Virtual Reality to Reduce Anxiety, Agitation and Delirium in Critically Ill Patients

Inclusion Criteria: 1. Aged ≥ 18 years old admitted to the Surgical Intensive Care Unit (SICU) at Penn State Health Milton S. Hershey Medical Center. 2. No significant uncorrectable visual or auditory impairments 3. Estimated ICU length of stay \> 48h 4. At the time of each VR session, able to keep eyes open for at least 30 seconds, follow simple commands and able to indicate discomfort or request to stop. 5. English speaking Exclusion Criteria: 1. Significant hemodynamic instability 2. Known psychotic disorders associated with delusions (e.g. schizophrenia) 3. Severe dementia (e.g. inability to communicate or follow simple commands) 4. History of disequilibrium syndrome or vertigo 5. Acute hyperactive delirium, requiring physical restraints