Cypress discusses a study on how an intensive care unit developed interpersonal relationships between the patient and their loved ones. The Roy Adaptation model was used to provide the highest quality care to the patient. Staff encouraged families to talk and care for their loved ones. Patients in intensive care are sometimes unable to speak due to oral intubation and altered level of consciousness or neurological changes related to medications and acute critical illness (Cypress, 2011, 4). This often affects communication and relationships with family members and friends. Family members were kept informed of any changes regarding the patient. Nurses, doctors, therapists and families all worked together for the benefit of