: Inner worlds, paths to spiritual awareness..................................................14
Elevating the universal life field.............................................................................................................15
Conclusion.............................................................................................................................................15
Suggestion.............................................................................................................................................16
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CHAPTER 1

INTRODUCTION

A. Background

In recent years, caring and care have become continuous in daily life, a concern, a
motivation, a pleasure and renaissance to many perspectives that unfold, once the meaning of
caring involves acts that facilitate the improvement of human life and care encompasses
activities that require skills and affection. There is also much anguish in the face of what is found
to be its opposite: the non-care. Some people find it difficult to realize and, in particular, to learn
and truly experience caring/care. Problematizing the matter is a challenging exercise, taking into
account that few are the health professionals who help understanding the phenomenon of death
and dying, that is, the finitude of an existence.

Nursing has a power positive impact on patients life. The most featured of a nurse is
“Caring”, because a nurse with a caring it’s not only healing the patient’s disease, but to
understand what and how they feel, not about their sickness but about their feeling. The
feeling of need not only to fulfill their needs in the hospital but to understand their feeling. The
feeling of being safe, not alone, loneliness and always support them, decrease the anxiety. To
understand life in a deeper way but also nursing with caring becames a kind of faith itself, a love
and understanding of the human condition.

Dr. Jean Watson believes it is essential that The nurse are pause to care, like before any
patients interaction, center themselves on the compassion that need to provide not only to the
patients but to the nurse itself. Every human need to be heard, seen, know that they are matter
and need to have touch.

Why Is Caring an Important Part of Nursing?

Patient care is not just about the medical aspect of nursing. Patients may experience stress
about their conditions, injuries, procedures, surgeries, or recovery. It is important for nurses to
treat a patient's physical ailments as well as his or her emotional needs. When nurses show
empathy, they foster a collaborative relationship with patients, which can help in rooting out
causes, symptoms or explanations that result in a proper diagnosis and appropriate treatments.

B. The identification of problem

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1. What is the source of the caring?

2. How caring is important through the nursing worlds?
3. How caring can be applicate to the world?
C. Purpose
1. To understand what is the source of caring.
2. To understand the importance of the caring in nursing worlds
3. To understand how to applicate the caring in the world
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Chapter 2

The source of Caring

Definition
Care for the ability to be dedicated to others, watchful supervision, attention, feelings of
empathy for others, and feeings of love or affection which is the will of nursing. .(Potter,
P.&Perry A.G 2005)

According to the Experts

According to Jean Watson (1985)

Caring is the basis in a unity of universal values that is beneficial caring and love one self to
others

According to Leininger (1984)

The understanding of healthcare people about care values, beliefs, health, and different
cultural life styles, which wll create basis for providing culture-specific care is called caring

According Swanson (1991)

Caring for ways of carin relating to others, overcoming feelings of ownership and
responsibility. .(Potter, P.&Perry A.G 2009)

According to Miller(1995))

Intentional actions that bring both physical and emotiona security ad genuine attachment to
another person or group of people called caring.

According to Gadow (1984)

Caring is an act that involves verbal communication, or it may not.

Caring science
According to Jean Watson’s theory Caring science include humans, human science
orientation to human caring process, phenomena and experience, and arts. A caring science
perspective is a world view of unity and connections to one another. Transpersonal caring
aknowledes unity of life and connections that move in concentric circles of caring from
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individual, to one another, community, and universe. Caring science is an evolving new fieds
that is grounded in the discipline of nursing and evolving nursing science.

Human Caring
The caring model or theory can also be considered a philosophical and moral/ethical
foundation for professional nursing and part of the central focus for nursing at the
disciplinary level. A model of caring includes a call for both art and science; it offers a
framework that embraces and intersects with art, science, humanities, spirituality, and new
dimensions of mindbodyspirit medicine and nursing evolving openly as central to human
phenomena of nursing practice. I emphasize that it is possible to read, study, learn about,
even teach and research the caring theory; however, to truly “get it,” one has to personally
experience it; thus the model is both an invitation and an opportunity to interact with the
ideas, experiment with and grow within the philosophy, and living it out in one’s
personal/professional life.

The caring arts based on carrative factors

A. Formation of humanistic altruistic system of values
By Practicing loving-kindness and equanimity within context of caring
consciousness. Opens to connectedness with self, others, environment, universe, by
became the Models self-care and caring for others. Validates uniqueness of self and
others so can recognize each other. Acknowledges acts of kindness and honors own and
others’ gifts and talents. Recognizes vulnerabilities in self and others.
And by Treats self and others with loving kindness.
B. Instillation of faith-hope
Being authentically present and enabling, and sustaining the deep belief system and
subjective life world of self and one-being cared for.
C. Cultivating one’s own spiritual practices and transpersonal self, going beyond ego
self.
D. Developing and sustaining a helping-trusting, authentic caring relationship.
E. Being present to, and supportive of the expression of positive and negative feelings.
F. Creatively using self and all ways of knowing as part of the caring process; engaging
in
artistry of caring-healing practices.
G. Engaging in genuine teaching-learning experience that attends to wholeness and
meaning, attempting to stay within other’s frame of reference.
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H. Creating healing environment at all levels, whereby wholeness, beauty, comfort,

dignity, and peace are potentiated.
I. Assisting with basic needs, with an intentional caring consciousness, administering
‘human care essentials,’ which potentiate alignment of mind-body-spirit, wholeness in
all aspects of care.
J. Opening and attending to mysterious dimensions of one’s life-death; soul care for self
and the one-being-cared for; “allowing and being open to miracles.”

Caring: the role of the nurse

Faced with the perception of this reality, one begins to establish its own pattern of
differentiated care, in many moments "transgressing" the norms established by the hospital
entity, valuing a more humanized care, able to offer physical comfort, psycho-affective, social
and spiritual support. Bearing in mind that one is facing a sick person and not a broken machine,
and to preserve their dignity, all available resources must be employed, and it is a daily
challenge.

Among the "transgressions" required for humanitarian care, breaking the routine of visiting
hours is an important achievement for the patient and their family. The concern of hospital
management is that visits outside the pre-set time may disrupt the environment and interfere with
the quality of services provided by the medical and nursing staff.

On the contrary, what this liberation allows is a closer approximation of the team with the
family. Taking advantage of these moments to provide comfort and guidance, not only technical,
but also emotional, training these family members who will be, after discharge, the patient’s
most present carers. On the other hand, one can also listen to their concerns, their complaints,
their doubts or their anguish.

The patient receives the time they need, requiring the professional to be present, listening to
them with their heart and mind, touching them affectively, seeking to transfer personal
reassurance loaded with love, patience, peace and joy, or just standing beside them in respectful
silence - in a word - caring and care with solicitude.
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CHAPTER 3

THE VALUE OF CARING

Why Is Caring an Important Part of Nursing?

Patient care is not just about the medical aspect of nursing. Patients may experience stress
about their conditions, injuries, procedures, surgeries, or recovery. It is important for nurses to
treat a patient's physical ailments as well as his or her emotional needs.

When nurses show empathy, they foster a collaborative relationship with patients, which can
help in rooting out causes, symptoms or explanations that result in a proper diagnosis and
appropriate treatments. Open communication and mutual respect between nurses and their
patients can result in these positive patient outcomes:

A. Shorter hospital stays.

B. Alleviation of pain.
C. Decreased anxiety.
D. Optimistic outlook about recovery.
In Caring Science, we as nurses need as much knowledge in caring as we do in curing.
When we put caring into science, we provide the best care for our patients. 

A. The beneficiency and no maleficent of caring through the patients health care

Sick people’s impotency, the feeling of failure, the constant expectancy of death’s
approach, the disbelief regarding the available therapeutic measures constitute, at times, a sort of
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paralysis before the reality of treatment limits for cure and the demands related to the
maintenance of their quality of life. In recent years, caring and care have become continuous in
daily life, a concern, a motivation, a pleasure and renaissance to many perspectives that unfold,
once the meaning of caring involves acts that facilitate the improvement of human life and care
encompasses activities that require skills and affection.

There is also much anguish in the face of what is found to be its opposite: the non-care.
Some people find it difficult to realize and, in particular, to learn and truly experience
caring/care. Problematizing the matter is a challenging exercise, taking into account that few are
the health professionals who help understanding the phenomenon of death and dying, that is, the
finitude of an existence.

This theme incases the body, in its existential dimension that articulates with the most
fundamental to what is human: the body itself as existence. The body that was turned into object
by science and market laws. The body that is diseased and multifaceted in parts that do not meet,
but that provokes the search for other means for its livelihood and reflection.

An important key principle in the caring/care is that it is not possible to care for the body
without examining the subject. By the body we are worldly beings, and through it consciousness
is directed to things, and from that comes the statement “we perceive the world with our body”],
especially when it comes to questions related to well-being, health, pain, illness, to the process of
being born and dying.

Diseases happen as consequence of population being born, growing up, and old. Such fact
represents an expressive and growing demand for health services, highlighting the need for
knowing its prevalence and the ways of coping in caring and care and controlling signs and
symptoms, which impair the human being every so often unassisted by a chaotic health system.

Among the situations experienced every day in hospital, attention is drawn to the separation
between patients, their family and health professionals, particularly doctors and nurses. Their
tendency to routine and bureaucracy is remarkable in such a way that the caring for the patient
seems casual, distant, repetitive, and synonymous with instrumentation, reduced to a set of
procedures, repeated means of doing.

Attention is also drawn to the way in which the hospitalized patient, already in the end of their
existence, remains isolated in their bed, far from everything that is precious to them as their own
home, bedroom, bed, in summary, everything it represents and where their dreams, hopes and
history are stored. Besides, their families are withdrawn, since they can only visit in days and
times pre-established by the institution. If not all these deprivations were enough, the care
provided by health professionals are, still nowadays, fairly limited.
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Therefore, working the awareness of the health area professional in order to bring patients with
chronic-degenerative diseases closer has become more and more solid. A team focused on action
and intervention of caring is gaining room establishing, as routine, regular visits to patients when
hospitalized or in home visits when discharged. Living experiences of teaching and learning,
reflecting, and being able to share these feelings and uncertainties with patients many times
provides personal growth and broadens the vision of the meaning of caring.

Actually, this is a maturation and learning process, as one begins to see patients as people with a
memory, a life history with a beginning, middle and end, provided with feelings, anguish, fears,
dark thoughts and unfathomable questions. They are no longer seen as object-bodies handed to
medical science. They start to also be perceived as masters once, based in relationship and
interaction, it is noticed that they always have something important to say and, at many times, to
teach. They begin to be understood as the human beings they really are and as patients, who are
dependent, and propose, request, act and react; and despite all limitations to which they are
subjected, they still dream and feel the need to organize their lives, even though frequently this is
the last time they do or attempt to do so.

Disposing of the learning one must be more aware of the patients’ complaints, believe them and
promote the care each situation requires. Pain relief is a sick person’s right, which must be
attended by a multi-professional team. The nurse, this professional trained to evaluate and
register the patient’s pain complaint, is entitled to interface with other members of the team even
because he is the one who keeps in touch and is beside the patient for a longer period of time.
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Chapter 4

The art of caring appications

Front-line caring: Worlds outside our comfort zone

The impulse to provide compassionate care to those in need originates from deep within the
human soul. Providing such care yields reciprocal effects: When you care for others, you’re also
caring for yourself.

Albert Schweitzer, the medical missionary and Nobel Peace Prize winner, spoke of the
reciprocal nature of caring when he said, “The only ones among you who will be really happy
are those who have sought and found how to serve.” Author and philosopher Ralph Waldo
Emerson observed that one of the most beautiful compensations of life is that no one can
sincerely try to help another without helping oneself. Such is the reward, the gift, and perhaps
the incentive that compels nurses to perform great acts of caring and compassion.

Janis Bellipanni, a former student of mine, now serves as a public health nurse around the
world. In Egypt, she served in the Baby Wash program, which offers screening and educational
programs to new mothers. In a recent letter to me, she reflected on the universal importance of
nurses caring for people in need: “Nurses are seeking new opportunities to practice their science
and art. Many are moving well beyond the traditional Western sites and definitions of nursing.
They are signing on to work in developing countries, war zones, and devastated areas of our own
country. In most of these places, they’re working without a net and with extremely limited
tangible resources. Yet they’re welcomed by the people they come to assist. They and their
patients learn about each other’s world.”

“Historically, nurses have never limited their professional or personal pursuits to a single
group of people,” Janis continued. “Trained to provide care equitably as well as
compassionately, nurses have been some of the first cultural and political ambassadors in the
world. Nurses are trusted in all cultures and are often able to access areas of the world where
others may be neither safe nor welcome. They possess knowledge, skills, and insights that are
easily portable and applicable.”

“The art of caring,” Janis emphasized, “is not dependent on high-tech equipment, tests, or
interpretations. Sitting with a worried parent on a dirt floor in Africa requires the same patience,
care, and concern as does sitting with a worried parent in a neonatal intensive care unit in the
United States. Current political issues, wars, natural disasters, and inequitable distribution of
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food, water, and medicine serve as barriers for large populations not only to basic life necessities
but also to our own understanding of others’ world views.”

Mutually enriching experiences

Beverly Lyne, another former student, recently wrote of her enriching experiences working
in a clinic in Soroti, a city in eastern Uganda: “There is something about how we nurses really
hear and see people. I loved talking with our Ugandan clinic staff about the idea that our work is
about having equal exchange. I might have expertise in community assessment, but they had the
expertise in being in the community. And we all left changed, enriched by each experience.”

Acting out of a deep passion, Janis and Beverly are responding to the needs of people on
the underside of history. Their insight comes from their many experiences caring for people
who’ve been terrorized, oppressed, or forced to flee their native villages. Having volunteered to
work in places where others fear to tread, they serve as examples of how, as Janis puts it, “the
nurse and the other learn together, teach each other, and open up to each other’s world.”

Working against the odds in Afghanistan

Recently, Janis flew halfway around the world to Kabul and Bamiyan in Afghanistan—
where war continues to rage, maternal and child death rates approach the worst in the world, and
clean water and electricity are virtually nonexistent. There, while working as a nurse midwife,
she saw tremendous suffering while caring for women who’d had no previous access to prenatal
or maternity care. As part of International Midwife Assistance (IMA), Janis trained midwives for
clinic and home-based births while teaching them about the importance of prenatal visits and
safe hospital birthing as new options for these isolated women. Jennifer Braun, another IMA
nurse, donated her own blood to an Afghan teenager who had hemorrhaged severely after
delivery.

In that part of the world, the dire lack of pediatric care, clinics, medical supplies, and
telephones poses severe challenges to healthcare workers. What’s worse, some women are
neglected and in many cases prohibited from receiving health care. Here Janis traveled long,
grueling hours over dirt roads to act on her commitment to provide access to prenatal care and
safe birthing practices to those who have none. She did so, she wrote, “to save mothers so they
can save their children.”

Heart-to-heart sharing

In a letter Beverly recently wrote me from Uganda, she told of giving small, colored-glass
hearts strung on leather thongs to clinic staff members. Lucy, a woman who’d opened up her hut
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to Beverly and others, “leaned over for me to put the heart on her and put her hand over the
heart hanging on her chest and said, ‘My heart feels your heart.’ I think of her when I wear my
heart.”

Through such acts, nurses give the gift of self, connecting with others heart to heart. I’ve
heard similar stories of nurses giving from the heart all over the world—from Russia to Vietnam,
Thailand, Indonesia, Africa, and Sudan.

Caring on the home front

In America, too, nurses go above and beyond the call of duty. When Hurricane Katrina
struck in 2005, my faculty colleague, Gene Marsh, PhD, RN, moved quickly to assemble a team
that traveled to the Gulf Coast. There, the team spent several weeks helping Katrina victims
make do with only the most basic necessities. They “set up a makeshift clinic and walked the
streets of the parish handing out fliers and talking to the locals to advertise our presence and
ability to give free healthcare to evacuees,” Dr. Marsh wrote. “Word spread quickly and folks
began to flow in.” The team provided immunizations and filled prescriptions for people with
hypertension, diabetes, and other chronic or minor acute illnesses.

Although Dr. Marsh’s team performed the standard procedures that all nurses carry out—
assessing patients, identifying their health problems, planning their care, finding the required
resources, and implementing interventions—sometimes their most essential caring act was to
merely sit and listen to the survivors. They wanted to tell their stories, and for this they needed a
nurse’s caring presence. For some, this was the first opportunity to reflect on how Katrina had
changed their lives forever and to express the hope that they’d somehow gather the strength and
courage to move on, with or without family and friends.

Another former student of mine, Dr. Meg Irwin Crew, also went to the Gulf Coast in the
wake of Katrina. A disaster management consultant, Dr. Crew worked long hours to help
survivors obtain such basics as water, food, and hygiene supplies. “Folks would line up with
gratitude and tears in their eyes for receiving water and food,” she said. Besides helping
survivors obtain basic supplies and physical care, Dr. Crew and her nursing team performed
direct interventions and provided the comforting reassurance of a loving presence. They gave of
themselves, and in return received gifts from those they touched. Doing this work opened their
hearts and deepened their compassion for both the other and the self. It drove home the reality
that we’re all vulnerable—and all connected through our shared human needs.

Acts of caring, works of art and healing

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Through such individual and collective acts of caring, these nurses and those like them are
taking bold steps to meet the broader human needs of society. An inspiration to many, their
work transcends Western definitions of health care, community action, and even caring itself.
Their caring acts are, in essence, works of art—part of the artistry and moral calling of nursing.
They make a critical difference in everyday moments, in the lives of the people they serve, and
in their own lives as well.

Nurses’ caring acts take place indoors or outdoors; in hospitals, clinics, homes, schools,
churches, or on street corners; on dirt floors or in makeshift shelters. Whatever the setting, nurses
are helping people survive and heal their physical, mental, emotional, and spiritual wounds.
They’re performing acts of spiritual healing—a deeper, more subtle process operating beyond
the overt work of nurses.

Nurses who give from the heart to offer compassionate service to those in dire need act not
just out of altruism but out of love. Sally Hardin, a nurse who has worked with victims of
Hurricane Hugo, described this work as “all consuming—yet, probably one of the highest points
of my professional life.”

Beverly Lyne expressed a similar feeling when she wrote of her overseas work with
extremely needy people, “It was just the most rejuvenating experience for me. I was extremely
humbled to be in their presence.”

As M.C. Wendler noted in The HeART of Nursing, “Witness to many of life’s difficult
moments, nurses share an intimacy that occurs because of endless, unfolding time together and
because of nurses’ commitment to alleviating the negative impacts.”

Behind-the-scenes caring: Inner worlds, paths to spiritual awareness

Another aspect of nurses’ caring is even more subtle and private, rarely discussed even
among nurses. Through self-caring and self-awareness—meditation, prayer, centering, quieting
the mind, being still to hear and listen from a deeper level—nurses access a deeper source of
caring.

To become more whole and more open to giving and receiving, one must first practice self-
caring and self-love. As nurses connect with their own inner source of energy and strength and
offer compassion and forgiveness toward the self, they increase their capacity to forgive and to
accept others with tenderness and compassion, without blame or judgment.
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By tapping into their reservoirs of loving kindness, forgiveness, and compassion for the self,
nurses radiate a caring consciousness that heals both themselves and others. Increasing numbers
of self-aware nurses are actively engaged in such self-caring and self-healing. With all of
humanity connected across time and space, their self-caring helps to heal us all.

Elevating the universal life field

Nurses’ self-caring contributes to the universal life field—the source of life that holds and
surrounds all, to which everyone belongs and in which everyone shares. The acts of mutually
giving and receiving bring love and joy to both the self and others.

Cultivating a caring consciousness allows one to respond to others from an open heart—to
feel greater compassion and recognize the other person’s humanity, pain, and suffering. Self-
aware nurses are helping themselves and others overcome the wounds of the world—violence,
cruelty, and neglect—and improve the human condition. Their caring acts help to sustain human
dignity and humanity even amid war, tyranny, anarchy, chaos, and terror.

As we continue to manifest caring in our profession, we’re upholding the tradition and heritage
from Florence Nightingale onward, through personal and professional courage and a vision of
sustaining human dignity and caring. Nurses and the practice of nursing serve as fountainheads
of compassionate service to humankind, both on the front lines and behind the scenes. Caring,
love, and peace come together in and through the work of nursing. Giving and receiving reflects
the most powerful and universal need—to give and receive love.

CHAPTER 5
CLOSING

Conclusion
 17

Patient care is not just about the medical aspect of nursing. They need caring, when nurses
show empathy, they foster a collaborative relationship with patients, which can help in rooting
out causes, symptoms or explanations that result in a proper diagnosis and appropriate
treatments. Through such individual and collective acts of caring, these nurses and those like
them are taking bold steps to meet the broader human needs of society. An inspiration to many,
their work transcends Western definitions of health care, community action, and even caring
itself. Their caring acts are, in essence, works of art—part of the artistry and moral calling of
nursing. They make a critical difference in everyday moments, in the lives of the people they
serve, and in their own lives as well. Through such acts, nurses give the gift of self, connecting
with others heart to heart.

Sick people’s impotency, the feeling of failure, the constant expectancy of death’s approach,
the disbelief regarding the available therapeutic measures constitute, at times, a sort of paralysis
before the reality of treatment limits for cure and the demands related to the maintenance of their
quality of life. In recent years, caring and care have become continuous in daily life, a concern, a
motivation, a pleasure and renaissance to many perspectives that unfold, once the meaning of
caring involves acts that facilitate the improvement of human life and care encompasses
activities that require skills and affection.

Suggestion
Cultivating a caring consciousness allows one to respond to others from an
open heart—to feel greater compassion and recognize the other person’s
humanity, pain, and suffering. Self-aware nurses are helping themselves and
others overcome the wounds of the world—violence, cruelty, and neglect—and
improve the human condition. Their caring acts help to sustain human dignity
and humanity even amid war, tyranny, anarchy, chaos, and terror.

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 18

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