How do occupational therapists treat clients with dementia that still want to drive?
Answer
This is really tough on families. You have to consider a family-centered care perspective, and it can be so difficult. There can be a lot of paranoia about "they are trying to take my car and get my money." I advise families in this situation to disable the vehicles. We have had families just sell the car. However, we have had people call up a car dealership and buy a new car with their credit card over the phone, and it gets delivered to their house. Disabling a vehicle can really hold people off for quite a bit of time. For example, you can take out one of the spark plugs, grind down the grooves on the key, or disconnect the cable to the battery. For somebody with dementia, and we are talking pretty advanced dementia, it is easy enough to hold people off for months by saying, "We are waiting for a part to come in."
Wendy Stav, PhD, OTR/L, SCDCM, FAOTA
Wendy B. Stav, PhD, OTR/L, FAOTA received a BS in occupational therapy from Quinnipiac University and a PhD in occupational therapy from Nova Southeastern University, as well as a specialty certification in driving and community mobility. For more than 20 years her work has focused on driving and community mobility with involvement at the state and national levels include AOTA’s Older Driver Initiative, co-authorship of AOTA official documents, book chapters, and articles, and collaboration with the American Medical Association, the American Association of Motor Vehicle Administrator’s Older Driver Working Group. Dr. Stav was named to the AOTA Roster of Fellows in 2009 for her contributions to the advancement of driving and community mobility practice and received the Maryland Occupational Therapy Association Award of Merit for similar contributions to driving rehabilitation practice. In recent years her scholarship has explored occupation-centered practice including contribution to a model of occupation-based practice, clinic makeover studies to enhance occupation-centered practice, and development of an assessment to measure occupation in practice.
Related Courses
1https://www.occupationaltherapy.com/ot-ceus/course/occupation-centered-practice-4521Occupation-Centered PracticeThis course reviews the origins and value of occupation as a therapeutic approach in occupational therapy practice. The elements of occupation-centered practice are identified with examples of execution to optimize the use of occupation in practice.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyOccupationalTherapy.comwww.occupationaltherapy.comOccupation-Centered PracticeThis course reviews the origins and value of occupation as a therapeutic approach in occupational therapy practice. The elements of occupation-centered practice are identified with examples of execution to optimize the use of occupation in practice.4521OnlinePT60M
'This course content is very important and is why I love OT!'Read Reviews
AOTA/0.1 Introductory, OT Service Delivery; CE Broker/1.0 Home Study, General (FL), Patient Related (AL), General Continuing Education (GA), Direct Client/patient Services In Occupational Therapy (SC), Related To OT (AZ), Related To OT (LA), Directly Related To OT (MS), Directly Related To OT (TN), CE Broker #20-757268; IACET/0.1; NBCOT PDUs/1.25 Beginner, Rehabilitation
This course reviews the origins and value of occupation as a therapeutic approach in occupational therapy practice. The elements of occupation-centered practice are identified with examples of execution to optimize the use of occupation in practice.
2https://www.occupationaltherapy.com/ot-ceus/course/optimizing-mobility-and-community-engagement-5821Optimizing Mobility And Community Engagement For Older ClientsThe occupation of driving and community mobility among older adults experiencing the health effects of aging and age-related illnesses are reviewed in this course. The roles, responsibilities, and professional skills of occupational therapy practitioners are explained to optimize mobility and community engagement for older clients.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyOccupationalTherapy.comwww.occupationaltherapy.comOptimizing Mobility And Community Engagement For Older ClientsThe occupation of driving and community mobility among older adults experiencing the health effects of aging and age-related illnesses are reviewed in this course. The roles, responsibilities, and professional skills of occupational therapy practitioners are explained to optimize mobility and community engagement for older clients.5821OnlinePT120M
'I needed more education on driving in the community because it is not something I do normally'Read Reviews
AOTA/0.2 Intermediate, OT Service Delivery, 05950; CE Broker/2.0 General (FL), Patient Related (AL), General Continuing Education (GA), Direct Client/patient Services In Occupational Therapy (SC), Related To OT (AZ), Related To OT (LA), Directly Related To OT (MS), Directly Related To OT (TN), CE Broker #20-932575; IACET/0.2; NBCOT PDUs/2.5 Intermediate, Geriatrics
The occupation of driving and community mobility among older adults experiencing the health effects of aging and age-related illnesses are reviewed in this course. The roles, responsibilities, and professional skills of occupational therapy practitioners are explained to optimize mobility and community engagement for older clients.
3https://www.occupationaltherapy.com/ot-ceus/course/supporting-pediatric-engagement-in-community-5842Supporting Pediatric Engagement In Community MobilityCommunity mobility concerns and approaches for children and communities to support safe independent mobility throughout the community are reviewed in this course. The course will focus on multiple modes of mobility, including child passenger safety, bicycle and pedestrian travel, and transition to driving.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyOccupationalTherapy.comwww.occupationaltherapy.comSupporting Pediatric Engagement In Community MobilityCommunity mobility concerns and approaches for children and communities to support safe independent mobility throughout the community are reviewed in this course. The course will focus on multiple modes of mobility, including child passenger safety, bicycle and pedestrian travel, and transition to driving.5842OnlinePT120M
'Safety Awareness and ways to handle it with children with disabilities even more important for affective strategies'Read Reviews
AOTA/0.2 Intermediate, OT Service Delivery, 06055; CE Broker/2.0 General (FL), Patient Related (AL), General Continuing Education (GA), Direct Client/patient Services In Occupational Therapy (SC), Related To OT (AZ), Related To OT (LA), Directly Related To OT (MS), Directly Related To OT (TN), CE Broker #20-983124; IACET/0.2; NBCOT PDUs/2.5 Intermediate, Pediatrics
Community mobility concerns and approaches for children and communities to support safe independent mobility throughout the community are reviewed in this course. The course will focus on multiple modes of mobility, including child passenger safety, bicycle and pedestrian travel, and transition to driving.
4https://www.occupationaltherapy.com/ot-ceus/course/electrical-stimulation-for-recovery-function-3840Electrical Stimulation for Recovery of Function in NeurorehabilitationThis course will describe the different mechanisms of action for electrical stimulation to restore function in patients with neurological dysfunction. Using case studies and best evidence, participants will learn how to design and execute interventions with electrical stimulation useful in neurorehabiliation.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyOccupationalTherapy.comwww.occupationaltherapy.comElectrical Stimulation for Recovery of Function in NeurorehabilitationThis course will describe the different mechanisms of action for electrical stimulation to restore function in patients with neurological dysfunction. Using case studies and best evidence, participants will learn how to design and execute interventions with electrical stimulation useful in neurorehabiliation.3840OnlinePT60M
'I appreciated the charts on how to alter specific parameters to achieve specific goals in treatment'Read Reviews
AOTA/0.1 Intermediate, OT Service Delivery; CE Broker/1.0 Home Study, General (FL), Patient Related (AL), General Continuing Education (GA), Direct Client/patient Services In Occupational Therapy (SC), Related To OT (AZ), Related To OT (LA), Directly Related To OT (MS), Directly Related To OT (TN), CE Broker #20-669888; IACET/0.1; NBCOT PDUs/1.25 Intermediate, Rehabilitation
This course will describe the different mechanisms of action for electrical stimulation to restore function in patients with neurological dysfunction. Using case studies and best evidence, participants will learn how to design and execute interventions with electrical stimulation useful in neurorehabiliation.
5https://www.occupationaltherapy.com/ot-ceus/course/joint-hypermobility-syndromes-assessment-and-5376Joint Hypermobility Syndromes: Assessment and InterventionThis course will cover upper extremity assessment and treatment strategies for the pediatric/young adult population affected by joint hypermobility syndromes. The treatment focuses on both orthopedic strategies along with adaptive methods for these individuals.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyOccupationalTherapy.comwww.occupationaltherapy.comJoint Hypermobility Syndromes: Assessment and InterventionThis course will cover upper extremity assessment and treatment strategies for the pediatric/young adult population affected by joint hypermobility syndromes. The treatment focuses on both orthopedic strategies along with adaptive methods for these individuals.5376OnlinePT60M
'I appreciated the presenter's expertise and her ability to present course information concisely'Read Reviews
AOTA/0.1 Intermediate, OT Service Delivery, 03594; CE Broker/1.0 General (FL), Patient Related (AL), General Continuing Education (GA), Direct Client/patient Services In Occupational Therapy (SC), Related To OT (AZ), Related To OT (LA), Directly Related To OT (MS), Directly Related To OT (TN), CE Broker #20-894959; IACET/0.1; NBCOT PDUs/1.25 Intermediate, Rehabilitation
This course will cover upper extremity assessment and treatment strategies for the pediatric/young adult population affected by joint hypermobility syndromes. The treatment focuses on both orthopedic strategies along with adaptive methods for these individuals.