From my (unwritten, mostly mental) gratitude journal:
My partner has Alzheimer's, and is in a nursing home. Can't walk, feed herself, needs more care than I can personally supply or round up for home-care.
But: I am grateful she still recognizes me, knows that I love her dearly, and can carry on a basic, simple conversation. I am grateful her nursing home's union negotiated a new contract with pay- and staffing-level increases. I am grateful that her wing has a new unit manager who seems more able to do the hard work of keeping the cats (aides & patients both) herded. I am grateful I have the ability to visit daily. I am grateful for those who support me IRL and online.