The card - background is patterned paper.  Smaller panel is stamped with a bit of grunge in the background.  The two larger stems and the flower are stamped, die cut and popped up.  The smaller stems are die cut from cardstock.  The sentiment piece is die cut and popped up.  

Some more 'Grandma time' with Ethan for the next few days.  Glad I got my work done yesterday :)

Have a wonderful day!