Dementia and driving: A survey of clinical practice in aged care assessment teams

G.K Fox, F.K. Withaar, G.M Bashford

    Research output: Contribution to journalArticleAcademicpeer-review

    9 Citations (Scopus)

    Abstract

    Current clinical practice in Aged Care Assessment Teams (ACATs) in NSW and ACT regarding assessment of fitness to drive in clients with a diagnosis of dementia was examined. Of 42 ACATs with a geriatrician on staff, 38 (90.5%) responded to a telephone survey. Results showed that assessment of driver fitness is largely a medically based procedure, with functional on-road assessment of driver competence occurring in 42.1% of ACATs. Use of the Mini Mental Status Examination in determining the severity of dementia and impact on driving was common (94.7%), although such predictive ability has not been demonstrated Few ACATs (36.8%) systematically review drivers despite likely disease progression. 73.7% of ACATs reported experience of clients continuing to drive against advice. Approaches to assessment in city and rural ACATs are compared.

    Original languageEnglish
    Pages (from-to)111-114
    Number of pages4
    JournalAustralian Journal on Ageing
    Volume15
    Issue number3
    DOIs
    Publication statusPublished - Aug-1996

    Keywords

    • dementia
    • driving competence
    • older drivers
    • physician's evaluation
    • MINI-MENTAL-STATE
    • ALZHEIMERS-DISEASE
    • OLDER DRIVERS
    • VEHICLE CRASHES
    • ROAD

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