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14/05/2011

Older Adult Drivers with Cognitive Impairment

As the number of drivers with cognitive impairment increases, family physicians are more likely
to become involved in decisions about cessation of driving privileges in older patients. Physi-
cians who care for cognitively impaired older adults should routinely ask about driving status.
In patients who continue to drive, physicians should assess pertinent cognitive domains, deter-
mine the severity and etiology of the dementia, and screen for risky driving behaviors. Cogni-
tive impairment detected by office-based tests may indicate that the patient is at risk of a motor
vehicle crash. Referral for performance-based road testing may further clarify risk and assist in
making driving recommendations. Physicians should assist families in the difficult process of
driving cessation, including providing information about Web sites and other resources and
clarifying the appropriate state regulations. Some states require reporting of specific medical
conditions to their departments of motor vehicles. (Am Fam Physician 2006;73:1029-34, 1035-6.
Copyright © 2006 American Academy of Family Physicians.)

Fonte: American Family Physician
Autor: DAVID B. CARR, M.D., JANET M. DUCHEK, PH.D., THOM
www.aafp.org/afp