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Getting lost on familiar routes should send up a red flag to us. Forgetfulness and being lost can distract the driver and interfere with his or her ability to react quickly.
An abrupt "slow down" in a driver's driving speed may indicate impairment as well. Drivers who are uncertain of their abilities often overcompensate by dramatically reducing their speed.
Angry or aggressive driving is another sign of problems. These individuals may believe that other drivers are "out to get them." Sometimes a person with a dementia illness is drinking too much. Even small amounts of alcohol can impair a demented person's driving. This is a bad combination and requires quick intervention.
If you are concerned about someone's driving ability, you might want to discuss the problem with them frankly. Although cognitively impaired, most individuals can still participate in decisions that involve them. People with brain impairments usually don't tolerate criticism well, so try not to say anything that may put him or her on the defensive. Giving up driving can mean admitting one's increasing limitations.
Try to give the individual a "way out" in order for them to maintain their dignity. It may be helpful to enlist the help of the family doctor or attorney. Some physicians will write an order on a prescription pad that says, "do not drive." Families report that having the doctor be the "bad guy" takes great pressure off the caregiver. As a last resort, some families sell the car and tell their loved ones that it couldn't be repaired. If necessary, you may have to take away the car keys, or disable the car by removing the distributor cap or wire to it.
Some states require physicians to report drivers with dementia. Depending on the state, the unsafe driver's license may be suspended. A restricted license that allows a person to drive only under certain conditions (such as during daylight) is issued in some states too. If a person has been told by a doctor not to drive, the caregiver could be held responsible if the person is involved in an accident.
Call your local DMV for more information.
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