title: Decision tool for clients with medical issues: a framework for identifying driving risk and potential to return to driving.
abstract: This paper offers occupational therapy generalists and specialists a new framework by which to consider clinical evaluation data and an older adult's driving risk and potential to resume this previously learned skill. Based on Michon's model describing the hierarchy of driving levels, clinical questions identify the factors that may affect a client's fitness to drive. The first part is intended to support clinical judgment of whether a client needs a driving evaluation by a driver rehabilitation specialist. The second part offers a framework to organize clinical data that are already known and determine what other evaluation information is justified and necessary to make a driving recommendation. Methods and rational for use are discussed.
authors.affiliation: 1Occupational Therapy, East Carolina University, Greenville , North Carolina , USA.
authors.forename: Anne E
authors.initials: AE
authors.lastname: Dickerson
authors.forename: Michel
authors.initials: M
authors.lastname: Bédard
mesh_terms: D000203:Activities of Daily Living; D001334:Automobile Driving; D003657:Decision Making; D004185:Disability Evaluation; D006801:Humans; D007600:Judgment; D009788:Occupational Therapy; D010361:Patients; D012306:Risk; D012449:Safety; D011795:Surveys and Questionnaires