Inclusion Criteria:  age 5-18 admitted to the PICU have an available parent or guardian an active consult request for physical therapy or occupational therapy awake, alert, and able to follow commands able to understand English free from significant vision or hearing deficits able to verbalize  Exclusion Criteria:  have a pacemaker have droplet, enteric, or enhanced contact precautions have open wounds without a covering dressing or a dressing that is visibly soiled have known adverse psychological reactions to animals show signs of acute agitation [yelling, screaming, moaning, or is otherwise inconsolable] have excessive bodily secretions per primary bedside nurse report feeling nauseated