According to Liddle et al., (2016) early Dementia majorly entails impaired memory, communication, and thought. Due to Mr. A’s diagnosis of early Dementia, significant concerns regarding driving will involve decreased cognitive functionality, visual-spatial disorientation, and memory loss. Mr. A’s driving ability will thus reduce since driving is majorly associated with freedom and self-reliance, and the inability to enjoy these privileges does prevent him from driving. Another primary concern will be Mr. A’s inability to access his driving abilities. Given that he won’t be at a position to obtain his driving skills, he will l not be safe on the road.
Driving Concerns
Due to the progressive nature of Dementia, it will be challenging to know when Mr. A will drive safety without endangering his life and those of other road users. Thus, it will be challenging to know precisely when Mr. A should stop driving. The best assessment to undertake to decide Mr. A’s driving skills entails observing behavioral signs and symptoms on a day to day basis during normal activities. Liddle et al. (2016) argued that critical signs include confusion, difficulty problem solving and decision-making, poor coordination, getting lost in familiar areas, irritability, and confusion. According to Liddle et al., (2016) other significant symptoms include difficulty processing issues, feeling disoriented, difficulty in multi-tasking, less conscious with things around them, and increased loss of memory. During the assessment, it is essential to compare past behaviors with present behavior. Past behavior should be compared to the times before the beginning of Dementia ( Liddle etl.a, 2016) . For example, it will be necessary to weigh his level of engaging in multiple tasks, irritability, or confusion with the onset of the condition. In the case of Mr. A, any slight change in behavior will easily be noticed by Mrs. A, who is a close family member and has proximity to him all through. Livingston et al., (2017) maintained that any significant change in practice should set the alarm on his condition that should sound a warning to his ability to drive.
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Care
For Mrs. A, it will be essential to learn communication tips to enhance her communication with Mr. A. The learned skills will help her set a good mood for communication, engage Mr. A effectively, and understand his condition at any given time. She should also learn strategic caregiver’s guideline towards handling Mr. A appropriately. Caring for Mr. A will require active empathy, realistic caregiving, and acceptance of support. Memory loss will require professional attention, such as care in a planned setting. The best care for some with Dementia entail moving him or her to hospice care of nursing provider home to receive professional care ( Stevenson & Taylor, 2018) .
References
Liddle, J., Tan, A., Liang, P., Bennett, S., Allen, S., Lie, D. C., & Pachana, N. A. (2016). “The biggest problem we’ve ever had to face”: how families manage driving cessation with people with dementia. International psychogeriatrics , 28 (1), 109-122.
Livingston, G., Sommerlad, A., Orgeta, V., Costafreda, S. G., Huntley, J., Ames, D., ... & Cooper, C. (2017). Dementia prevention, intervention, and care. The Lancet , 390 (10113), 2673-2734.
Stevenson, M., & Taylor, B. J. (2018). Risk communication in dementia care: Family perspectives. Journal of Risk Research , 21 (6), 692-709.
