The novel Coronavirus (COVID-19) is a disaster that has resulted in increased morbidity/mortality, challenges accessing medical care, significant economic downturn, elevated mental health problems, and cognitive decline. Cognitive problems as a result of COVID-19 affect people already suffering from dementia and mild cognitive impairment, who may disproportionately be the elderly population. It's valuable to be aware of the potential risks of treatment when making decisions about treatments. Included below are factors associated with COVID-19 that can lead to cognitive problems:
People who contract the virus may experience challenges with brain functioning due to drugs used to sedate while they are on a ventilator. Some of the medications may have a lasting impact on the brain.
People with lung disease who are on oxygen may experience low levels of oxygen, which may cause problems in brain functioning.
Being placed in an intensive care unit can result in post-intensive care syndrome including diminished cognitive and physical abilities.
Blood clots can be caused by COVID-19 and result in strokes and can happen at any age which would cause cognitive decline.
A reduction of people being diagnosed with stroke, mild cognitive impairment, and dementia: As a result of sheltering in place people are less likely to go to the doctor for things they think are non-essential. If a person is having problems with forgetfulness of problem solving they or their loved one may decide it is not important enough to go to the doctor. As a result, the person may go undiagnosed and worsen in their symptoms.
People who have the diagnosis of MCI or dementia may not attend their therapy due to valid reasons like fear of going to the doctor or insurance coverage issues with tele-health. However, they may likely decline over time without receiving treatment exasperated by social isolation and restrictions on going outside.
As most attention is placed on how COVID-19 affects the lungs, it is important to be aware of possible problems in cognition. It is documented that cognitive decline can occur and it is important to be aware as it has a potentially long-term consequences. Equipping yourself with questions about the treatment you or your loved will receive will better equip you to make informed decisions regarding patient care.