The image shows a group of people gathered around an elderly woman lying on a black couch. The woman is covered with a white blanket and appears to be in pain or discomfort. She is lying on her stomach with her eyes closed and her hands covering her mouth. There are several other people around her, some of whom are wearing colorful clothes and some are wearing pink and green leis. One person is holding a pink feather boa and another is wearing a green shirt with a yellow flower on it. They are all smiling and appear to be engaged in a conversation. The background shows a brick wall and a window with white curtains.