TY - JOUR PY - 2011// TI - Motor vehicle operation in the setting of multiple sclerosis with myelopathy: assessment, adaptive equipment, counseling, and cessation of driving JO - Continuum : lifelong learning in neurology A1 - Niewoehner, Patricia M. A1 - Thomas, Florian P. SP - 877 EP - 881 VL - 17 IS - 4 N2 - 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.
Language: en
LA - en SN - 1080-2371 UR - http://dx.doi.org/10.1212/01.CON.0000403800.95364.3a ID - ref1 ER -