Dementia Example Sample Clauses

Dementia Example. ‌ It is essential to translate the research information for practitioners. Thus, the synthesis of the literature needs to be done so that practitioners understand and can use the implications. The following is an example of this synthesis for dementia and driving. Summary of Evidence for Dementia, Driving, and Occupational Therapy Practice There are three systematic reviews completed specifically related to dementia and driving; two were completed in the format of the American Academy of Neurology. The Xxxxxxxx et al., (2000) established that there is clear evidence that individuals with dementia have a clear risk of crashes compared to age-matched controls and recommended two standards and one guideline for practice. The impact of the Standards (page 1) for occupational therapy practice is that patients who have mild dementia (CDR=1.0) who should not drive need strategies to maintain community mobility. The patients and their families need occupational therapy intervention. The Guideline recommends a driver performance evaluation by a certified examiner for those patients with very mild (CDR=.5), which includes occupational therapists with driver rehabilitation expertise. The second Standard recommends that individuals with dementia need reassessment every 6 months to continue driving, necessitating continual driving evaluation. The more recent systematic review (Xxxxxxx et al., 2010) included an occupational therapist and reported useful characteristics of patients, driving history, and cognitive testing for patients with dementia using the outcomes of on-road performance, driving simulation, crash data, and caregiver report. For occupational therapy practice, it was determined there was not enough evidence to support just neuropsychological testing for evaluating driving risk, therefore a driving performance evaluation is the best method of determining risk. The third systematic review (Xxxxxx, et al., 2006) demonstrated there are no studies for progression rates on dementia and driving risk. Other important studies include Xxxx & Xxx (2010) summarizing the state of research for dementia and driving, Xxxxxx et al., (2008) demonstrating there is no one assessment for predicting driving outcome, and a study by Xxxxxxxxxxxx (2005) revising the literature which shows simulation is promising and vision, attention, and executive function is critical to evaluate to determine fitness to drive.
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