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Driving
Letter to the Editor
As someone who routinely performs evaluations for dementia, I have struggled with the "driving" question. I endorse driving evaluations as the "gold standard" for determination of driving ability. However, if someone has a degenerative dementia, we know that deficits increase over time. Therefore, if someone with a degenerative dementia can pass a driving test today, could they do so tomorrow? New week? Next month? At some point, we can assume they would become unsafe, but to identify that point would require frequent serial driving evaluations. For most people that would be impractical. Thus, I believe we must rely on our current knowledge that anyone beyond CER .5 is probably unsafe for driving.
Victor Neufeld, Ph.D.
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