It's complicated and incomplete, but here's why we shouldn't lose hope. longCOVID
or other forms of critical illness, many of them benefit from brain exercises even years after their initial injury. We have exciting data being generated in current NIH- and US Department of Veterans Affairs–sponsored clinical trials of cognitive rehabilitation for both COVID and non-COVID ICU survivors.
There are online games as well; I won't endorse any specific examples, but the brain wants exercise. If a patient's arm atrophied while in a cast, they'd be advised to lift weights. Patients can be encouraged to find their preferred way to"lift weights" with their brains. Doctors, nurses, and therapists, consider speaking with your patients and explore how to help them learn to do this themselves.
Patients, more than anything, should be reminded of this: Do not lose hope. The brain is robust and flexible in its neuroplasticity.
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