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Driving and Patients With Dementia

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a symbol of autonomy and independence, eagerly awaited during adolescence, cherished during adulthood and reluctantly rescinded during old age.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 theref...

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Autores principales: Hamdy, R. C., Kinser, A., Kendall-Wilson, T., Depelteau, A., Whalen, K., Culp, J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5985540/
https://www.ncbi.nlm.nih.gov/pubmed/29900187
http://dx.doi.org/10.1177/2333721418777085
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author Hamdy, R. C.
Kinser, A.
Kendall-Wilson, T.
Depelteau, A.
Whalen, K.
Culp, J.
author_facet Hamdy, R. C.
Kinser, A.
Kendall-Wilson, T.
Depelteau, A.
Whalen, K.
Culp, J.
author_sort Hamdy, R. C.
collection PubMed
description 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a symbol of autonomy and independence, eagerly awaited during adolescence, cherished during adulthood and reluctantly rescinded during old age.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.
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spelling pubmed-59855402018-06-13 Driving and Patients With Dementia Hamdy, R. C. Kinser, A. Kendall-Wilson, T. Depelteau, A. Whalen, K. Culp, J. Gerontol Geriatr Med Teaching Case Studies: Managing Aberrant Behavior In Patients With Dementia 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. SAGE Publications 2018-05-31 /pmc/articles/PMC5985540/ /pubmed/29900187 http://dx.doi.org/10.1177/2333721418777085 Text en © 2018 The Author(s) http://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page(https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Teaching Case Studies: Managing Aberrant Behavior In Patients With Dementia
Hamdy, R. C.
Kinser, A.
Kendall-Wilson, T.
Depelteau, A.
Whalen, K.
Culp, J.
Driving and Patients With Dementia
title Driving and Patients With Dementia
title_full Driving and Patients With Dementia
title_fullStr Driving and Patients With Dementia
title_full_unstemmed Driving and Patients With Dementia
title_short Driving and Patients With Dementia
title_sort driving and patients with dementia
topic Teaching Case Studies: Managing Aberrant Behavior In Patients With Dementia
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5985540/
https://www.ncbi.nlm.nih.gov/pubmed/29900187
http://dx.doi.org/10.1177/2333721418777085
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