Driving and Patients With Dementia

Hamdy, Ronald C.; Kinser, Amber E.; Kendall-Wilson, Tracey; Depelteau, Audrey; Whalen, K.; Culp, J.

doi:10.1177/2333721418777085

Cited by 8 publications

(9 citation statements)

References 18 publications

(20 reference statements)

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“…Thereby, driving scores were inversely associated with cognitive skills, number of collisions, and violations per 1000 miles driven. Moreover, our literature review resulted in one case report highlighting the difficulties of a family in the interaction with a driving family member with multi‐infarct dementia . Two more recent studies revealed that about 70% of drivers with very mild and mild VaD fail an on‐road driving test, compared to 11% in healthy controls.…”

Section: Resultsmentioning

confidence: 99%

“…Moreover, our literature review resulted in one case report highlighting the difficulties of a family in the interaction with a driving family member with multi-infarct dementia. 41 Two more recent studies revealed that about 70% of drivers with very mild and mild VaD fail an on-road driving test, 37,39 compared to 11% in healthy controls. Patients with a single stroke also show poor driving performances 42 ; meta-analytical evidence suggests that 46% of these patients do not pass an on-road test.…”

Section: Driving Fitness In Non-alzheimer Dementiasmentioning

confidence: 99%

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Driving Fitness in Different Forms of Dementia: An Update

Toepper

Falkenstein

2019

J American Geriatrics Society

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BACKGROUND/OBJECTIVES Most forms of dementia are associated with progressive cognitive and noncognitive impairments that can severely affect fitness to drive. Whether safe driving is still possible in the single case, however, is often difficult to decide and may be dependent on both severity and type of the respective dementia syndrome. Particularly in early disease stages, Alzheimer disease dementia (ADD) and different types of non‐Alzheimer dementias, such as vascular dementia (VaD), frontotemporal dementia (FTD), dementia with Lewy bodies (DLB), and Parkinson disease dementia (PDD), might differentially affect fitness to drive. DESIGN To examine the effects of severity and type of dementia on driving fitness, we conducted a systematic review with qualitative narrative synthesis, involving different driving outcomes in different forms and stages of dementia. SETTING Literature research included MEDLINE and PsycINFO databases with a focus on the most relevant and recent publications on the topic. PARTICIPANTS The population of interest included older drivers in different stages of ADD and different forms of non‐Alzheimer dementias (VaD, FTD, DLB, and PDD). MEASUREMENTS Narrative description of driving outcomes in the population of interest. RESULTS Overall, previous studies suggest that driving fitness is severely impaired in moderate and severe dementia, irrespective of the type of dementia. In milder disease stages, fitness to drive appears to be more severely impaired in non‐Alzheimer dementias than in ADD, since the non‐Alzheimer syndromes are not only associated with driving‐relevant cognitive but noncognitive risk factors, such as behavioral or motor symptoms. CONCLUSIONS Based on these findings, practical recommendations are presented, including a risk evaluation for driving safety, depending on severity and type of different dementia syndromes. J Am Geriatr Soc 67:2186–2192, 2019

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Section: Resultsmentioning

confidence: 99%

Section: Driving Fitness In Non-alzheimer Dementiasmentioning

confidence: 99%

Driving Fitness in Different Forms of Dementia: An Update

Toepper

Falkenstein

2019

J American Geriatrics Society

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“…For example, most of the participants identified how they had to give up their job as soon as they received a diagnosis of dementia rather than being offered alternative opportunities within their place of employment [27][28][29]. Other participants spoke about their lives being placed on hold as their abilities to drive were being reviewed [30]. This contributed to negative public assumptions that people living with dementia were simply unable to do things, which was not always the case.…”

Section: Discussionmentioning

confidence: 99%

Emphasise capability, not disability: exploring public perceptions, facilitators and barriers to living well with dementia in Northern Ireland

Mitchell¹,

McTurk²,

Carter³

et al. 2020

BMC Geriatr

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Background Improving public knowledge and understanding about dementia has been identified as a priority area by people living with the condition, researchers, educators, and policymakers for several years. Societies that have a better understanding of the condition are more likely to enable people living with dementia to enjoy a better quality of life. The aim of this study was to explore current public perceptions of dementia along with the facilitators and barriers to living well from the perspective of people living with the condition in Northern Ireland. Methods Four focus group interviews were conducted with a total of 20 people living with dementia across three Northern Irish Counties in June 2019. These interviews were audio-recorded, transcribed verbatim and analysed using thematic analysis. Ethical approval was obtained for this study prior to data collection. Findings Following thematic analysis, three themes emerged in relation to barriers and facilitators to living well with dementia. These were: ‘Emphasis on Disability NOT Capability’, which highlighted societal misconceptions about the activities and modes of life which people with dementia could or could not do; ‘Normalise Dementia – We Don’t Want a Fool’s Pardon’, which focused on how the public could encourage people living with the condition to enjoy greater independence, and ‘Dementia isn’t a Death Sentence’, which considered how professionals, family members and friends treated the person after diagnosis. Conclusions Public perceptions about dementia have the potential to act as both facilitators and barriers to living well with dementia. People with dementia stated that they are more likely sustain wellbeing when they are valued and can maintain independence. On the contrary, poor public and professional attitudes to dementia had the potential to disempower people living with dementia.

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“…For example, most of the participants identi ed how they had to give up their job as soon as they received a diagnosis of dementia rather than being offered alternative opportunities within their place of employment 24 25 26 . Other participants spoke about their lives being placed on hold as their abilities to drive were being reviewed 27 . This contributed to negative public assumptions that people living with dementia were simply unable to do things, which was not always the case.…”

Section: Discussionmentioning

confidence: 99%

Emphasise Capability, Not Disability: Exploring public perceptions, facilitators and barriers to living well with dementia in Northern Ireland.

Mitchell

McTurk

Carter

et al. 2020

Preprint

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Background: Improving public knowledge and understanding about dementia has been identified as a priority area by people living with the condition, researchers, educators, and policymakers for several years. Societies that have a better understanding of the condition are more likely to enable people living with dementia to enjoy a better quality of life. The aim of this study was to explore current public perceptions of dementia along with the facilitators and barriers to living well from the perspective of people living with the condition in Northern Ireland. Methods: Four focus group interviews were conducted with a total of 20 people living with dementia across three Northern Irish Counties in June 2019. These interviews were audio-recorded, transcribed verbatim and analysed using thematic analysis. Ethical approval was obtained for this study prior to data collection. Findings: Following thematic analysis, three themes emerged in relation to barriers and facilitators to living well with dementia. These were: ‘Emphasis on Disability NOT Capability’, which highlighted societal misconceptions about the activities and modes of life which people with dementia could or could not do; ‘Normalise Dementia – We Don’t Want a Fool’s Pardon’, which focused on how the public could encourage people living with the condition to enjoy greater independence, and ‘Dementia isn’t a Death Sentence’, which considered how professionals, family members and friends treated the person after diagnosis. Conclusions: Public perceptions about dementia have the potential to act as both facilitators and barriers to living well with dementia. People with dementia articulated that they are more likely sustain wellbeing when they are valued and can lead the type of life, they are able to lead. On the contrary, poor public and professional attitudes to dementia had the potential to disempower people living with dementia.

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Driving and Patients With Dementia

Cited by 8 publications

References 18 publications

Driving Fitness in Different Forms of Dementia: An Update

Driving Fitness in Different Forms of Dementia: An Update

Emphasise capability, not disability: exploring public perceptions, facilitators and barriers to living well with dementia in Northern Ireland

Emphasise Capability, Not Disability: Exploring public perceptions, facilitators and barriers to living well with dementia in Northern Ireland.

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