Menu
Home
Log in / Register
 
Home arrow Psychology arrow Neuropsychiatric Symptoms of Cognitive Impairment and Dementia
Source

The Ability to Drive in Mild Cognitive Impairment

Arne Stinchcombe, Carrie Gibbons, Hillary Maxwell, Gary Naglie, and Michel Bedard

Abstract Driving is a complex activity that, for many older adults, is a primary means of mobility. Driving draws upon multiple cognitive, sensory, and physical systems to operate the vehicle and navigate the roadway environment safely. It follows that when one of these systems is impaired, driving safety may be hindered. Individuals with mild cognitive impairment (MCI) are impaired in at least one cognitive domain, which may, depending on the nature of their deficit, make them at increased risk for collision. Research indicates that memory, executive functions, and attention are all associated with driving performance. While a number of assessment instruments are available to aid professionals’ decisions related to fitness to drive, health professionals must strike a balance between safety and mobility when making this determination. This chapter discusses the components of the driving task, the impact of an MCI diagnosis on driving fitness, methods to assess drivers

A. Stinchcombe (*) • M. Bedard

Centre for Research on Safe Driving, Lakehead University,

955 Oliver Road, Thunder Bay, ON P7B 5E1, Canada e-mail: This email address is being protected from spam bots, you need Javascript enabled to view it ; This email address is being protected from spam bots, you need Javascript enabled to view it

C. Gibbons

St. Joseph’s Care Group, Centre for Applied Health Research,

580 Algoma Street North, Thunder Bay, ON P7B 5G4, Canada e-mail: This email address is being protected from spam bots, you need Javascript enabled to view it

H. Maxwell

Centre for Research on Safe Driving, Lakehead University,

955 Oliver Road, Thunder Bay, ON P7B 5E1, Canada

St. Joseph’s Care Group, Centre for Applied Health Research,

580 Algoma Street North, Thunder Bay, ON P7B 5G4, Canada e-mail: This email address is being protected from spam bots, you need Javascript enabled to view it

G. Naglie

Department of Medicine, Baycrest Health Sciences,

3560 Bathurst Street, Toronto, ON M6A 2E1, Canada

Department of Medicine and Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON M6A 2E1, Canada e-mail: This email address is being protected from spam bots, you need Javascript enabled to view it

© Springer International Publishing Switzerland 2017 45

A. Verdelho, M. Gonfalves-Pereira (eds.), Neuropsychiatric Symptoms of Cognitive Impairment and Dementia, Neuropsychiatric Symptoms of Neurological Disease, DOI 10.1007/978-3-319-39138-0_4

with MCI, and strategies to promote continued mobility among adults who have ceased driving.

Keywords Automobile driving • Fitness to drive • Driver assessment/screening • Cognition • Mild cognitive impairment (MCI) • Dementia • Older adults • Safety • Mobility • Driving cessation

Case Study

Ms. K is a 71-year-old widow who lives alone in a semi-rural neighborhood somewhere in Canada. Although retired, she remains very active in her community and drives her car most days. Without public transportation nearby, Ms. K’s current lifestyle revolves around her ability to drive a vehicle. Over a period of a year, Ms. K became concerned about her forgetfulness, and 6 months ago, she decided to broach the subject with her family physician. She explained that she was experiencing difficulty remembering names and felt she sometimes had trouble finding the right words. Her healthcare provider decided to administer the Montreal Cognitive Assessment (MoCA). Although Ms. K scored near perfect on the MoCA (i.e., 29/30), she was asked to return in 6 months. In the interim, Ms. K experienced two disconcerting episodes of disorientation while driving familiar routes. Now, at her followup appointment, Ms. K’s MoCA score has dropped by several points to 24/30. Her physician makes a diagnosis of mild cognitive impairment. Because Ms. K’s driving risk is uncertain, her doctor refers her for an in-depth driving assessment.

 
Source
Found a mistake? Please highlight the word and press Shift + Enter  
< Prev   CONTENTS   Next >
 
Subjects
Accounting
Business & Finance
Communication
Computer Science
Economics
Education
Engineering
Environment
Geography
Health
History
Language & Literature
Law
Management
Marketing
Mathematics
Political science
Philosophy
Psychology
Religion
Sociology
Travel