DRIVER EVALUATION PROGRAM OCCUPATIONAL ….pptx

Driving and DementiaBurke Driver Evaluation ProgramAndrea Sullivan OT/LOccupational Therapy SupervisorOut-Patient ServicesBurke Rehabilitation HospitalWhite Plains, NYWhy are driver evaluations needed?Medical changes Stroke, Traumatic brain injury, Neurological impairments, SCINormal Aging changesPhysical changes Amputation, Arthritis, joint problems, postural changesDiabetic conditionsPeripheral neuropathy, diabetic retinopathyMental Illness/Attention Deficit/Learning ImpairmentDementia/Alzheimer’s“Normal” AgingVisionHearingStrength/staminaMemoryProcessing speedDivided attentionPresence of ADLoss of timeTopographical orientationWorking memoryVisual perceptual abilitiesPresence of AD con’tProblem solving/reasoning skillsJudgmentMotor planningSelf awarenessSome Info…20 major decisions are made during each mile driven (AARP).5 seconds to react to prevent potential collision (AARP)The nation's 65-and-older population is projected to reach 83.7 million in 2050, almost double from the 2012 level of 43.1 million (U.S. Census)MD RoleReview medical historyMedicationsProvide diagnosisEthical and legal responsibilitiesNo mandatory reporting laws in NYSPhysician’s Request for Driver Review (DS-6)Refer for Driver EvaluationBurke’s Driving Evaluation2 parts Part 1: In-clinic Evaluation Conducted by an occupational therapist (OT)Evaluation of component skills needed for drivingFollowed by in-vehicle assessment if appropriatePart 2: In-vehicle Evaluation On the road test with trained individual May include and adapted van/car evaluation Part 1: In-clinic EvaluationRequires a prescription from the doctor, not covered by Medicare, some commercial insurances do coverReaction time tester, OPTEC and various paper pencil testsLength of test- up to 60 minutes Benefits of Clinical testUnder the supervision of a physicianBecomes part of medical recordPossible future litigation and insurance co. concernsLet us be the “bad guys”; assists familiesAssists physician’s in making informed decisi