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Dementia and driving

What to Expect at Home

If your loved one has dementia, deciding when they can no longer drive may be difficult. They may react in different ways.

  • They may be aware they are having problems, and they may be relieved to stop driving.
  • They may feel their independence is being taken away.

Signs That Driving may no Longer be Safe

People with signs of dementia should have regular driving tests. Even if they pass a driving test, they should be retested in 6 months.

If your loved one does not want you getting involved in their driving, get help from their health care provider, lawyer, or other family members.

Even before you see driving problems in someone with dementia, look for signs that the person may not be able to drive safely, such as:

  • Forgetting recent events
  • Mood swings or getting angry more easily
  • Problems doing more than one task at a time
  • Problems judging distance
  • Trouble making decisions and solving problems
  • Becoming confused more easily

Signs that driving may be getting more dangerous include:

  • Getting lost on familiar roads
  • Reacting more slowly in traffic
  • Driving too slowly or stopping for no reason
  • Not noticing or paying attention to traffic signs
  • Taking chances on the road
  • Drifting into other lanes
  • Getting more agitated in traffic
  • Getting scrapes or dents on the car
  • Having trouble parking

Steps to Take

It may help to set limits when driving problems start.

  • Stay off busy roads, or do not drive at times of the day when traffic is heaviest.
  • Do not drive at night when it is hard to see landmarks.
  • Do not drive when the weather is bad.
  • Do not drive long distances.
  • Drive only on roads the person is used to.

Caregivers should try to lessen the person's need to drive without making them feel isolated. Have someone deliver groceries, meals, or prescriptions to their home. Find a barber or hairdresser who will make home visits. Arrange for family and friends to visit and take them out for a few hours at a time.

Plan other ways to get your loved one places. Family members or friends, buses, taxis, and senior transportation services may be available.

As danger to others or to your loved one increases, you may need to prevent them from being able to use the car. Ways to do this include:

  • Hiding the car keys
  • Leaving out car keys that will not start the car
  • Disabling the car so it will not start
  • Selling the car
  • Storing the car away from the home

References

Budson AE, Solomon PR. Life adjustments for memory loss, Alzheimer's disease, and dementia. In: Budson AE, Solomon PR, eds. Memory Loss, Alzheimer's Disease, and Dementia: A Practical Guide for Clinicians. 2nd ed. Philadelphia, PA: Elsevier; 2016:chap 25.

Carr DB, O'Neill D. Mobility and safety issues in drivers with dementia. Int Psychogeriatr. 2015;27(10):1613-1622. PMID: 26111454 www.ncbi.nlm.nih.gov/pubmed/26111454.


Review Date: 4/30/2018
Reviewed By: Amit M. Shelat, DO, FACP, Attending Neurologist and Assistant Professor of Clinical Neurology, SUNY Stony Brook, School of Medicine, Stony Brook, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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