Despite the fact that she is weakened, there is no sign that the woman described here feels any loss of dignity; in fact, the case is quite to the contrary. Kooser gives the detail of the funny knit cap to let readers know that this is a person who is not concerned with what people think of her weakened appearance. Although the narrator of the poem never talks to her or hears her talk, he can tell from her behavior that the illness that has weakened her body has not damaged her sense of pride.