You should consider your patient’s ability to drive safely if your patient:
DriveABLE is the only scientifically developed and validated cognitive assessment specific to driving. It can be used to determine if a patient you are concerned about has the cognitive abilities to drive safely. It can also be used to monitor patients diagnosed with progress disorders (e.g. Alzheimer’s Disease) where cognitive function is expected to decline over time. This will allow your patient and their caregivers to manage driving and prepare for eventually giving it up.
DriveABLE is an assessment specific to the cognitive abilities related to driving. It provides you with information on whether your patient’s cognitive impairment is affecting driving safety. It does not provide information on other functional abilities.
DriveABLE is appropriate for patients with a diagnosis of a cognitive impairment (e.g. Alzheimer’s Disease) to determine if their impairment is affecting their ability to drive. DriveABLE is a useful tool to use to manage your patient’s driving over time to determine when it is appropriate to warn them not to drive.
Some government driver licensing authorities use DriveABLE to help make driver licensing decisions for those with a cognitive impairment. DriveABLE is a fee for service assessment (see the DriveABLE referral form for information on fees in BC).
Anxiety and stress-related symptoms are common after a motor vehicle crash, but often poorly managed. By using the Insight Post-Crash Anxiety Screen you can determine if your patient is experiencing anxiety or stress-related symptoms early in their recovery. Early identification supports timely intervention which is a factor in preventing a chronic disorder. In addition, subsequent screens can be used to monitor your patient’s recovery and identify latent onset of symptoms.
Most people depend on being able to drive to participate in many activities in their lives. Not being able to drive can result in health issues from the emotional stress, loss of independence, and financial consequences. And if your patient is an unsafe driver, it puts all other road users at risk. Therefore, determining the impact a medical condition or injury has on your patient’s ability to drive is important to your patient’s overall health and to the public’s safety.
There are a few situations you, as a health professional, could be faced with related to driving:
If you aren’t sure if a medical condition or injury is affecting your patient’s ability to drive then screening and assessments specific to driving could help make that determination. Some of these are specific to certain functions e.g SIMARD-MD and DriveABLE for cognitive functions related to driving, and others look at all the functions like a full functional driving assessment or on-road functional evaluation.
If you know your patient’s medical condition will eventually affect their driving then monitoring their driving through regular screening and assessment will help you determine when their driving becomes affected. In some jurisdictions it is mandatory for some health professionals e.g physicians to report certain medical conditions that are known to affect driving abilities. However, any health professional can report a patient they know or suspect is unsafe to drive. It’s the driver licensing authorities responsibility to make the definitive determination of whether a driver’s licence needs to be revoked, not the health professional.
If you know or suspect your patient’s functional abilities to drive are permanently affected either from results of driving assessments or your patient’s medical status, then you should warn your patient not to drive and report your patient to the driver licensing authority. If the medical condition affecting your patient’s functional abilities is temporary e.g. recovering from surgery or a medical event where recovery is expected, then you might not need to report to the driver licensing authority. Refer to the regulation in your jurisdiction to determine what needs to be reported.
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