Adult geriatric nurse Sara Joyce, a volunteer for Project Hope embarked aboard the amphibious assault ship USS Kearsarge, speaks to a Nicaraguan woman about her proposed treatment at the Juan Comenius High School medical site during a Continuing Promise medical humanitarian service project. Kearsarge is the primary platform for the Caribbean phase of Continuing Promise, an equal-partnership mission involving the United States, Canada, the Netherlands, Brazil, Nicaragua, Panama, Colombia, Dominican Republic, Trinidad and Tobago and Guyana.