Question

An 87-year-old man comes to see you for follow-up to a minor concussion sustained a few weeks ago. He was in a minor motor vehicle accident in which his head hit the dashboard but he did not lose consciousncss. Your patient has glaucoma and presbycussis. He renewed his driver's license by mail two ycars ago and the only restriction is that he must wear glasses. You are uncertain whether the patient should be driving. What should you do? a. Inform the patient's family and explain to them that they should not allow the patient to continue driving because it is dangerous for him. b. MRI of the brain. c. Neurology evaluation. d. Start aricept to improve his memory. e. Discuss the issue with the patient and encourage him to find alternate methods of transportation. f. Remove his license from him. g. Mandatory reporting to the police.

   An 87-year-old man comes to see you for follow-up to a minor concussion sustained a few weeks ago. He was in a minor motor vehicle accident in which his head hit the dashboard but he did not lose consciousncss. Your patient has glaucoma and presbycussis. He renewed his driver's license by mail two ycars ago and the only restriction is that he must wear glasses. You are uncertain whether the patient should be driving.
What should you do?
a. Inform the patient's family and explain to them that they should not allow the patient to continue driving because it is dangerous for him.
b. MRI of the brain.
c. Neurology evaluation.
d. Start aricept to improve his memory.
e. Discuss the issue with the patient and encourage him to find alternate methods of transportation.
f. Remove his license from him.
g. Mandatory reporting to the police.
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Medical Ethics for the Boards
Medical Ethics for the Boards
Conrad Fischer 3rd Edition
Chapter 1, Problem 34 ↓

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Step 1: Assess the patient's current condition and any potential risks associated with driving after a minor concussion, especially considering his age and existing health issues like glaucoma and presbycussis.  Show more…

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An 87-year-old man comes to see you for follow-up to a minor concussion sustained a few weeks ago. He was in a minor motor vehicle accident in which his head hit the dashboard but he did not lose consciousncss. Your patient has glaucoma and presbycussis. He renewed his driver's license by mail two ycars ago and the only restriction is that he must wear glasses. You are uncertain whether the patient should be driving. What should you do? a. Inform the patient's family and explain to them that they should not allow the patient to continue driving because it is dangerous for him. b. MRI of the brain. c. Neurology evaluation. d. Start aricept to improve his memory. e. Discuss the issue with the patient and encourage him to find alternate methods of transportation. f. Remove his license from him. g. Mandatory reporting to the police.
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