Inclusion Criteria:  Admitted to Baycrest PCU Capable to consent to the study Able to complete the outcome measures through a telephone interview with a research assistant Estimated prognosis ≥3 weeks At least 2 or more ESAS scores of 4 or greater within the week of the intervention English speaking  Exclusion Criteria:  Intractable nausea/vomiting History of seizures or epilepsy Vision and/or hearing impairment that cannot be accommodated e.g. pocket talker Any abnormalities of the head preventing use of the headset Patients who are too unwell to participate based on the opinion of the clinical team