U.S. Navy Lt. Cmdr. Marsha Hanly (left) makes a patient comfortable in the intensive care unit aboard the hospital ship USNS Comfort (T-AH 20) in Acajutla, El Salvador, during Continuing Promise 2011 on July 20, 2011. Continuing Promise is a regularly scheduled mission to countries in Central and South America and the Caribbean, where the U.S. Navy and its partnering nations work with host nations and a variety of governmental and nongovernmental agencies to train in civil-military operations.