@article{ref1,
title="Motor vehicle operation in the setting of multiple sclerosis with myelopathy: assessment, adaptive equipment, counseling, and cessation of driving",
journal="Continuum : lifelong learning in neurology",
year="2011",
author="Niewoehner, Patricia M. and Thomas, Florian P.",
volume="17",
number="4",
pages="877-881",
abstract="Many individuals with multiple sclerosis are safe drivers; others self-regulate their driving or cease driving altogether because of their own safety concerns. When patients are unsafe to drive and have poor insight into their condition, they may ignore a provider's repeated communication to stop driving. Addressing this issue when a person is initially diagnosed with multiple sclerosis and continuing the discussion over time when assessing other activities of daily living may ease the process of driving cessation. Referral for a driving evaluation may be appropriate, in conjunction with referrals to a social worker for mobility counseling and to a psychologist for grief and loss issues associated with driving cessation. When repeated recommendations to stop driving are ignored, notifying the appropriate government agencies should be considered.<p /> <p>Language: en</p>",
language="en",
issn="1080-2371",
doi="10.1212/01.CON.0000403800.95364.3a",
url="http://dx.doi.org/10.1212/01.CON.0000403800.95364.3a"
}