that is the question Gregory Winkelmann Rhonda PrestonJones Memory Team Where would you place yourself as a clinician on this continuum Hesitant Confident Reluctant Assertive ID: 537420
Download Presentation The PPT/PDF document "To Drive or Not to Drive –" is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Slide1
To Drive or Not to Drive – that is the question?
Gregory Winkelmann
Rhonda Preston-Jones
Memory TeamSlide2
Where would you place yourself as a clinician on this continuum ?
Hesitant Confident
Reluctant Assertive
to stop someone to stop someone driving drivingSlide3Slide4Slide5Slide6Slide7Slide8Slide9
Assessment Tools
Addenbrooke’s Cognitive Assessment –III (ACE III)
Rowland Universal Dementia Assessment Scale (RUDAS)
Montreal Cognitive Assessment (MOCA)Frontal Assessment Battery (FAB)Trail MakerSIMARDDrive Safe, Drive Aware app for an IpadSlide10Slide11Slide12Slide13
What went wrong?
Seen in a outpatient clinic with his wife
(without his EPOA/daughter)
Told to stop driving but continued anywayGP advised to cancel his licence but did notNo letter sent to NZTAAdvise by hospital staff to stop driving but forgotWife very reluctant for him to stop drivingSlide14
So often we have:
Reluctant clients
Reluctant families
Reluctant GPsReluctant cliniciansSlide15Slide16Slide17
Reactions:
“Thank God you’ve stopped him driving”
(Grateful and relieved family)
“You’ve cut my legs off you bastard!” (Disgruntled client)“Oh my God !!!!” (daughter watching her father fail at the Trail Maker)
“What the F@#k do you think you are doing – we’re going to have
to sell her house and move her now !!!!”
.
(son whose mum lives way out on a rural road in South Auckland)
“What about all those drunks and hoons out there ! I’m a much better driver than they are !!!!!”
“But I’ve been driving for 50 years !” “Sorry Dad not any more!”Slide18
Powers of Persuasion: Techniques to help clients and families with acceptance
We have to be at the peak of our game to drive a car
In a car you only have seconds to avoid a catastrophe
It’s not about your driving skills but your reaction times, being able to think under pressure and cope with multiple stimuliIf you are struggling to cope with complex tasks like cooking or paying bills then driving is the most complex skill you do and it is the most dangerous
If a doctor said your eyes were not sharp enough to drive anymore how would you react?
In the end if we have the good luck to live long enough we will all have to hang up our driving keys at some point
Imagine the legacy you could leave if you had an accident and killed someone else
You may be a really careful driver but what if someone else does something stupid in front of you – could you react fast enough?
It’s better to hang up your car keys with dignity than wait till you have your
licence removed Slide19
Safety to continue to drive
Moral
Legal
EthicalSlide20Slide21
Where would you place yourself as a clinician on this continuum now?