[How to handle the dilemma of driving for patients with Alzheimer's disease? A survey of advices provided by French caregivers guides].
Identifieur interne : 000F96 ( Main/Corpus ); précédent : 000F95; suivant : 000F97[How to handle the dilemma of driving for patients with Alzheimer's disease? A survey of advices provided by French caregivers guides].
Auteurs : Marie-Claude Mietkiewicz ; Madeleine OstrowskiSource :
- Geriatrie et psychologie neuropsychiatrie du vieillissement [ 2115-7863 ] ; 2015.
English descriptors
- KwdEn :
- MESH :
- psychology : Alzheimer Disease, Automobile Driving.
- Aged, Aged, 80 and over, Caregivers, Female, France, Health Care Surveys, Humans, Male, Middle Aged.
Abstract
For many old people, driving takes an important place in the daily living activities and contributes to carry on their autonomy and self-esteem. However, many studies showed a link between car accidents and Alzheimer's disease, even in the early stages of dementia, and people caring for these patients inevitably ask the question: "Is my patient with Alzheimer's disease still able to drive his car?" Guides devoted to caregivers can play an important role to improve the knowledge of Alzheimer's disease and to afford advices for patients managing. To assess how these guides handle the question of patients driving, we made a survey of the 46 French caregiver guides (re)published between 1988 and 2013. The question of driving is raised with more or less details in 31 guides. All state that driving should be discontinued but that the consequences of this decision on the patient autonomy should be taken into account. A few guides provide clues to assess driving competence for the patients, and many propose advices to support the implementation of the driving discontinuity decision, such as to discuss with the patient to persuade him to stop driving, to ask for assistance by the family physician, to hide the car's keys or to disconnect its battery... In France, physicians are not allowed to prohibit driving or to report dangerous driving to authorities. Ultimately, the caregivers remain faced with the ethical dilemma to choose between safety and the patient's autonomy preservation. Therefore the responsibility for the patient to persist or give up driving only falls to them.
DOI: 10.1684/pnv.2015.0556
PubMed: 26395306
Links to Exploration step
pubmed:26395306Le document en format XML
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A survey of advices provided by French caregivers guides].</title><author><name sortKey="Mietkiewicz, Marie Claude" sort="Mietkiewicz, Marie Claude" uniqKey="Mietkiewicz M" first="Marie-Claude" last="Mietkiewicz">Marie-Claude Mietkiewicz</name><affiliation><nlm:affiliation>Laboratoire Interpsy, EA 4432, Université de Lorraine, Nancy, France.</nlm:affiliation></affiliation></author><author><name sortKey="Ostrowski, Madeleine" sort="Ostrowski, Madeleine" uniqKey="Ostrowski M" first="Madeleine" last="Ostrowski">Madeleine Ostrowski</name><affiliation><nlm:affiliation>Laboratoire Interpsy, EA 4432, Université de Lorraine, Nancy, France.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2015">2015</date><idno type="RBID">pubmed:26395306</idno><idno type="pmid">26395306</idno><idno type="doi">10.1684/pnv.2015.0556</idno><idno type="wicri:Area/Main/Corpus">000F96</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000F96</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">[How to handle the dilemma of driving for patients with Alzheimer's disease? 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However, many studies showed a link between car accidents and Alzheimer's disease, even in the early stages of dementia, and people caring for these patients inevitably ask the question: "Is my patient with Alzheimer's disease still able to drive his car?" Guides devoted to caregivers can play an important role to improve the knowledge of Alzheimer's disease and to afford advices for patients managing. To assess how these guides handle the question of patients driving, we made a survey of the 46 French caregiver guides (re)published between 1988 and 2013. The question of driving is raised with more or less details in 31 guides. All state that driving should be discontinued but that the consequences of this decision on the patient autonomy should be taken into account. A few guides provide clues to assess driving competence for the patients, and many propose advices to support the implementation of the driving discontinuity decision, such as to discuss with the patient to persuade him to stop driving, to ask for assistance by the family physician, to hide the car's keys or to disconnect its battery... In France, physicians are not allowed to prohibit driving or to report dangerous driving to authorities. Ultimately, the caregivers remain faced with the ethical dilemma to choose between safety and the patient's autonomy preservation. 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The question of driving is raised with more or less details in 31 guides. All state that driving should be discontinued but that the consequences of this decision on the patient autonomy should be taken into account. A few guides provide clues to assess driving competence for the patients, and many propose advices to support the implementation of the driving discontinuity decision, such as to discuss with the patient to persuade him to stop driving, to ask for assistance by the family physician, to hide the car's keys or to disconnect its battery... In France, physicians are not allowed to prohibit driving or to report dangerous driving to authorities. Ultimately, the caregivers remain faced with the ethical dilemma to choose between safety and the patient's autonomy preservation. 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