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Int J Geriatr Psychiatry. 2015 Feb;30(2):210-6. doi: 10.1002/gps.4132. Epub 2014 May 27.

Driving and dementia: a clinical decision pathway.

Author information

1
Institute for Ageing and Health, Newcastle University, Newcastle upon Tyne, UK.

Abstract

OBJECTIVE:

This study aimed to develop a pathway to bring together current UK legislation, good clinical practice and appropriate management strategies that could be applied across a range of healthcare settings.

METHODS:

The pathway was constructed by a multidisciplinary clinical team based in a busy Memory Assessment Service. A process of successive iteration was used to develop the pathway, with input and refinement provided via survey and small group meetings with individuals from a wide range of regional clinical networks and diverse clinical backgrounds as well as discussion with mobility centres and Forum of Mobility Centres, UK.

RESULTS:

We present a succinct clinical pathway for patients with dementia, which provides a decision-making framework for how health professionals across a range of disciplines deal with patients with dementia who drive.

CONCLUSIONS:

By integrating the latest guidance from diverse roles within older people's health services and key experts in the field, the resulting pathway reflects up-to-date policy and encompasses differing perspectives and good practice. It is potentially a generalisable pathway that can be easily adaptable for use internationally, by replacing UK legislation for local regulations. A limitation of this pathway is that it does not address the concern of mild cognitive impairment and how this condition relates to driving safety.

KEYWORDS:

ageing; dementia; driving; pathway

PMID:
24865643
PMCID:
PMC4305213
DOI:
10.1002/gps.4132
[Indexed for MEDLINE]
Free PMC Article
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