Driving Cessation


Background

  • Driving is an important but complex IADL
  • Motor vehicle injuries are the leading cause of injury-related deaths among those 65-74 years old (second to falls in adults 75-84 years old)
  • Some states require mandatory reporting of dementia diagnosis to DMV (Tennessee does not!)

Evaluation

  • When to screen for red flags (age alone is not a red flag) to prompt assessment of driving safety
  • New diagnosis or change occurs in any condition that has been associated with impaired driving
  • New medication prescribed or dose of current medication is changed
  • Change in functional abilities is reported
  • Part of Annual Wellness Visit
  • Following transition of care (acute care to subacute care or home, home to ALF, etc)

Management

  • Nashville OT Driving Safety Evaluation Options
    • “Driving Solutions of Tennessee" 615-806-0012
    • Refer to Pi Beta Phi
    • If no longer able to drive, consult social work for assistance with transportation to appointments

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