Page 16 - Italian-American Herald - May 2024

ITALIAN-AMERICAN HERALD
WELLNESS
Driving with dementia: A delicate problem that’s not without solutions
16 ITALIANAMERICANHERALD.COM | MAY2024
By Dr. Domenico Praticò
There are often
no easy answers to difficult questions. Driving and dementia
poses one of those
questions. The truth is that as Alzheimer's disease or other similar
chronic memory diseases progress, challenges mount. Many of these issues are especially difficult because they directly impact one's independence; something that is so precious.
In working through paths forward, discuss the topic with love and empathy but also with the ultimate need to keep safety and responsibility in the forefront. Involve your
physician and give them an important role in the conversation. Keep in mind that multiple conversations may be necessary. Each individual will respond differently. It is easier
to begin conversations about transitions
earlier rather than later.
Also, link with a support group. Support
groups can provide an emotional shoulder for the individual and caregiver alike. In
addition, connecting with others who are experiencing similar situations can be a source of valuable information and practical
resources.
Answering the inevitable question
of when it is no longer appropriate for someone to be behind the wheel requires careful consideration. Changes in reaction time, spatial perception and judgment are
all significant and important factors. Offer solutions and alternatives that will allow for routines to continue without driving. Many individuals have difficulty asking for help
because they do not want to be a burden. Suggest a supermarket trip and invite
them to join you. Plan small field trips that could be as simple as a walk in the park, or to a market. Suggest things which you know are a part of their valued routine.
Alternatively, make arrangements to have essentials delivered or arrange a ride service if caregivers are not always available.
Ultimately, safety must be the deciding factor with driving. If resistance is insurmountable then more drastic measures need to be followed like removing the car keys
ADOBE STOCK
Dr. Domenico Praticò is the director of the
Alzheimer’s Ce
nter at the Lewis Katz School of Medicine at Temple University, Philadelphia.
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