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Published on: November 6, 2017
Assessing driving fitness in dementia: a challenge for old age psychiatrists
Duncan Neilson1, Emme Chacko2,3, Gary Cheung4,5
1Psychogeriatrician, Mental Health Services for Older People, Bay of Plenty District Health Board, Tauranga, New Zealand.
Objective:
To investigate how old age psychiatrists consider the fitness of dementia patients to drive safely and the challenges they face.
Method:
Participants were interviewed using a semi-structured approach that explored topics including their approach to driving fitness and cessation, challenges experienced and previous training. Thematic analysis was used to generate main themes.
Results:
Thirteen participants were recruited. Most felt they were not experts in driving fitness. Many found these assessments challenging for both themselves and their patients, with a negative impact on therapeutic alliance. There was a lack of formal training and variability both in the approach when considering fitness to drive as well as raising the issue of driving with patients.
Conclusions:
These results highlight the need to increase the availability of training for driving fitness, and to develop a standardised approach to help improve consistency amongst clinicians.
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