Box 6-4DISCUSSION POINTS FOR EDUCATING PATIENTS ABOUT DRIVING

  • Know and explain the applicable legal requirements in your jurisdiction
  • Allow enough time to counsel patients and answer questions
  • Be compassionate and understanding of the patient's concerns and circumstances
  • Use clear communication and be frank about the risks and consequences of driving
  • Explain the risks of driving, including risks associated with seizures, and how comorbidities and side effects of seizure medications may affect driving ability
  • Remind the patient of the potential consequences of driving illegally (e.g., possible prosecution or litigation following an accident and denial of insurance claims)
  • Be aware of ancillary risk factors that may increase the likelihood of a person with epilepsy driving despite legal limitations and advice not to, such as having a valid driver's license, being employed, or not having experienced a seizure-related accident
  • Be aware of and discuss local transportation services (e.g., public transportation, ride sharing or carpools, transportation for people with disabilities) as alternatives to driving
  • Document the discussion and advice in the patient's health record
  • When possible, provide written information on driving and advice to the patient
  • Revisit the topic of driving with the patient in subsequent visits

SOURCES: Drazkowski, 2007a,b; Elliott and Long, 2008; Webster et al., 2011.

From: 6, Quality of Life and Community Resources

Cover of Epilepsy Across the Spectrum
Epilepsy Across the Spectrum: Promoting Health and Understanding.
Institute of Medicine (US) Committee on the Public Health Dimensions of the Epilepsies; England MJ, Liverman CT, Schultz AM, et al., editors.
Washington (DC): National Academies Press (US); 2012.
Copyright © 2012, National Academy of Sciences.

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