Driver Assessment Training Services驾驶评估及培训服务.pptVIP

THE ASSESSMENT OF FITNESS-TO-DRIVE IN PERSONS WITH DEMENTIADr. Frank Molnar, Division of Geriatric Medicine, University of Ottawa Conflict of interests None No Pharmaceutical Industry support More relevant to driving – no Automotive Insurance Industry support Honorarium donated to the University of Ottawa, Division of Geriatric Medicine Academic Rounds fund Objectives To describe the scope of the problem of unfit drivers that will impact on the medical system To highlight the complexity of the assessment of fitness to drive To provide practical approaches for assessing fitness to drive in persons with dementia To describe what happens after an assessment Driving The Scope of the Problem The Aging Driving Population The U-Shaped Curve MVC / Km Projections A Major Public Health Concern When involved in a crash, seniors are over 4 times more likely to be seriously injured and hospitalized than are drivers 16-24 years of age. Treatment of injuries to seniors is more costly, recovery slower, less complete. Majority of crash-injured seniors were driving the vehicle. Most (3 of 4) crashes involving older drivers are multiple vehicle crashes (e.g. merging into traffic, left hand turns across oncoming traffic). Assessment of Fitness-to-Drive The Complexity of the Medical Driving Evaluation It is Not Age Medical conditions and medications are the primary cause of declines in older driver competence. Can make even the best of drivers unsafe to drive. Can affect drivers of any age: Increasingly likely as we age due to the cumulative effect of multiple diseases. Not presence but severity and/or instability of conditions +/- high doses and/or changing doses of medications Medical community best placed to first recognize possibly impairing medical conditions. Medical Conditions Any medical condition or medication that results in a change of physical, sensory, mental or emotional abilities has the potential to compromise driving performance. Physical: weakness; slow /