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Authors
Helga María Hallgrímsdóttir
Jón Snædal
Issue Date
2002-06-01

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Other Titles
Driving and Dementia
Citation
Læknablaðið 2002, 88(6):503-6
Abstract
Objective: The proportion of elderly in the community is increasing and thereby the number of elderly drivers. This leads to an increase in the number of drivers with cognitive impairment and even dementia. This study looks into the problems this is creating. Material and methods: Interview with patients and their relatives seeking for cognitive impairment to a Memory Clinic over a period of 4 years. Information was achieved by a social worker for 346 individuals. Results: Out of 346 individuals, 121 were active drivers, 110 ex drivers and 48 had never had drivers license. Insufficient information on driving was for 67 patients. Most of the ex drivers or 92 (84%) had stopped driving of their own initiative. The relatives of 12 individuals informed of accidents occurring after the onset of cognitive impairment and 7 of them continued to drive in spite of that. Discussion: Elderly who experience cognitive impairment decide in most instances themselves to stop driving. A minority continues driving in spite of obvious deficiencies. Clear guidelines for relatives and health professionals are needed in order to help elderly with cognitive impairment in making decisions on when it is appropriate to stop driving.
Inngangur: Hlutfall aldraðra í þjóðfélaginu fer vaxandi og fjöldi aldraðra með ökuréttindi eykst sömuleiðis. Það leiðir til fjölgunar ökumanna með vitræna skerðingu og jafnvel heilabilun því tíðni heilabilunar fer mjög vaxandi eftir 65 ára aldur. Í þessari rannsókn er skoðað hvaða vandamál eru þessu samfara. Efniviður: Niðurstöður viðtala við einstaklinga og ættingja þeirra sem komu á fjögurra ára tímabili til skoðunar á Minnismóttöku Öldrunarlækningadeildar Landspítala Landakoti. Upplýsingar félagsráðgjafa fengust um 346 þeirra. Niðurstöður: Af 346 einstaklingum var 121 virkur ökumaður, 110 höfðu hætt akstri, flestir eða 92 (84%) af eigin hvötum og 48 höfðu aldrei haft ökuskírteini. Ófullkomnar akstursupplýsingar fengust um 67 einstaklinga. Aðstandendur 12 einstaklinga upplýstu um óhöpp eftir að einkenni vitrænnar skerðingar voru komin fram og voru sjö þeirra enn virkir ökumenn. Umræða: Aldraðir einstaklingar sem fá vitræna skerðingu taka oftast sjálfir ákvörðun um að hætta akstri. Hluti þeirra sýnir þó dómgreindarleysi og ekur áfram þrátt fyrir einkenni sín. Þörf er á skýrum leiðbeiningum til aðstandenda og heilbrigðisstarfsmanna um það hvernig staðið skuli að lokum ökuferils og hvenær til þess þurfi að koma.
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