Some Anglicans accept that anointing of the sick has a sacramental character and is therefore a channel of God's grace, seeing it as an "outward and visible sign of an inward and spiritual grace" which is the definition of a sacrament. The Catechism of the Episcopal Church of the United States of America includes Unction of the Sick as among the "other sacramental rites" and it states that unction can be done with oil or simply with laying on of hands. The rite of anointing is included in the Episcopal Church's "Ministration to the Sick"