Driving and dementia

Breen, David A; Breen, David P.; Moore, John W.; Breen, Patricia A.; O’Neill, Desmond

doi:10.1136/bmj.39233.585208.55

Cited by 101 publications

(71 citation statements)

References 16 publications

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“…This is an inevitable stage of life for most people; Foley et al (2002) showed that men tend to outlive their driving ability by 6 years and women by 10 years. Even when given a diagnosis of dementia, many individuals do not make plans for complete driving cessation (Johnson 1998;Breen 2007). This may in part be due to individuals not recognising they have impairment as a result of their cognitive state, quite different to people with physical illnesses such as epilepsy or visual problems when insight is not impaired.…”

Section: Driving Cessationmentioning

confidence: 98%

“…The general consensus appears to be that it is usually safe to continue driving for about 3 years after the onset of Alzheimer's disease (Trobe 1996;Hopkins 2004;Breen 2007). Other dementias, such as the vascular type, may remain stable for longer, although the cognitive decline is far more unpredictable.…”

Section: The Importance Of the Clinical Presentationmentioning

confidence: 99%

“…There is also evidence that older people do not feel public transport is adequate, efficient or safe enough for their needs (Breen 2007).…”

Section: Impact Of Available Alternative Transportmentioning

confidence: 99%

“…Marottoli et al (1997Marottoli et al ( , 2000 has shown that cessation of driving leads to a significant reduction in out-of-home activity levels, as well as an increase in depressive symptoms. It is increasingly clear that to stop driving is a lifealtering decision, reducing independence and limiting access to family, friends and services (Breen 2007).…”

Section: Driving Cessationmentioning

confidence: 99%

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Driving and dementia: a clinician's guide

Wilson¹,

Pinner²

2013

Adv. psychiatr. treat

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SummaryWith an ageing population and more drivers on the road, the number of drivers with dementia is due to grow exponentially over the next 50 years. Although decisions regarding possession of a driving licence in the UK are made by the Driver and Vehicle Licensing Agency (DVLA), psychiatrists have a duty to advise patients who are unfit to drive to cease driving and to inform the DVLA of patients who pose a risk to the public by continuing to drive when advised not to. This article offers a review of the literature on dementia and driving and summarises the evidence and advice for navigating this minefield. The use of psychological test batteries in clinical practice is discussed, along with the most useful questions to ask in memory clinics. Legal guidance for various countries is considered, as is the important (but often overlooked) issue of helping older people prepare for retirement from driving.

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Section: Driving Cessationmentioning

confidence: 98%

Section: The Importance Of the Clinical Presentationmentioning

confidence: 99%

“…There is also evidence that older people do not feel public transport is adequate, efficient or safe enough for their needs (Breen 2007).…”

Section: Impact Of Available Alternative Transportmentioning

confidence: 99%

Section: Driving Cessationmentioning

confidence: 99%

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Driving and dementia: a clinician's guide

Wilson¹,

Pinner²

2013

Adv. psychiatr. treat

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“…esim. Breen, Breen, Moore, Breen & O'Neill 2007;Dubinsky, Stein & Lyons 2000;Iverson ym. 2010;Ott ym.…”

Section: Etenevät Muistisairaudet Ja Niiden Vaikutukset Ajokykyynmentioning

confidence: 99%

Muistisairas ihminen liikenteessä

Nikumaa

Mäki‐Petäjä‐Leinonen

2018

gerontologia

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Ikääntyvien kuljettajien määrän lisääntyessä myös muistisairaiden ihmisten osuus ajokortin haltijoissa kasvaa. Artikkelissa tarkastellaan etenevää muistisairautta sairastavan ihmisen ajo-oikeutta hyödyntäen lainopin menetelmiä. Vaikka muistisairaus johtaa edetessään ajokortista luopumiseen, ei pelkkä diagnoosi sairauden lievässä vaiheessa tarkoita ajoluvan menettämistä kaikissa ajokorttiryhmissä. Onnettomuusriski kasvaa sairauden edetessä, mutta yksilölliset erot voivat olla merkittäviä, ja ajokyvyn arvioinnissa tulee kiinnittää huomiota muistisairaan kokonaistilanteeseen. Oikeus ajoneuvon kuljettamiseen on usein keskeinen osa sairastuneen identiteettiä ja osa hänen autonomiansa toteutumista. Ajo-oikeuden poistaminen voi kuitenkin olla välttämätöntä paitsi sairastuneen itsensä suojaamiseksi myös muiden turvallisuuden takaamiseksi. Artikkelin lopuksi pohditaan ratkaisuja muistisairaan ihmisen liikkumisen turvaamiseksi. Tutustuminen vaihtoehtoisiin ja turvallisiin liikkumisen keinoihin tulisi aloittaa riittävän ajoissa. Rajoitetun ajo-oikeuden mahdollisuutta tulisi edelleen maassamme selvittää erityisesti syrjäseuduilla asuvien varhaisvaiheen muistisairaiden näkökulmasta. Lisäksi muistisairaille ihmisille tulee taata muiden sairaus-ja vammaryhmien tavoin yhdenvertainen oikeus vammaispalvelulain nojalla myönnettäviin kuljetuspalveluihin.

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