Driving

Question 1

8 driving red flags (driving-specific)?

Answer 1

1. Road accidents
2. Near misses with vehicles or pedestrians
3. Getting lost
4. Needing a co-pilot
5. Incr tickets or warnings
6. Confusing gas and brakes
7. Confusing lights
8. Inappropriate speed
9. Veering in lane, not observing lane changes
10. Irritation or honking from other drivers
11. Others reluctant to drive with them

Question 2

8 components of assessing an elderly person’s ability to drive

Answer 2

CANDRIVE

C: cognition
A: acute or fluctuating illness
N: neuro / MSK issues
D: drugs
R: record
I: in-car experiences
V: vision
E: ethanol

Question 3

Generally speaking, cut-offs for Trails A and B?

Answer 3

Trails A: 2 errors or >2 minutes
Trails B: 3 errors or >3 minutes (use for driving)

Question 4

8 points in a CGA that raise concern for driving?

Answer 4

1. Loss of 2 or more IADLs or any ADL
2. Caregiver/ patient concern with driving
3. BPSD
4. Poor judgement/insight
5. Irritability, impulsivity, distractibility
6. History of gait disturbance, falls, or extrapyramidal symptoms

Cognitive testing:
7. Slowed processing speed - trails A, B
8. Visuospatial impairment - pentagons, copy cube, clock draw