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The Ability to Drive in Mild Cognitive Impairment

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Neuropsychiatric Symptoms of Cognitive Impairment and Dementia

Part of the book series: Neuropsychiatric Symptoms of Neurological Disease ((NSND))

Abstract

Driving is a complex activity that, for many older adults, is a primary means of mobility. Driving draws upon multiple cognitive, sensory, and physical systems to operate the vehicle and navigate the roadway environment safely. It follows that when one of these systems is impaired, driving safety may be hindered. Individuals with mild cognitive impairment (MCI) are impaired in at least one cognitive domain, which may, depending on the nature of their deficit, make them at increased risk for collision. Research indicates that memory, executive functions, and attention are all associated with driving performance. While a number of assessment instruments are available to aid professionals’ decisions related to fitness to drive, health professionals must strike a balance between safety and mobility when making this determination. This chapter discusses the components of the driving task, the impact of an MCI diagnosis on driving fitness, methods to assess drivers with MCI, and strategies to promote continued mobility among adults who have ceased driving.

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Authors and Affiliations

  1. Centre for Research on Safe Driving, Lakehead University, 955 Oliver Road, Thunder Bay, ON, P7B 5E1, Canada

    Arne Stinchcombe, Hillary Maxwell & Michel Bédard

  2. St. Joseph’s Care Group, Centre for Applied Health Research, 580 Algoma Street North, Thunder Bay, ON, P7B 5G4, Canada

    Carrie Gibbons & Hillary Maxwell

  3. Department of Medicine, Baycrest Health Sciences, 3560 Bathurst Street, Toronto, ON, M6A 2E1, Canada

    Gary Naglie

  4. Department of Medicine and Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, M6A 2E1, Canada

    Gary Naglie

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  1. Arne Stinchcombe
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  2. Carrie Gibbons
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  3. Hillary Maxwell
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  4. Gary Naglie
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  5. Michel Bédard
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Correspondence to Arne Stinchcombe .

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  1. Department of Neurosciences and Mental Health, Centro Hospitalar Lisboa Norte-Hospital de Santa Maria, Instituto de Medicina Molecular (IMM) and Instituto de Saúde Ambiental (ISAMB), Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal

    Ana Verdelho

  2. CEDOC, Chronic Diseases Research Center, Nova Medical School, Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Lisboa, Portugal

    Manuel Gonçalves-Pereira

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Stinchcombe, A., Gibbons, C., Maxwell, H., Naglie, G., Bédard, M. (2017). The Ability to Drive in Mild Cognitive Impairment. In: Verdelho, A., Gonçalves-Pereira, M. (eds) Neuropsychiatric Symptoms of Cognitive Impairment and Dementia. Neuropsychiatric Symptoms of Neurological Disease. Springer, Cham. https://doi.org/10.1007/978-3-319-39138-0_4

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