Novel Arm Restraint For Critically Ill Patients To Reduce Immobility, Sedation, Agitation and Cognitive Impairment

Inclusion Criteria: * ≥18 years old * Requiring ICU care * Requiring wrist or mitt restraints and has active physician order * Expected ICU stay ≥2 days after enrollment * Responsive to verbal stimulus Exclusion Criteria: * Bilateral upper extremity impairments (e.g. arm injuries) or problems (e.g. severe skin breakdown) that prevent use of novel restraint device. Normal use of one arm (e.g. unilateral upper extremity amputation) is acceptable. * Very limited mobility of bilateral upper extremities prior to admission (e.g. bilateral frozen shoulders). Normal use of one arm is acceptable. * Pre-existing severe neuromuscular condition inhibiting or axacerbating upper extremity movement (e.g. Guillain-Barre, severe tremor, myoclonus) * Neuromuscular blocker infusion (eligible once infusion discontinued if other inclusion criteria met) * Pre-existing severe cognitive impairment or language barrier prohibiting outcome assessment * Expected death or withdrawal of life-sustaining treatments within 6 days from enrollment * Incarcerated * Pregnant * Attending physician declines patient enrollment * LAR unavailable to consent (and patient is unable to consent) * Patient or LAR decline consent