by Nancy Stout Author Nancy Stout writes, Gratitude, in the deepest sense, is about more than saying thank you. It becomes a state of being, rather than an act of saying or doing. How does one come to such a state when faced with the difficulties of daily life? Can gratitude co-exist with the pain, sorrow, and loss everyone must face in their lifetime? This CareNote says yes. Stout walks readers through the practical ways they can adopt an attitude of gratitude in sections titled: Appreciate the Simple, Live in the Moment, and Give Thanks to the Gift-giver.