Module 5 Lesson 9. Changes in judgement Insisting on driving Vikram is living with dementia. His neighbour, Ravi, offers him a ride to an event at the community centre. Vikram insists on driving and starts raising his voice. He refuses to go to the community centre unless he drives himself, even though he has been advised against driving already. Instead of taking the lift, Vikram walks back inside his house and refuses to go to the community centre with Ravi. Check your understandingManaging more serious changes in judgement. What would you recommend to Ravi? Please select all correct responses. Immediately seize Vikram’s car keys when he returns. This will prevent it from happening again.Stay calm and ask whether Vikram has any other places to go that day, and if so, offer him a ride.Ignore the situation because it is embarrassing.Ask Vikram if he would like some help figuring out transportation.Tell Vikram that he is concerned about his driving and suggest visiting his doctor to discuss it.Report the incident to Vikram’s carer, friend or family member.Check Immediately seize Vikram’s car keys when he returns because this will prevent it from happening again. This is not a good response because Ravi cannot decide whether his neighbour should drive anymore, and Vikram may become angry. Stay calm and ask whether Vikram has any other places to go that day, and if so, offer him a ride. This is a good response because it prevents Vikram from driving unsafely and provides safe transportation, so Vikram can run his errands. Ignore the situation because it is embarrassing. This response is not good because Vikram’s driving may cause harm to himself and others. Ask Vikram if he would like some help figuring out transportation. This response is appropriate because Vikram may be able to safely ride a bus or walk, preventing any unsafe behaviour. Tell Vikram that he is concerned about his driving and suggest visiting his doctor to discuss it. This is a good response as Ravi respects Vikram by being honest and raising a concern. Report the incident to Ravi’s carer, friend or family member. This is a possible response. Ravi may not know if Vikram has dementia and could be concerned about the risk of harm to Vikram and others. Error: Please select at least one option.Please click ‘check’ to view the answers before continuing.Error: Please type your answers in the text box. Tip It is better if the decision not to drive comes from the person living with dementia. Giving up driving is typically a difficult time in the person’s life where they are losing independence. Alternatives such as offering regular rides, teaching the person how to use public transportation or arranging taxis will help the person stay active and involved in their community activities. It is important that the person does not become isolated or lonely once they give up driving. More effort will be needed to keep them connected to the world outside their home.