TY - JOUR PY - 2009// TI - "Can I drive, doctor?" LEAN thinking may help us answer the question JO - Practical neurology A1 - Thomas, R. H. A1 - Hughes, T. A. T. SP - 71 EP - 8; discussion 78 VL - 9 IS - 2 N2 - The loss of a driving licence can have a devastating effect on an individual's domestic life and work. Driving is a complex composite function comprising a number of other complex composite functions, and it is difficult to predict driving ability just from the traditional neurological examination. We propose the acronym LEAN as an aide-memoire to help structure a suggested driving section in the routine neurological clerking, and to help unpack the concept of "fitness" to drive: Licence status, Eligibility (to drive), Ability (to drive) and Notification requirements (to the licensing authorities), now and in the future; cover most of the important issues and may help ensure that people get the best advice. If there are concerns about someone's driving ability, with or without vehicle adaptations, an assessment in a Disabled Drivers Assessment Unit is recommended.

Language: en

LA - en SN - 1474-7758 UR - http://dx.doi.org/10.1136/jnnp.2008.171157 ID - ref1 ER -