Digital Rehabilitation Environment Augmenting Medical System

The purpose of Digital Rehabilitation Environment Augmenting Medical System (D.R.E.A.M.S.) is
to research the feasibility and clinical potential of an immersive digital reality-augmenting
system in reducing the occurrence of cognitive, behavioral, and emotional consequences of
critical illness (e.g. pain, anxiety and insomnia) and environmental exposures (noise &
light) that are risk factors for the development of delirium, a common and devastating
complication in the intensive care unit (ICU).

Inclusion Criteria:

- All ICU patients ≥ 18 years admitted to the intensive care units (ICUs) of University
of Florida (UF) Health Shands Hospital

- who do not have a positive Confusion Assessment Method (CAM) score

Exclusion Criteria: The study team will exclude patients if:

- Their anticipated ICU stay is less than one day

- Patient is intubated and cannot communicate.

- Age: < 18 years

- Patient with recent (within 6 months) neuro-vascular event, intra-cranial surgery,
and/or acute neurological condition as primary ICU admission reason

- Baseline cognitive impairment (e.g., advanced dementia)

- Patients who are unable to wear or use the DREAMS equipment