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Driving assessment results in patients with a diagnosis of dementia.

Many patients are actively driving when they are diagnosed with Alzheimer’s disease or related dementia. Elderly persons generally self-police their driving activities and cut back or cease driving when they develop deficits. Those with dementia frequently do not, and may be vehement in their refusal to stop driving. Obtaining an objective assessment of driving skills can be of assistance to the primary care physician or the family member who is counseling a patient in this circumstance, providing a solid platform from which recommendations can be made. The patients themselves may be illogical and unmoved by a report from such an assessment, but it is easier for families and professionals to insist upon or initiate changes if they have objective documentation of the loss of skills.Formal Driving Assessment programs are not widely available in spite of the value of such testing; nor are primary care offices uniformly using office-based screening such as the “ADReS”