Handbook for the Assessment of Driving Capacity -

Handbook for the Assessment of Driving Capacity (eBook)

eBook Download: PDF
2011 | 1. Auflage
256 Seiten
Elsevier Science (Verlag)
978-0-08-092565-3 (ISBN)
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This is a resource for professionals involved in determining the driving capacity of individuals with neurological involvement and or trauma. While much work has been completed in this new and growing field, this is the first attempt to bring together clinical work on assessing driving capacity for different clinical populations and conditions. Specific topics include, traumatic brain injury, stroke, dementia, normal aging, medications, retraining, interventions, medical conditions, legal issues, practical issues, assessment instruments, simulators, research and epidemiology. Each chapter will address clinically relevant issues specific to the clinical population. This comprehensive compilation of driving assessment of cognitively compromised populations is the first of its kind and Dr. Schultheis is regarded as a leader in the field. - The first definitive handbook about driving assessment of cognitively impaired populations, a growing area of research - Addresses a myriad of clinical populations and conditions such as brain injured and elderly patients - Written by nationally recognized leaders in their fields of expertise
This is a resource for professionals involved in determining the driving capacity of individuals with neurological involvement and or trauma. While much work has been completed in this new and growing field, this is the first attempt to bring together clinical work on assessing driving capacity for different clinical populations and conditions. Specific topics include, traumatic brain injury, stroke, dementia, normal aging, medications, retraining, interventions, medical conditions, legal issues, practical issues, assessment instruments, simulators, research and epidemiology. Each chapter will address clinically relevant issues specific to the clinical population. This comprehensive compilation of driving assessment of cognitively compromised populations is the first of its kind and Dr. Schultheis is regarded as a leader in the field. - The first definitive handbook about driving assessment of cognitively impaired populations, a growing area of research- Addresses a myriad of clinical populations and conditions such as brain injured and elderly patients- Written by nationally recognized leaders in their fields of expertise

FRONT COVER 1
HANDBOOK FOR THE ASSESSMENT OF DRIVING CAPACITY 4
COPYRIGHT PAGE 5
CONTENTS 6
PREFACE 11
CONTRIBUTORS 14
PART I: THE CLINICAL DRIVING ASSESSMENT 16
CHAPTER 1 ON- AND OFF-ROAD EVALUATIONS 20
The Comprehensive Driving Evaluation 22
Making the Decision 28
Recommendations to Client 29
References 30
CHAPTER 2 DRIVER RETRAINING AND ADAPTIVE EQUIPMENT 36
Driver Remediation/Training 37
Driver Remediation and Improved Performance Program (DRIPP) 38
Adaptive Driving Devices 43
Van Transportation 49
Conclusions 49
CHAPTER 3 DRIVING CONSULTATION AND INTERVENTION 50
Legal Considerations 52
Medical Clearance 52
Non-Individualized Approaches: General Resources 53
Individualized Approaches: Driving Consultation 54
What are the Practical Considerations? 55
The Driving Consultation Process 56
Assessment: The EDS 57
Assessment: Other Considerations 61
Tips for Conveying the Results and Recommendations 64
Interventions 65
Conclusion 66
References 66
PART II: TOPICS IN DRIVING RESEARCH 70
CHAPTER 4 HUMAN FACTOR CONSIDERATIONS IN MOTOR VEHICLE COLLISIONS 74
The Importance of Driving Assessment 74
Human Factors and MVCs 75
State Requirements for Reporting Neurologically Impaired Drivers 80
Conclusion 81
References 82
CHAPTER 5 DRIVING AND TRAUMATIC BRAIN INJURY 86
Driving Issues 88
Medical and “Driving Skill” Models are Necessary, But Not Sufficient 89
Neuropsychological Models 90
Returning to Driving after TBI 93
Determining Fitness to Drive 94
The Therapeutic Aspects of Psychotropics 104
Conclusions 105
References 106
CHAPTER 6 DRIVING AND THE DEMENTIAS 110
Introduction 110
Overview 111
Assessment 112
Conclusion 127
References 128
CHAPTER 7 DRIVING AND STROKE 132
Stroke and Driving 133
Driving after Stroke: Vision and Visual Attention 134
Driving after Stroke: Cognitive and Perceptual Skills 136
Defining Driving Performance: On-Road and Simulation 140
Driving and Stroke: Other Influencing Factors 141
References 143
CHAPTER 8 DRIVING AND OTHER NEUROLOGICAL AND PSYCHIATRIC DISORDERS 146
Attention-Deficit Hyperactivity Disorder 147
Multiple Sclerosis 153
Epilepsy 155
Psychiatric Disorders 161
Conclusions 167
References 169
CHAPTER 9 DRIVING, MEDICAL ILLNESS AND MEDICATIONS 174
Medical Conditions 175
Medications 184
Summary and Conclusions 192
References 193
CHAPTER 10 DRIVING AND THE LAW 202
Defining Medical Conditions: Focus of Driving Law 203
Evaluation of Driving Capacity 205
Notification of the Licensing Authority 208
Licensing Authority Action 210
Summary 212
References 213
CHAPTER 11 FINAL THOUGHTS AND FUTURE DIRECTIONS 216
Section I: Lessons Learned 216
Section II: Challenges that Remain 221
Conclusion 228
References 228
APPENDIX A: STATE REQUIREMENTS 232
APPENDIX B: RESOURCES 246
INDEX 250
A 250
B 250
C 251
D 251
E 252
F 253
G 253
H 253
I 253
K 253
L 253
M 254
N 254
O 255
P 255
R 256
S 256
T 256
U 256
V 257
W 257

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