CE on CD - Determining Capacity to Drive for Drivers with Dementia Using Research, Ethics, and Professional Reasoning: The Responsibility of All Occupational Therapists
Presented by Linda A. Hunt, PhD, OTR/L, FAOTA
Earn .2 AOTA CEU (2.5 NBCOT PDUs/2 contact hours)
No standardized or universally accepted model exists for the decision making process that guides capacity to drive evaluations. All occupational therapy practitioners, whether they are driving specialists or not, struggle with this decision-making process and have difficulty answering the question as to whether their client should continue to drive and, if so, for how long.
The new AOTA CEonCD? Determining Capacity to Drive for Drivers With Dementia Using Research, Ethics and Professional Reasoning emphasizes the role of occupational therapy in the evidence-based evaluation process and focuses on the required professional reasoning and ethics for making final recommendations about the capacity for older adults with dementia to drive. Case studies that include 2 video clips address decision making, communication and collaboration with clients, evaluations and assessments, and the roles of physicians and occupational therapy practitioners.
The goal of occupational therapy is to provide best practice to all clients, including older drivers, and to caregivers, physicians, law enforcement and licensing agencies, and to the general public who seek guidance from occupational therapy professionals on the driving ability of individuals, especially those diagnosed with dementia. Although there are many cases when a driving specialist is required, there are many cases when that is not required.
The intent of this course is to provide a tool—The Multifactor Older Driver with Dementia Evaluation model (MODEM)—to both general practice and driving specialist occupational therapy practitioners who work with older driver clients with dementia to determine whether they should continue to drive or cease driving. MODEM illustrates the comprehensive components that should be considered to determine a driver’s capacity to continue driving safely and helps frame conversations about cessation with clients. It includes comprehensive data collection from many sources, filtered through a system of professional reasoning, to determine a reasoned decision regarding fitness-to-drive.
At the conclusion of the course, participants will be able to:
- Identify the performance skills and client factors necessary for a comprehensive driver evaluation
- Identify the sources of informant data that contribute to formulating a comprehensive understanding of an individual’s capacity to drive
- Identify when to use cognitive assessments when a diagnosis of dementia is provided
- Identify various types of clinical and professional reasoning as a process that guides the decision making for best outcomes
- Recognize what other professions are doing to determine driver capacity
- Recognize how ethics is part of capacity determination and recognize ways to resolve the difficulty and ethical dilemma answering the question - should this person with dementia continue to drive, and if so, for how long?
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