Karr's clear, concise, step-by-step instructions address the physical, mental, emotional, and spiritual components of caregiving. Advocacy and medical self-care are central themes. Her practical and comprehensive guidelines will help families effectively supplement care, thereby becoming integral to the caregiving process. Challenging the traditional positions that have encouraged patient/family passivity and compliance, she returns the focal point of attention to the unique role that family plays in enriching the lives of nursing home residents.