Reporting Policy Regarding Drivers with Dementia

Gergerich, Erika

doi:10.1093/geront/gnv143

Cited by 20 publications

(19 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Hence family members and physicians may have a crucial role in imposing the decision to cease driving on patients who ignore a negative outcome of a fitness-to-drive assessment [ 20 , 48 ]. Future research should focus on how this can be established effectively without harming the relationship with the patient [ 24 , 49 ].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Adherence to driving cessation advice given to patients with cognitive impairment and consequences for mobility

et al. 2018

View full text Add to dashboard Cite

BackgroundDriving is related to social participation; therefore older drivers may be reluctant to cease driving. Continuation of driving has also been reported in a large proportion of patients with cognitive impairment. The aim of this study is to investigate whether patients with cognitive impairment adhere to driving cessation advice after a fitness-to-drive assessment and what the consequences are with regard to mobility.MethodsPatients with cognitive impairment (n = 172) participated in a fitness-to-drive assessment study, including an on-road driving assessment. Afterwards, patients were advised to either continue driving, to follow driving lessons, or to cease driving. Approximately seven months thereafter, patients were asked in a follow-up interview about their adherence to the driving recommendation. Factors influencing driving cessation were identified using a binary logistic regression analysis. Use of alternative transportation was also evaluated.ResultsRespectively 92 and 79% of the patients adhered to the recommendation to continue or cease driving. Female gender, a higher Clinical Dementia Rating-score, perceived health decline, and driving cessation advice facilitated driving cessation. Patients who ceased driving made use of less alternative modes of transportation than patients who still drove. Nonetheless, around 40% of the patients who ceased driving increased their frequency of cycling and/or public transport use.ConclusionsAdherence to the recommendations given after the fitness-to-drive assessments was high. Female patients were in general more likely to cease driving. However, a minority of patients did not adhere to driving cessation advice. These drivers with dementia should be made aware of the progression of their cognitive impairment and general health decline to facilitate driving cessation. There are large differences in mobility between patients with cognitive impairment. Physicians should discuss options for alternative transportation in order to promote sustained safe mobility of patients with cognitive impairment.

show abstract

Section: Discussionmentioning

confidence: 99%

“…A proportion of patients will have a wish to continue driving. It is difficult to judge fitness to drive of individual patients in clinical practice [ 24 ], therefore referral to fitness-to-drive assessments (e.g. to driving license authorities) is advised.…”

Section: Discussionmentioning

confidence: 99%

Adherence to driving cessation advice given to patients with cognitive impairment and consequences for mobility

et al. 2018

View full text Add to dashboard Cite

show abstract

“…The main obstacles to safe driving in patients with dementia include ( American Medical Association [AMA], 2010 ; Bedard & Dickerson, 2014 ; Budson & Solomon, 2016 ; Dorgan, Hutson, Duvall, Kinser, & Hall, 2014 ; Tappen, Ramos, Newman, & Newman, 2017 ; Gergerich, 2016 ; Jahn, 2013 ; Piersma, de Waard, et al, 2016 ; Piersma, Fuermaier, et al, 2016 ; Sadowsky & Galvin, 2012 ; Molnar, Patel, Marshall, Man-Son-Hing, & Wilson, 2006 ; Rabins, Lyketsos, & Steele, 2016 ; Silverstein et al, 2016 ):…”

Section: Case Discussionmentioning

confidence: 99%

Driving and Patients With Dementia

Hamdy

Kinser

Kendall-Wilson

et al. 2018

Gerontology and Geriatric Medicine

View full text Add to dashboard Cite

Driving is a symbol of autonomy and independence, eagerly awaited during adolescence, cherished during adulthood and reluctantly rescinded during old age. It is nevertheless an individual’s privilege, not right, especially as driving may affect other drivers and pedestrians on the road. It is therefore not only the individual patient who is at stake but essentially the entire community. In this case scenario, we describe the situation that arose when a patient with multi-infarct dementia wanted to go for a drive and his son and grandson tried to convince him that he could no longer drive. What went wrong in the caregivers/patient interaction is presented. The futility of arguing with patients who have dementia is highlighted as well as the suspiciousness it may generate. Alternate actions that can be useful to avoid/avert the situation from escalating and having a catastrophic ending are discussed. Testing/evaluating patients with dementia for fitness to drive is also reviewed and a list of select resources is included.

show abstract

“…Alzheimer's Society of Canada 17 Patterson et al 18 Lee and Molnar 19 Champlain Dementia Network 20 Canadian Medical Association 21 22 x x x x Angley P 23 x x x x x Tefft 24 x x x Breen et al 25 x x Gergerich 26 x x Carmody et al 27 x x x Carter et al 28 x x x Ott et al 29 x Andrew et al 30 x Unsworth et al 31 x Kay et al 32 x Marshall et al 33 x x x Piersma et al 34 x Papa et al 35 x x Alzheimer's NSW 36 x x authority relies on the board's recommendation rather than GP report. 3 Mandatory reporting to transport authorities of medical conditions that affect driving, including dementia, varies between states and countries.…”

Section: Canadamentioning

confidence: 99%

The process of determining driving safety in people with dementia: A review of the literature and guidelines from 5 English speaking countries

Walsh

Chacko

Cheung

2019

Australas Psychiatry

View full text Add to dashboard Cite

Objectives: To review literature and guidelines related to the process of determining driving safety in people with dementia. Method: Four electronic databases were searched in December 2016/January 2017. We limited our search to literature and guidelines published in the UK, USA, Canada, New Zealand and Australia. Results: General practitioners are primarily responsible for driver licensing; however, they often feel ill-equipped and it can compromise the therapeutic relationship. Occupational therapist driving assessment is considered as the ‘gold-standard’ but is costly and often not available. Medical advisory boards assist the assessment process by providing independent licencing decisions. Conclusions: General practitioner training, funding for occupational therapist driving assessment and the establishment of a medical advisory board could be considered to improve the current practice of driving assessment in dementia.

show abstract

Reporting Policy Regarding Drivers with Dementia

Abstract: These findings lead to the recommendation that the Arkansas legislature adopt an optional reporting policy. There is also a need for physician education regarding state reporting policy, as well as training for assessment of fitness to drive for patients with dementia.

Cited by 20 publications

References 22 publications

Adherence to driving cessation advice given to patients with cognitive impairment and consequences for mobility

Adherence to driving cessation advice given to patients with cognitive impairment and consequences for mobility

Driving and Patients With Dementia

The process of determining driving safety in people with dementia: A review of the literature and guidelines from 5 English speaking countries

Contact Info

Product

Resources

About