Roy (2009) emphasised that the interdependence mode is the category of human responses
that focuses on interactions related to the giving and receiving of love. The family provides
the foundation by which the person establishes interaction with others. This is accomplished
through the teaching of effective communication skills and the give and take of love, respect,
and value within the family. A person’s awareness of self in relation to others is developed
and cultivated in this primary support group. ICU patients are sometimes unable to speak
due to oral intubation and alteration in level of consciousness or neurological changes related
to medications and acute critical condition. This affects communication and relationships
with family members and friends.