Should Our Hospice Patients Be Driving?

Cross, Karen L.

doi:10.1089/jpm.2011.0082

Cited by 3 publications

(1 citation statement)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This requires attention to their medical status, including visual loss and neurological disease, impairment of activities of daily living along with physical examination and the patient's own opinion on their fitness to drive. Any hesitation should result in the discussion of transportation alternatives [39].…”

Section: Opioid-induced Sedation Falls Injuries and Motor Vehicle Amentioning

confidence: 99%

Opioid risk assessment in palliative medicine

Krashin

Murinova

Jumelle

et al. 2015

Expert Opinion on Drug Safety

View full text Add to dashboard Cite

Palliation of severe pain at the end of life is probably the most widely accepted indication for chronic opioid therapy. At increased doses, adverse effects of opioids may limit or interfere with the benefits of treatment. Careful screening and follow-up will allow risk factors to be recognized and addressed when possible. The use of adjunctive treatments for pain may reduce opioid requirements and yield better outcomes.

show abstract

Section: Opioid-induced Sedation Falls Injuries and Motor Vehicle Amentioning

confidence: 99%

Opioid risk assessment in palliative medicine

Krashin

Murinova

Jumelle

et al. 2015

Expert Opinion on Drug Safety

View full text Add to dashboard Cite

show abstract

A Survey of Hospice and Palliative Nurses Association Nurse Educators’ Teaching Practices and Attitudes Toward Driving Safety in Hospice and Palliative Care Patients

Sunder

Hebert

2017

J Hosp Palliat Nurs

View full text Add to dashboard Cite

In 2014, the National Hospice and Palliative Care organization estimated that 1.6 to 1.7 million Americans received hospice services, an increase of nearly 20% from the year 2010. Approximately 20% to 25% of hospice patients have the functional ability to drive. The increasing number of patients served by hospice and palliative services makes the issue of driving safety more important than ever. Because nurses practice at the frontline of care, they have an integral role in determining whether patients have the ability to drive safely. Our objective was to examine the teaching practices and attitudes of Hospice and Palliative Nurses Association (HPNA)–certified nurse educators regarding patient driving safety. An anonymous, cross-sectional email survey was sent to the 276 HPNA-certified nurse educators. One hundred twenty-six nurse educators (46%) responded. A large majority (90%) either strongly agree or agree that teaching nurses how to determine whether a patient is at risk for impaired driving is important. A minority, however, reported educating nurses on how to (1) determine whether a patient is at risk for impaired driving (18%), (2) counsel patients about impaired driving (21%), and (3) report potentially impaired drivers to the proper authorities (21%). Most nurse educators do not feel confident in their ability to teach nurses on the topic of impaired driving (38%) but are receptive to further education (87%). There is a need for further education of HPNA nurse educators in the area of patient driving safety.

show abstract

Behind the wheel safety in palliative care: a literature review

Howard

Ramsenthaler

2018

BMJ Support Palliat Care

View full text Add to dashboard Cite

BackgroundDriving is a complex activity that requires physical abilities and adequate executive and cognitive functioning. There is concern among specialist palliative care services about patients continuing to drive despite having progressive incurable illnesses, comorbidities and medications to manage their symptoms.ObjectivesTo determine the quality of literature available about driving that would apply to palliative care patients, specifically in relation to road test or simulated driving scores and neurocognitive testing.MethodA literature search based on systematic principles was conducted on the Ovid Medline, PsycINFO, Embase and CINAHL database up to 14 October 2018. Patient populations with life-limiting illness such as cancer, cardiorespiratory and neurological diagnoses were included.Results37,546 articles were screened. 14 articles satisfied the search criteria. Six studies focused on patients with multiple sclerosis (MS). Four studies investigated driving ability in patients with Huntington’s disease. The remaining four articles studied heart failure, chronic obstructive pulmonary disease (COPD), interstitial lung disease and patients with cancer. In the road test studies, 19%–47% of patients with MS and Huntington’s failed the behind-the-wheel assessment. The simulated driving scores in seven studies demonstrated statistically significant differences in errors made between study participants and controls. Divided attention was found in seven studies to be associated with poorer road-test or simulated driving ability.ConclusionsThis review highlights the scarcity of studies available for patients who would be known to palliative care services. For most patient groups, a battery of neurocognitive tests combined with a road-test or simulated driving assessment is still considered the best practice in determining driving safety.

show abstract

Should Our Hospice Patients Be Driving?

Cited by 3 publications

References 6 publications

Opioid risk assessment in palliative medicine

Opioid risk assessment in palliative medicine

A Survey of Hospice and Palliative Nurses Association Nurse Educators’ Teaching Practices and Attitudes Toward Driving Safety in Hospice and Palliative Care Patients

Behind the wheel safety in palliative care: a literature review

Contact Info

Product

Resources

About