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Slowed Responses
Another area that can effect the safe driving of a vehicle is that
of slowed responses and reaction time. As Alzheimer's disease
progressives the person's ability to respond quickly to various
stimuli in the environment becomes diminished. Weather conditions and
the need to adjust driving patterns such as breaking distances and
driving speed can be effected by delayed response times.
The ability to interpret information is also affected with
Alzheimer's disease. As drivers we respond to a lot of external
stimuli in the environment that is either recognized through our sight
or through our hearing abilities. The aging process alone brings about
changes in both our visual capabilities as well as hearing. More often
then not these impairments can be adequately addressed through the use
of glasses, surgical procedures or hearing aids. Due to the
intellectual decline of a person with Alzheimer's disease they are
likely to have even more difficulty processing both visual and hearing
stimuli.
Safety related sounds such as car horns, emergency sirens, or train
whistles may go undetected placing the occupant and others at risk of
an accident. The person may also have difficulty overcoming and
compensating for lost peripheral vision and depth perception. This can
effect the safe driving distance one adheres to when following behind
another vehicle. Another area that may become impaired is the person's
ability to proactively look ahead for possible signs of congestion or
road hazards.
Independence versus Safety
One of the difficult issues that caregivers attempt to balance in
making a decision whether a person continues to drive or not, is the
personal safety and independence of the person versus the general
safety of the community. Another factor is the perceived role that the
caregiver plays in making this decision. Experience has taught me that
caregivers are unlikely to act quickly if they feel that their loved
one will exhibit hostility and anger towards them. This "bad
guy" role can often force a caregiver to deny or procrastinate in
their decision to restrict privileges.
If your decision to restrict driving privileges is uncertain or
difficult, caregivers may want to consider either contacting the
Transportation Cabinet or asking their family Physician to intervene.
Most often physicians can play an instrumental role in taking away
driving privileges while at the same time taking the blame for this
tough decision. You may also want to solicit the support of other
family members or close friends that could possibly influence the
person to stop driving.
Remember, if all else fails when trying to stop your loved one from
driving you may want to consider the following:
- Notify the Transportation Cabinet (Division of Driver Licensing)
about the person's condition.
- Disengage the vehicle's ability to start by disconnecting the
starter cable.
- Make a phantom ignition key so that the key when used won't
start the vehicle. Be sure the real key is properly secured.
- Consider making other arrangement for transportation.
- Consider getting rid of the vehicle all together. (Out of sight
out of mind!)
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