If your loved one has dementia, deciding when they can no longer drive may be difficult. They may react in different ways.
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 be at risk of unsafe driving, such as:
Signs that driving may be getting more dangerous include:
It may help to set limits when driving problems start.
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 to them from being able to use the car. Ways to do this include:
Dave J, Hecht M. Dementia. In: Frontera, WR, Silver JK, Rizzo TD Jr, eds. Essentials of Physical Medicine and Rehabilitation. 2nd ed. Philadelphia, PA: Elsevier Saunders; 2008:chap 119.
Iverson DJ, Gronseth GS, Reger MA, Classen S, Dubinsky RM, Rizzo M. Practice parameter update: evaluation and management of driving risk in dementia. Neurology. 2010;74:1316-1324.
Updated by: Joseph V. Campellone, M.D., Division of Neurology, Cooper University Hospital, Camden, NJ. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.
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