期刊文章：Advice for Elderly Drivers in a German Memory Clinic: A Case Report on Medical, Ethical and Legal Consequences

資料來源：http://www.mdpi.com/2308-3417/1/1/9

Geriatrics 2016, 1(1), 9; doi:10.3390/geriatrics1010009 (registering DOI)
Case Report

Advice for Elderly Drivers in a German Memory Clinic: A Case Report on Medical, Ethical and Legal Consequences
Stefan Spannhorst * , Max Toepper, Philipp Schulz, Gudrun Wenzel, Martin Driessen and Stefan Kreisel

Division of Geriatric Psychiatry, Department of Psychiatry and Psychotherapy Bethel, Evangelisches Krankenhaus Bielefeld, Bethesdaweg 12, D-33617 Bielefeld, Germany
* Author to whom correspondence should be addressed.
Academic Editor: Ralf Lobmann
Received: 21 December 2015 / Revised: 10 March 2016 / Accepted: 14 March 2016 / Published: 19 March 2016
(This article belongs to the Special Issue Impaired Driving Skills in Older Adults)
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Abstract We report on a 75-year-old female who consulted our Memory Clinic because of subjective memory complaints that she first recognized three months previously. Next to the standard detailed patient history, neuropsychological assessment, psychopathological status, the patient’s driving history played an important role in the diagnostic process. In this case report, we illustrate the diagnostic process starting with the first consultation, including a short neuropsychological examination and communicating its results, reporting on further work-up (detailed neuropsychological assessment, MRI scan and cerebrospinal fluid (CSF) analysis) up to the final consultation, including advice for the patient. We will focus on several medical, ethical and legal difficulties that may occur when consulting elderly drivers with initial cognitive decline.
Keywords: dementia; driving advice; memory clinic; cognitive decline
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