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Updated: Feb 4, 2026

Assessment and Communication for People with Disorders of Consciousness
Published on: August 1, 2017
[Implementing driving assessment using a simulator in the care pathway of elderly people with neurocognitive
Marion Giroux1, Floriane Delphin-Combe1, Marie-Hélène Coste1
1Institut du vieillissement de Lyon, hospices civils de Lyon, Lyon, France.
Abstract:
Neurocognitive disorders lead to cognitive and metacognitive impairments, raising the question of whether individuals should continue driving. While cognitive abilities are essential for driving, driving performance results from an interaction between individual and environmental factors. Although driving cessation is sometimes necessary, it can have significant physical, psychological, and social consequences for patients. Currently, in France, the assessment of driving ability lacks standardization. This article presents a care pathway, offered in a geriatric day hospital, incorporating a cognitive assessment and a driving simulator assessment. This program provides a standardized evaluation of driving performance and self-awareness while maintaining an individualized approach (e.g., considering driving habits, cognitive functioning) to better support decision-making regarding driving cessation or continuation.
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