168) A 70 year old woman with history of Hypertension, Diabetes mellitus, severe osteoarthritis and Macular degeneration is seen during a follow-up visit. He was seen a month ago in your office for evaluation of his driving capacity. At that time, he was noted to have significant impairment of vision and motor skills. His visual impairment persisted despite corrective glasses. He also uses cane to walk and has persistent deficits of left sided weakness and hemi spatial inattention secondary to a stroke 8 months ago. He was subsequently referred to driving rehabilitation specialist and was deemed unsafe to drive. During his visit 2 weeks ago, he has been counseled and was instructed to stop driving. While talking him about his transportation, he tells you that he drove himself to the clinic today.
Your most appropriate response at this time:
a) “When do you think it’s an appropriate time for a person to stop driving?”
b) Let’s talk about some of your concerns regarding retiring from driving
c) I am wondering, is there someone whom you trust, and who would tell you when they thought it was unsafe for you to continue driving?
d) “You are a threat to others while driving on the road”
e) “I have a duty to protect you and so, I will have to report you to DMV”
f) “Let me refer you to Driving Rehabilitation so that they can help you with adaptive devices”