Counseling provided regarding risks of driving and the alternatives to driving (DEM)
CPT4 code
Name of the Procedure:
Counseling provided regarding risks of driving and the alternatives to driving (DEM)
Summary
This procedure involves a healthcare professional discussing with a patient the potential risks associated with driving given their medical condition, and exploring alternative transportation options.
Purpose
This counseling addresses concerns related to a patient's ability to safely operate a vehicle due to health issues. The goal is to minimize the risk of driving-related accidents and to ensure the patient maintains mobility and independence through other means.
Indications
- Medical conditions affecting vision, hearing, or motor skills
- Cognitive impairments such as dementia or Alzheimer’s disease
- Medications with side effects that impair driving
- Recent surgeries or physical injuries affecting mobility or reflexes
Preparation
No special preparation is required for this counseling session. However, the patient may be asked to bring a list of current medications and any relevant medical records.
Procedure Description
- The healthcare provider reviews the patient's medical history and current health status.
- The risks of driving with their condition are explained.
- The patient is informed about the potential consequences of unsafe driving.
- Alternative transportation options are discussed, such as public transit, ride-sharing services, or community transportation programs.
- Resources for transportation support are provided, if needed.
Duration
Typically, the counseling session lasts 30-60 minutes.
Setting
This procedure is generally performed in a healthcare provider's office, outpatient clinic, or during a home visit.
Personnel
- Primary care physician or specialist
- Nurse or social worker
- Occupational therapist (if necessary)
Risks and Complications
- Emotional distress due to a perceived loss of independence
- Non-compliance with the advice given
Benefits
- Reduced risk of driving-related accidents or injuries
- Increased awareness of safe transportation alternatives
- Improved overall safety and well-being for the patient and others on the road
Recovery
No physical recovery is needed. Patients may need time to emotionally adjust to the idea of not driving.
Alternatives
- Continuing to drive with restrictions or adaptations (e.g., driving only during the day)
- Use of a driving rehabilitation specialist to assess driving ability
- Enabling support from family members or caregivers for transportation
Patient Experience
During the session, patients may feel a range of emotions, including relief, frustration, or sadness. Clear communication about safety and support measures can help manage these feelings. Comfort measures include empathetic listening and providing resources to facilitate the transition to alternative transportation.