Effectiveness of noninvasive brain stimulation techniques on cognitive function in individuals with Alzheimer's disease and MCI: a systematic review and meta-analysis.

Survival from critical illness is increasingly recognized as only the first stage of recovery. Many patients leaving the intensive care unit (ICU) experience persistent physical, cognitive, psychological, and social impairments that affect daily functioning, family life, employment, and quality of life. The term post-intensive care syndrome describes new or worsening physical, cognitive, or mental health impairment after critical illness., These problems may include ICU-acquired weakness, fatigue, impaired mobility, memory problems, anxiety, depression, post-traumatic stress symptoms, sleep disturbance, and reduced ability to resume normal roles. In low-resource settings, the transition from ICU survival to safe recovery is particularly fragile. Patients may leave hospitals where ICU beds are scarce, rehabilitation services are limited, outpatient follow-up is poorly coordinated, and families carry most of the responsibility for home care. In Somalia, this challenge is intensified by workforce limitations, financing constraints, fragmented referral systems, and uneven access to specialized services. Somalia’s Health Sector Strategic Plan 2022–2026 emphasizes equitable and quality service delivery, while the national roadmap toward universal health coverage highlights the need to improve access and protect households from financial hardship., A recent nationwide assessment also reported important gaps in emergency and critical care readiness across Somali hospitals, including staffing, equipment, supplies, space, and clinical service capacity. This commentary proposes a Somalia-adapted nurse-led post-ICU home recovery framework. Its contribution is not the invention of transitional care itself, which is already well established, but the contextual adaptation of transitional care principles to a fragile health system where ICU nurses, family caregivers, community health workers, mobile communication, and referral facilities must work together despite resource constraints. The article defines the model, clarifies risk stratification, outlines implementation steps, and critically discusses feasibility, ethics, sustainability, and research needs.