THE

ESSENTIAL
CAREGIVER
A GUIDE TO BECOMING A
COMPASSIONATE AND EFFECTIVE
CHAMPION

JAY HENDRICKSON
CONTENTS
About the Author

Introduction

Quote and Memoriam

Hack #1:
Unveiling The Story Through Keen Observation
The All-Seeing Eye
The Listening Ear
The Keen Nose
The Gentle Touch

Hack #2:
Embracing Individuality - Crafting Portraits of Dignity
Unveiling Their Life Story
Embracing Their Heritage
Understanding Their Voice
Respecting Their Choices
Creating A Familiar Space

Hack #3:
The Power of Communication - Building Bridges of Collaboration
Bridging the Gap-Clear and Concise Communication
Seeking Clarity-Asking Questions
Advocacy-A Voice For The Resident
Collaboration-Working As A Team

Conclusion

Bonus Hack

2
ABOUT THE AUTHOR
I consider myself an engaging and
intellectually curious middle-aged
learner with a passion for creative
problem solving. As a Georgia
resident and father to a wonderful,
brilliant adult daughter, I thrive in
environments that encourage
exploration and discovery.
After a year as a resident assistant
in an assisted living facility, it’s no
different. That environment
encouraged exploration and
discovery in a brand new area of
my professional life. I’d never
worked in the healthcare industry
and it taught me a lot about
developing relationships, personal
care, and continued learning.
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The joy of caregiving is learning
about the individual resident -
their likes, dislikes, quirks,
imagination, creativity, and
stories. Giving someone the sense
of security to share such intimate
and personal moments with
another human being is an
unexplainable and extraordinary
experience. Fortunately it was one
I was able to experience in my
short tenure as a caregiver.
I'm brimming with insights, or
“hacks,” I want to share.
Caregiving is an under-
appreciated yet vital field, and I'm
here to offer the tips and tricks I
picked up along my short journey.
Jay Hendrickson
INTRODUCTION

Imagine yourself as a detective, piecing together clues not from a

crime scene, but from a person's subtle shifts in posture, the
tremor in their voice, or the change in the scent of their room.

In our world today, the role of a caregiver transcends mere

physical assistance; it embodies dedication, patience, and an
innate understanding of those under our watchful care.

As we embark on this journey together, let us recognize the

profound significance of our role in ensuring the vitality and
dignity of our aging population, those grappling with chronic
illnesses, and individuals navigating the challenges of
disabilities.

In the tapestry of caregiving, each thread represents a unique

opportunity to weave together moments of comfort,
empowerment, and transformation. However, amidst the ever-
growing demand for skilled caregivers, we find ourselves at a
pivotal juncture.

It is here that this ebook serves as a beacon of knowledge,

illuminating three indispensable "hacks" to empower you on your
path to becoming an adept and efficient caregiver.

Remember, caregiving is a lifelong adventure, and the most

valuable tools you'll carry are your unwavering dedication, a
thirst for knowledge, and a heart brimming with compassion.

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Quote -

“There are only four kinds of people in the world.

Those who have been caregivers...
Those who are currently caregivers...
Those who will be caregivers...
And those who will need a caregiver.”
Rosalyn Carter

This ebook is dedicated to the memory of John Murphy,

a wonderful resident who touched our hearts and impacted
our lives in a short period of time. We miss him.

1953 - 2023

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 Hack #1:
Unveiling the Story Through Keen
Observation

The human body is a fascinating storyteller. By becoming a master

observer, you can learn to decipher the whispers of a resident's well-
being. Let's embark on a deeper exploration of how to transform your
senses into powerful tools for care:

The All-Seeing Eye: A Deeper Look into the Resident's Wellbeing

Beyond basic care, keeping a watchful eye on a resident's well-being
requires a keen awareness of subtle changes. Here's a breakdown of key
indicators I look for when engaging with a resident:

Physical Signs:
Slumped Form: This can indicate fatigue, pain, or even depression. A
resident who normally sits tall with good posture suddenly hunching
over might be experiencing discomfort.
Hesitant Shuffle: A change in gait, especially a shuffle instead of a
confident stride, could signal balance problems or weakness. This
could be a precursor to a fall.
Facial Expressions: Faces are powerful communicators. A grimace
suggests pain, while a furrowed brow might indicate confusion. A
vacant stare could be a sign of depression, medication side effects, or
simply zoning out.
Decreased Activity Levels: A resident who used to be quite active
suddenly spending most of their day in bed or a chair could be a
cause for concern. This could be due to fatigue, illness, or a decline in
cognitive function.
Sudden Withdrawal from Favorite Pastimes: Pay attention to hobbies
and interests. If a resident who loved spending time gardening
suddenly loses interest, it could be a sign of something wrong.
Limited Mobility: Are they relying more heavily on canes, walkers, or
wheelchairs than usual? Difficulty getting up from a chair or needing
assistance with daily tasks can indicate a decline in physical
capabilities.

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While observing residents, it's equally important to scan their living
space for potential hazards:
Leaks: Look for damp spots on walls, ceilings, or floors. Leaks can
indicate water damage, mold growth, and slipping hazards.
Trip Hazards: Check for loose rugs, uneven flooring, or electrical
cords that could cause someone to stumble.
Clutter: Excessive clutter can make it difficult to navigate safely.
Leftover Food Remains: Spoiled food attracts pests and can create
unsanitary conditions.
Fecal Matter or Urine: This could indicate incontinence, a urinary tract
infection, or difficulty using the toilet. It's crucial to address hygiene
needs promptly.

Don't overlook valuable information sources readily available:

Medicine and Bathing Charts: These charts provide crucial details
about a resident's medications and bathing schedule. Reviewing
them can help ensure residents are receiving the correct medication
and support with hygiene.
Reports: Review any reports or notes left by other caregivers. This
information can help build a more complete picture of the resident's
day and any potential concerns.
Posted Information: Look for posted information about the resident's
preferences, allergies, or special needs. This knowledge can be vital
in providing optimal care.

By combining these observations and environmental checks, caregivers

can gain a deeper understanding of a resident's well-being. Early
detection of potential issues allows for prompt intervention and
improved quality of life for the resident.

The Listening Ear: Paying Close Attention to Resident Communication

and Unusual Sounds
During rounds, it's crucial to go beyond simply listening to a resident's
words and pay close attention to how they are communicating. Here's a
breakdown of key vocal and behavioral signs I look for:

Speech Patterns:
Slurring: This could indicate dehydration, medication side effects, or
neurological issues.

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 New words or frequent repetition: This might suggest confusion or
memory problems.
Changes in pace or volume: Speaking very slowly or softly could
indicate weakness or depression, while rapid speech might signal
anxiety.
Stuttering or difficulty finding words: This could be a sign of stroke or
other neurological conditions.
Frequent groans: These can indicate pain, discomfort, respiratory
issues, or emotional distress.
Frequent sighs: This might signify boredom, frustration, or even
depression.
Coughing or wheezing: These could be signs of respiratory problems,
allergies, or even heart failure.
Labored breathing: This can be a serious symptom and requires
immediate attention.

Behavioral Changes:
Withdrawing from conversations: This could be a sign of depression,
social anxiety, or hearing loss.
Becoming agitated or restless: This might indicate pain, discomfort,
or delirium.
Changes in facial expressions: Pay attention to frowns, grimaces, or
winces, which could suggest pain.

While verbal communication is important, there's a whole other world of

information to be gleaned from the sounds in a resident's room:

Hums, rattles, or wheezing: These could be coming from the

heating/cooling system, indicating a need for maintenance.
Crawling sounds: These might suggest critters or pests in the room.
Unexplained bumps or thumps: These could indicate a resident falling
or needing assistance.

The Importance of Active Listening

Listen closely when a resident shares any concerns. Don't interrupt or
dismiss their worries as they trust you enough to share with you.
Take notes: Having a notepad and pen handy allows you to document
observations and concerns for future reference and discussions with
medical professionals.

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 Ask clarifying questions: Ensure you understand the resident's needs
and concerns completely.

By actively listening to both verbal and nonverbal cues, and paying

attention to the sounds in the environment, you can gain valuable
insights into a resident's well-being. This information can then be used to
provide better care and ensure their safety and comfort.

The Keen Nose: Decoding Unusual Smells: A Guide to Potential Health

and Safety Issues
Our sense of smell can be a powerful tool for identifying potential health
and safety hazards in our environment, especially when it comes to the
well-being of those around us. Here's a breakdown of some unusual
smells I pay attention to and what they might indicate:

Sweet and Fruity Odors: While a pleasant fruity scent could be from
air fresheners or flowers, a strong and unusual sweetness can be a
cause for concern. This could be a sign of diabetic ketoacidosis, a
serious complication of diabetes where the body produces a buildup
of acids called ketones.
Fecal and Urine Odors: An unexpected fecal odor could indicate
incontinence or a digestive issue. A strong urine smell, especially if
it's a new development, could be a sign of a urinary tract infection
(UTI). Early detection and treatment are important for both
conditions.
Burning Smells: This is a crucial one. A burning smell can signify
overheating electrical wires or appliances, which is a major fire
hazard. Do NOT ignore a burning odor. Immediately turn off any
electronics that might be the culprit and evacuate the area if
necessary. Call a qualified electrician to investigate the source of the
smell.
Rotting Smells: A foul, decaying odor can indicate something organic
has spoiled or died. This could be forgotten food hidden behind
appliances, or worse, the presence of a dead animal trapped within
the walls or under the floorboards. A rotting smell requires
investigation to locate and remove the source to prevent further
odors and potential health risks.

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 Chemical Odors: Strong chemical smells can come from various
sources, including cleaning products, pesticides, or even paint fumes.
Exposure to these chemicals can be hazardous, causing respiratory
problems, headaches, and even nausea. If you detect a strong
chemical odor, identify the source and ensure proper ventilation by
opening windows and doors. If the odor persists and the resident is
experiencing health problems, evacuate them immediately from the
area and seek medical attention if necessary.
Fresh Paint: A strong paint smell is usually noticeable after painting a
room. While not usually an immediate health hazard, prolonged
exposure to paint fumes can irritate the eyes, nose, and throat. It's
important to ensure proper ventilation when painting and avoid
occupying freshly painted rooms until the fumes dissipate.

By being attentive to unusual smells and understanding their potential

meanings, you can take proactive steps to safeguard the health and
safety of yourself and those around you. If you're unsure about the
source of a concerning odor, err on the side of caution and seek
professional help from a healthcare provider or qualified technician.

The Gentle Touch: Identifying Beyond Words The Pain in Elderly

Residents
While direct communication is ideal, identifying pain in elderly residents
often requires a keen eye and attentiveness to nonverbal cues. Here's a
breakdown of the signs I watch for during care activities:

Skin Temperature Changes:

Cool, Clammy Forehead: This could indicate an infection, but it can
also signal discomfort.
Warmth Localized in a Specific Area: This might point to inflammation
or injury in that region, especially if accompanied by tenderness.

Muscle Tension and Stiffness:

Difficulty Relaxing Muscles During Transfers: Notice if the resident
seems rigid or resists gentle movements. This could be due to pain in
the area being moved.
Unusual Stiffness in Specific Joints: Pay attention to joints that seem
unusually stiff or inflexible, especially if there's a history of arthritis
or injuries.

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Pain Response:
Flinching or Wincing When Touched in a Specific Area: This is a clear
sign of pain. Even a slight flinch during dressing or bathing could
indicate discomfort.
Grimacing or Facial Expressions of Discomfort: Look for furrowed
brows, pursed lips, or a generally tense facial expression, especially
when assisting with activities.

Examining for Painful Bruises and Marks:

Unexplained Bruises or Skin Discoloration: Check for bruises on bony
areas like shins, elbows, and hips. Gently press around the area to see
if it elicits a response of pain.
Pressure Sores: Look for reddened areas, especially on the buttocks,
heels, and tailbone. These can be quite painful and require immediate
attention.

Feeling for Knots or Bumps:

Head Bumps or Tenderness: Gently feel the head for any bumps or
knots that might be causing discomfort. Be mindful of causing any
additional pain.
Lumps or Tenderness in Other Areas: Pay attention to any unusual
lumps or bumps on the body, especially if they seem tender to the
touch.

Importance of Gut Feelings: When residents communicate verbally, their

responses are key. However, trust your gut feeling based on their overall
demeanor.
Incongruent Responses: If a resident denies pain but seems
withdrawn, restless, or cries out during movements, it's important to
investigate further.
Changes in Baseline Behavior: A normally chatty resident who
becomes withdrawn or a resident who sleeps more than usual could
be experiencing pain.

By becoming a master observer and being attentive to these details, you

can become more adept at identifying pain in elderly residents, even
when they struggle to express it verbally. Remember, even a small
change in behavior or physical presentation could indicate a significant
issue.

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 Hack #2:
Embracing Individuality - Crafty Portraits of
Dignity

Caregiving is a beautiful journey of discovery, where each resident brings

their unique expertise to the pathway. Recognizing and embracing this
individuality is the key to fostering trust, building meaningful
connections, and creating a truly enriching care experience. Here's how
to move beyond the medical and truly connect with the person behind the
patient:

Unveiling Their Life Story:

Take time to embark on a heartwarming journey through their past.
Ask about their careers – did they navigate the bustling halls of a
hospital as a doctor, or perhaps nurture the earth's bounty as a
farmer?
Uncover their hobbies – did they lose themselves in the rhythm of
painting serene landscapes, or maybe find solace tending to a vibrant
flower garden?
Delve into cherished memories – a first love under a starlit sky, the
triumphant birth of a child, a daring adventure across continents.
Understanding these experiences paints a vibrant portrait of their
personality, revealing the colors that bring them joy. Imagine their
eyes twinkling as they reminisce about their parents and
grandparents, or their voice brimming with pride as they describe
their professional achievements. By becoming a witness to their life
story, you forge a deeper connection, enriching not only their days
but also yours.

Weave these precious threads of their past into the tapestry of their
present. Let their cherished memories inspire engaging activities.
Perhaps a visit to a local art gallery will rekindle their passion for
painting or a trip to the farmer's market will awaken forgotten joy in the
sights and smells of fresh produce.

By honoring their past, you open doors to a fulfilling present, filled with
familiar comforts and a renewed zest for life.

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Embracing Their Heritage:
Embrace the tapestry of cultures and religions that enrich our world.
Be mindful of cultural and religious beliefs that may influence their
preferences. Perhaps a resident from a South Asian background finds
comfort in traditional Ayurvedic practices for pain management, or
maybe someone raised in a Jewish household observes specific
dietary restrictions. Recognizing and respecting these preferences
demonstrates not just cultural sensitivity but also a deep
appreciation for the unique individual entrusted to your care.
Go beyond mere awareness and embark on a beautiful exploration of
different customs and traditions. Celebrate cultural holidays with
traditional foods and decorations. Invite guest speakers to share
stories and wisdom from their heritage. Who knows? You may just be
entertaining royalty.

By fostering a spirit of inclusivity and embracing diversity, you create a

haven where residents feel respected, understood, and celebrated for
the unique cultural tapestry they bring to the community.

Understanding Their Voice:

Unveil the Symphony of Their Communication: Pay close attention to
the unique melody of their communication style. Are they introverted,
preferring the quiet comfort of one-on-one conversations, or perhaps
extroverted, thriving on lively group discussions? Do they paint vivid
pictures with their words, or rely more on nonverbal cues like
gestures and facial expressions?

By becoming a patient listener and keen observer, you can tailor your
communication to resonate with their rhythm.

Dance to Their Rhythms:

Imagine a conversation where you patiently wait for a shy resident to
gather their thoughts, or how you might use open-ended questions to
draw out a resident who enjoys storytelling. Perhaps incorporating
visuals like pictures or simple drawings can enhance communication
for those who struggle with verbal expression.

By understanding their preferred communication style, you unlock a

deeper connection, fostering a sense of trust and respect.

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Respecting Their Choices:
Empowering With Everyday Decisions: As much as possible, involve
residents in the decision-making process, no matter how seemingly
small. Do they prefer a refreshing morning shower to invigorate their
day, or perhaps a relaxing bath to unwind after an afternoon filled
with activities? What time do they find sleep comes most easily,
allowing them to wake feeling rested and ready for the day? Every
choice, from choosing their clothing to planning their daily schedule,
empowers them with a sense of control and dignity.
Celebrating Their Autonomy: Witness the joy on their face when
they're presented with a choice of breakfast options, or the quiet
satisfaction when they decide on their preferred outfit for the day.

By respecting their choices, you validate their individuality and

acknowledge their ongoing capacity to make decisions. This sense of
empowerment fosters a spirit of collaboration, creating a caring
environment where residents feel like valued partners, not simply
patients.

Creating a Familiar Space:

Weaving Memories into Their Surroundings: Encourage residents to
personalize their environment with cherished photos, keepsakes that
whisper stories of bygone days, or familiar clothing that evokes a
sense of comfort. A framed picture of their grandchildren playing in a
sun-dappled park, a hand-stitched quilt passed down through
generations, or a favorite sweater that carries the warmth of loved
ones – these familiar objects provide a comforting anchor in a new
environment.
A Sanctuary of Comfort: Imagine a resident gazing upon a framed
picture of their childhood home, a smile gracing their lips as they
recall happy memories. Perhaps another resident finds solace in
clutching a well-worn teddy bear, a reminder of a lifetime of love and
companionship.

By creating a familiar space, you cultivate a haven where residents feel

safe, secure, and surrounded by cherished memories that continue to
shape their lives.

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 Hack #3:
The Power of Communication - Building
Bridges of Collaboration

Effective caregiving is a beautiful dance of collaboration. In the grand

tapestry of caregiving, communication serves as the cornerstone upon
which we build bridges of understanding and empathy. Residents rely on
a team of professionals to meet their medical, emotional, and social
needs. You, as the caregiver, are the bridge between the resident and
other healthcare providers and must navigate the currents of dialogue,
advocating for the needs and aspirations of those under our care. Let's
explore how to become a master communicator, advocate, and
collaborator to ensure the best possible care:

Bridging the Gap – Clear and Concise Communication:

Document your observations meticulously, noting changes in
behavior, mood, appetite, or physical condition. Detailed reports
enable nurses and doctors to gain a comprehensive understanding of
the resident's well-being. Imagine yourself as a detective, piecing
together the clues of a resident's day. Was Mrs. Peterson more
withdrawn at lunch? Did Mr. Hernandez seem unsteady on his feet this
morning?

By recording these seemingly small details, you create a vital record that
can help healthcare professionals identify and address any potential
issues early on.

Provide clear and concise shift reports to oncoming caregivers,

highlighting any important changes or concerns to ensure continuity
of care. You're passing the torch of knowledge to ensure the resident
receives seamless care throughout the day and night. In your report,
weave a clear narrative – "Mrs. Davis slept soundly through the night,
but mentioned some knee pain this morning. I've applied a heating pad
as per her care plan."
Maintain open communication with family members, updating them
on the resident's condition and addressing their anxieties. Family
members are often a resident's biggest source of comfort and
support. Keep them informed through regular updates, and don't shy
away from difficult conversations.

15
 A listening ear and a warm voice can go a long way in easing their
worries. Perhaps Mrs. Garcia's daughter is concerned about her
mother's appetite. Reassure her with, "We're trying new menu options
to tempt Mrs. Garcia's taste buds. Today, we're serving her favorite
lentil soup for lunch!"

Seeking Clarity – Asking Questions:

Don't hesitate to ask questions about care plans or treatment
procedures. The more you understand the bigger picture, the better
you can carry out your duties and ensure the resident receives the
right care. Curiosity is a superpower in the world of caregiving! The
more you ask, the more you'll learn about a resident's specific needs
and the overall care strategy. Think of yourself as a partner in care,
working alongside doctors and nurses to achieve the best possible
outcome.
If the doctor's orders are unclear, seek clarification before
proceeding. A resident's health is paramount, and it's always better
to be safe than sorry. Don't be afraid to double-check instructions,
especially when it comes to medications or new procedures. Imagine
yourself as a pilot double-checking the flight plan before takeoff. By
verifying information, you ensure a smooth and safe journey for the
resident under your care.
If there are any changes in a resident's care plan or new procedures
to be implemented, ask questions to ensure you understand them
fully. Knowledge is power, and in caregiving, it translates to better
resident outcomes. Don't be shy – ask for demonstrations or
clarifications until you feel completely comfortable with any new
tasks. Perhaps a new pain management approach has been
introduced for Mr. Jackson. Ask the nurse to walk you through the
process step-by-step so you can administer it confidently and
effectively.

Advocacy – A Voice for the Resident:

If you have concerns about a resident's well-being, voice them to the
appropriate healthcare professional. Don't be afraid to speak up if
you suspect something is wrong. Residents may not always be able
to effectively communicate their pain. Be their guardian angel, a
watchful eye ready to identify any potential issues. If Mr. Fernandez
seems unusually withdrawn, don't hesitate to mention it to the nurse.
Early intervention can make a world of difference.

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 Residents may not always be able to effectively communicate their
pain. Be observant and advocate for their pain management needs.
Pain can be a silent thief of joy. Be alert to nonverbal cues like facial
expressions, mood changes, or guarded movements. If you suspect
Mr. Khan is in pain but hesitant to speak up, advocate for him. Ask
the nurse to assess his condition and explore pain management
options.
Remember, quality of life extends beyond the physical. Advocate for
the resident's emotional and social well-being. Ensure they have
opportunities to participate in activities they enjoy and socialize with
others. A fulfilling life is more than just medical care. Find out what
brings joy to Mrs. Ramirez – is it listening to music, playing bingo, or
spending time in the garden? Advocate for her to have these
opportunities to connect with her interests and others.

Collaboration – Working as a Team:

Develop positive working relationships with nurses, doctors,
therapists, and other members of the care team. Strong
communication and collaboration are essential for a smooth and
efficient care experience. Imagine the care team as an orchestra,
each member playing a vital role in creating a beautiful symphony of
care. By fostering positive relationships with your colleagues, you
create an environment of respect and trust, where everyone feels
comfortable sharing their expertise. Think of a basketball team – you
need strong guards, agile forwards, and a steady center to win the
game. In the same way, a well-rounded care team with diverse skill
sets provides the best possible support for the residents.
Share your observations and insights with other caregivers. The more
everyone involved knows about the resident, the better equipped they
are to provide optimal care. Don't be a lone wolf – share your
knowledge! Perhaps you noticed Mrs. Lee seems more animated
after spending time with the art therapist. Mention this to other
caregivers so they can incorporate these activities into their
interactions with her. The more everyone is aware of a resident's
preferences and responses, the more personalized and effective their
care can be.

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 Work together with the care team to identify and solve any problems
that may arise. A collaborative approach leads to better solutions and
improved care outcomes. Two minds (or ten!) are better than one. If
Mr. Davis is experiencing difficulty eating, brainstorm solutions
together with the nurse and speech therapist. Maybe he needs a
different type of utensil, or perhaps there are texture modifications
that could make mealtimes more enjoyable. By working as a team,
you can develop creative solutions that address the resident's
specific needs.

Conclusion: The Enduring Journey of Caregiving

This guide has unveiled three essential hacks to equip you on your path
as a caregiver: honing your observation skills, treating each person as an
individual, and mastering communication and collaboration. By
implementing these hacks, you can navigate the challenges of caregiving
with confidence and provide exceptional support to those who rely on
you.

However, the symphony of caregiving never truly ends. The field of

healthcare is constantly evolving, and the needs of each resident are
unique. Embrace lifelong learning – stay up-to-date on best practices,
delve into specific conditions, and remain open to new approaches. This
commitment to continuous learning ensures you're providing the highest
quality care possible.

Caregiving is a demanding yet profoundly rewarding profession. It

demands dedication, patience, and a genuine desire to make a difference
in the lives of others. If you possess these qualities and are eager to
embark on this lifelong journey of learning and service, then caregiving
may be the perfect path for you. Embrace the challenges, celebrate the
successes, and remember, that the impact you make on the lives you
touch is truly immeasurable.

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Bonus Hack - The Art of Self-Care for the Caregiver

Caregiving can be emotionally and physically draining. Taking care of

yourself is not a luxury; it's a necessity. This bonus chapter explores
ways to prioritize your well-being so you can continue to be the best
possible caregiver:

Prioritize Relaxation: Schedule time for activities that bring you

peace and rejuvenation. Whether it's reading a book, taking a walk in
nature, or spending time with loved ones, prioritize activities that
replenish your spirit.

Set Boundaries: It's okay to say no and delegate tasks when needed.
Setting healthy boundaries ensures you don't experience burnout.

Seek Support: Build a support system of friends, family, or fellow

caregivers who understand the challenges you face. Don't be afraid
to seek professional help if needed.

Celebrate Your Victories: Take time to acknowledge your

accomplishments, both big and small. Celebrating your successes
reinforces your dedication and resilience.

Remember, a happy and healthy caregiver is a more effective caregiver.

By prioritizing your well-being, you ensure you can continue to provide
exceptional care for those who rely on you. Check out Self-Care Matters
to learn the importance of self-care and why it matters to you.

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