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A myALZteam Member asked a question 💭
Southern California

Hi everyone, my husband is in mid-stage Alzheimers. Fortunately he has not had any accidents or serious episodes of getting lost, but based on the numerous cognitive and physical changes he's experiencing, myself and our family and friends don't think its save for him to continue to drive
This is causing huge fights and anger from him, he acknowledges he has Alzheimers, but just cant understand why his Alzheimers symptoms make it unsafe for him to drive. When the doctor recently told him to… read more

June 23, 2021
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Answer Summary

Members shared deeply emotional experiences navigating the difficult conversation about driving cessation with loved ones who have Alzheimer's... Read more

Members shared deeply emotional experiences navigating the difficult conversation about driving cessation with loved ones who have Alzheimer's or dementia, with many emphasizing the importance of having doctors deliver the message, using liability concerns as motivation, and seeking formal driving evaluations through neurologists or hospitals that can provide objective evidence. Several members described practical strategies that worked, including comprehensive driving tests with occupational therapists that clearly demonstrated cognitive impairments, invoking insurance and lawsuit risks, and having advance conversations about driving before cognitive decline progressed. A recurring theme was the profound loss of independence and identity that comes with giving up driving, the anger and resistance this generates, and the heartbreaking but necessary role caregivers must play in prioritizing safety over a loved one's wishes, even when it strains relationships.

A myALZteam Member

At my request my husband was driving tested at the neuroscience center. I was encouraged to be there to observe, which I greatly appreciated. It was a very thorough series of attention and coordination exercises and extensive questions. He performed poorly on all. Then on the driving simulator he was unable to process stop and other road signs and hazards. The OT clearly explained all the results and said she was putting in his chart the recommendation for him to not drive anymore. He recognized that he could cause an accident and agreed to stop driving. I think that because it all was evidence based and came via a neutral party he couldn't explain it all away by complaining it was just my emotional anxiety. The testing was administered by our medical group and ordered by his doctor, so was covered by insurance. We're still getting used to me doing all the driving, which for our generation (70's) represents a power dynamic shift.

June 27, 2021
A myALZteam Member

There is a test that the neurologist can set up for him. I think you may have to pay for it, but I don't know what the cost is. I am so very lucky that my husband did not and still does not argue with me about driving. I explained we would lose our home if he caused an accident and we were sued. I wish I had some solution to your problem. Maybe if he takes a tests and fails that might convince him.

June 24, 2021
A myALZteam Member

Fortunately - long before my dad was required to quit driving - we had talked about it. We agreed that there would come a day when it wasn't safe for him to drive anymore, and when that day came and he had to stop, he would do so with grace and dignity. I promised that I would let him drive for as long as it was safe. Of course, "when that day came" he wasn't ready - and didn't agree that it was time. But I reminded him, over and over, about my promise. I am his number one driver and he still doesn't like that he can't drive - but talking about it before hand did help.

July 2, 2021
A myALZteam Member

Losing his license was the hardest thing for my husband to accept; luckily, insurance would not cover his lapsed license and he failed the extensive neurological driving test ($200+). However, he never accepted that he did not have the skillset to drive and consequently got angry each day over it. Unfortunately, I have no solution except to stick to your guns, hide the keys, and try to medicate the ensuing anger.

July 2, 2021
A myALZteam Member

There really isn't an easy way. Most people who are impaired in any way don't see their own impairment. In GA, my dad's doctor explained that once he has been diagnosed with ALZ - any time that he is in an accident - EVEN IF IT IS NOT HIS FAULT - the insurance company could come after him for everything. My dad had not been in a serious accident - but he his reflexes were off, and he had done things like turn onto the wrong side of a divided highway (going the wrong way against traffic). But just like a parent has to do some unpopular things to keep a child safe (no you can't stick a fork in the socket - no you can't run out and play in the street), sometimes we have to do that as caregivers. It's not fun - but it is important.

July 2, 2021

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