Involve the person with dementia in the planning and decision-making 3. He admits that he has been restricting his driving to short daytime trips lately, mainly to the local town to get his newspaper and Lotto ticket. By Family Caregiver Alliance and reviewed by Vicki L. Schmall, Ph.D. Blood tests and a CT head showed no underlying cause for dementia. Gets lost or feels disoriented in familiar places. It is part of the Hui Process,2 a four-step approach to relationship building with Māori patients and their whānau that involves: When used effectively, the Hui Process can help ensure a safe and appropriate decision is made about driving. The purpose of the evaluation in the office or clinic is to examine the physical, visual, and mental abilities required for safe driving. While it is important to maintain respect for the individual’s feelings, you must put safety first. © 2002 Family Caregiver Alliance. Enlist the support of other family, friends, caregiver support groups, and health professionals when making and implementing difficult decisions about driving. People with dementia are especially likely to minimize the complexity of driving and overestimate their abilities. Mr R tells you that he will be happy to stop driving eventually and may even do this before he sees you next, but he is pleased to have his licence for now. Mr R concedes he gets tired driving long distances and says he has become confused on a few occasions in town where it is busy and he feels pressured. You raise the topic of driving and explain the link between memory impairment and unsafe driving. Family Care Navigator: www.caregiver.org/family-care-navigator. Dementia, diabetes and some heart conditions all need to be disclosed because they may affect a person’s driving ability. Following are some signs that a person no longer has the necessary skills to drive safely. You suggest that you begin the assessment today, but that a second visit will likely be required before you can make a decision. The safest option for assessing a person’s driving skills is to arrange for an independent driving evaluation. Finally, the decision to stop driving is often one of slow realisation. If there are any doubts about safety, the person with dementia should not be driving. Driving assessment resources Mr R’s two daughters introduce themselves. The doctor can write, "Do not drive" on a prescription pad, and you can show this to the person. (415) 434-3388 | (800) 445-8106 Ask the person's doctor to tell him or her to stop driving. Avoid heavy traffic and heavily traveled roads. continue to drive with certain limitations, e.g. Changes in behavior will be most noticeable to family and friends who have closely interacted with the individual over time. Commonly used transportation options are: Ideally, an individual will limit or stop driving on his or her own. Next, you move on to the kaupapa phase: driving safety. What is the practical impact of losing a driving licence? Talk about the safety of the driver and others 4. MVA's more likely as CDR 0 (Johansson et al 1996) ... Record (accidents, near misses, violations) Driving ... – A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 140b58-YmRhN This fact sheet was prepared by Family Caregiver Alliance and reviewed by Vicki L. Schmall, Ph.D., Gerontology Specialist and Professor Emeritus at Oregon State University and the Executive Director of Aging Concerns. Educate all patients with dementia that eventually they must stop driving. Because symptoms of dementia are likely to worsen over time, individuals who pass a driving evaluation should continue to be re-evaluated every six months. Has difficulty with turns, lane changes, or highway exits. 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