What can be done to help staff work with patients in such a way that patients' psychological functioning can be maintained at a high level? What suggestions can be given to help staff members support the patient's self-esteem and thus enhance the self-image? Those who work directly with patients in a nursing home have chosen this work because they care about persons and about their comfort. These motivations plus continued awareness of the patient's perceptions, feelings, and attitudes will enable more patients to be psychologically supported while they live in a health care facility. It is hoped that as we go about seeking to facilitate the patient's return to health, we might also be aware of the needs of the staff, for only as they have their own needs fulfilled can they serve another.