America has a longer life expectancy for its citizens currently than it has had for several decades. However, when an unexpected illness of an elderly family member happens he or she may find him or herself in a position where assistive care is needed by family members or caretakers.

Mr. Issler found himself in need of care beyond his capabilities when the effects of several co-morbidities presented. Jean Watson developed carative factors which are a part of the theory of transpersonal care. The carative factors of transpersonal care establish a trusting relationship built on faith and hope for positive health outcomes (Cara, n.d). The ten "caritas" Watson referred to were defined as:

· Embrace altruistic values and Practice loving kindness with self and others.
· Instill faith and hope and honor others.
· Be sensitive to self and others by nurturing individual beliefs and practices.
· Develop helping - trusting-- caring relationships.
· Promote and accept positive and negative feelings as you authentically listen to another's story.
· Use creative scientific problem--solving methods for caring decision making.
· Share teaching and learning that addresses the individual needs and comprehension styles.
· Create a healing environment for the physical and spiritual self which respects human dignity.
· Assist with basic physical, emotional, and spiritual human needs
· Open to mystery and Allow miracles to enter (Andrews & Arnerich, n.d.)