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Authors = Max Toepper

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16 pages, 226 KB  
Case Report
Advice for Elderly Drivers in a German Memory Clinic: A Case Report on Medical, Ethical and Legal Consequences
by Stefan Spannhorst, Max Toepper, Philipp Schulz, Gudrun Wenzel, Martin Driessen and Stefan Kreisel
Geriatrics 2016, 1(1), 9; https://doi.org/10.3390/geriatrics1010009 - 19 Mar 2016
Cited by 5 | Viewed by 7456
Abstract
We report on a 75-year-old female who consulted our Memory Clinic because of subjective memory complaints that she first recognized three months previously. Next to the standard detailed patient history, neuropsychological assessment, psychopathological status, the patient’s driving history played an important role in [...] Read more.
We report on a 75-year-old female who consulted our Memory Clinic because of subjective memory complaints that she first recognized three months previously. Next to the standard detailed patient history, neuropsychological assessment, psychopathological status, the patient’s driving history played an important role in the diagnostic process. In this case report, we illustrate the diagnostic process starting with the first consultation, including a short neuropsychological examination and communicating its results, reporting on further work-up (detailed neuropsychological assessment, MRI scan and cerebrospinal fluid (CSF) analysis) up to the final consultation, including advice for the patient. We will focus on several medical, ethical and legal difficulties that may occur when consulting elderly drivers with initial cognitive decline. Full article
(This article belongs to the Special Issue Impaired Driving Skills in Older Adults)
12 pages, 397 KB  
Article
Preliminary Validation of a Questionnaire Covering Risk Factors for Impaired Driving Skills in Elderly Patients
by Philipp Schulz, Stefan Spannhorst, Thomas Beblo, Christine Thomas, Stefan Kreisel, Martin Driessen and Max Toepper
Geriatrics 2016, 1(1), 5; https://doi.org/10.3390/geriatrics1010005 - 8 Jan 2016
Cited by 7 | Viewed by 8087
Abstract
Due to rather unspecific statutory regulations in Germany, particularly for patients with neurodegenerative disorders, many seniors still drive despite severe driving-related cognitive deficits. An accurate assessment of driving fitness requires immense financial, personnel and temporal resources which go beyond daily clinical routines. In [...] Read more.
Due to rather unspecific statutory regulations in Germany, particularly for patients with neurodegenerative disorders, many seniors still drive despite severe driving-related cognitive deficits. An accurate assessment of driving fitness requires immense financial, personnel and temporal resources which go beyond daily clinical routines. In cooperation with a working group from Switzerland, we therefore developed the questionnaire Safety Advice For Elderly drivers (SAFE), an economic instrument covering different risk factors for driving safety. The main aim of the current work was a first validation of the SAFE. Twenty-two driving seniors performed the Corporal A, a test battery permitted by law to assess driving-related cognitive functions. Based upon the Corporal results and the percentile rank 16 criterion, participants were divided into cognitively impaired and unimpaired drivers. Moreover, participants were assessed using the SAFE and an extensive neuropsychological test battery. The results revealed high sensitivity and specifity scores for the SAFE suggesting that the SAFE may be a valuable and economical instrument to quantify and document individual risk factors for driving safety and to differentiate between impaired and unimpaired drivers. Notably, the results must be replicated in future studies including a larger sample, different clinical subgroups, and a practical driving lesson. Full article
(This article belongs to the Special Issue Impaired Driving Skills in Older Adults)
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