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ETA: We didn't actually tell his doctor anything. (Although driving is certainly one of the first things anyone mentioned when cognition starts to fail.)
You may want to click on the Aging Care "forum" topic at the upper right hand corner on the teal bar. Go to page 4 and there is a question that was asked on 8/16/20 "How do we deal with impact of taking away mom's car keys?" There are 71 answers and maybe you'll find something that will help you too!
This is a tough issue!
IMOP, if your Mom was lost for over 6 hours, it maybe more than just "mild dementia ".
Make sure you have a diagnosis from a Geriatrician or a Neurologist.
My Aunts PCP diagnosed her with mild cognitive impairment. After a much more detailed examination by a Geriatrician, she was diagnosed with Alzheimer's.
When I realized she shouldn't be driving, I disconnected the battery cables to her car.
She simply thought the car needed repairs.
Although I had to repeat the "broken down " car story many times, because her mental status, she couldn't piece together what to do about it and gave up.
It was a relief knowing that she wasn't on the road!!
God bless!!
If you remove car from house, it just creates more issues and confusion. What if she reports it stolen to police? What if she catches a ride to a dealer and buys a new car? Too much drama with that idea. Hiding the keys does the same thing. Imagine that you realize you have some brain issues and you think that YOU lost your own car keys - it would drive you insane. Don't put her through that. Disable the car so it's broke. It's outside in a familiar place and for now she will think she can drive again when it's fixed - no one took away her independence that she still remembers.
Also get an immediate ongoing plan for taking her somewhere when she wants to go. So that she is used to alternative transportation. You said you have people doing that, but you need to make sure this will be done ongoing.
Different methods work for different situations. It’s usually not easy but has to be done.
He said OK, that lasted 3 days, then he stole the keys off my key ring. He was going to drive no matter what. I was parked behind his truck. I didn't move the car for three days. After he finally gave me the key back he said he wanted our Grandson to have the truck. It was gone by nightfall.
Disabled her car!
1) Many docs don't want to get in the middle of this
2) Some who've had the license revoked continued to drive!
3) If the car remains where it is seen, the desire remains
My YB and I went to mom's place and he did all the talking. He took the key. I merely stood behind him. On the way out, I suggested disabling the car as I was sure she had another key. This often works for those not mechanically inclined, but some can tinker with cars and might figure out the battery is disconnected. Sure enough, the next day I, not YB, gets the nasty call about taking her key! Day 2 came the second nasty call, telling me to get there and fix it! So she did have another key, and managed to find it. Since it was "broken", we managed to take it away to get it "fixed." It took a while, but eventually the worst thing she did was "give up her wheels", like it was HER idea, and sometime later stopped asking/talking about it.
In your case, I doubt your mother would know what to do. If she tries to start it and then calls you, have it towed (or moved when she isn't looking to save tow fee!) somewhere that she won't see it. Then comes the repeated story that they are still working on it, having trouble getting parts, etc. Don't offer any info, just say these if she asks about it. At some point she is likely to forget.
Meanwhile, have her get a thorough checkup. Include test for UTI and cognitive decline. Rule out non-dementia causes for memory lapses. If she is really in the early stage, hopefully you have all the legal docs you need already done, such as POAs, will, etc. If not, an EC atty can determine if she is still capable of signing these (we had to make updates, and he talked with her alone before proceeding.) To prevent buying another car, as someone suggested might happen, you would want to ensure she has limited or no access to funds or credit cards. If you already have POA and get confirmation from the doc, start preparing for the inevitable.
my parents neighbor across the street was driving to breakfast at age 94 and caused a head on accident. He killed the other driver and he passed away a few days later.
Most people in this situation are super stubborn and will tantrum, cry, and act out when the subject is approached, but once HER safety has been compromised by her inability to drive safely, the new risk of her inadvertently injuring someone else while driving makes action totally imperative.
There is not really an easy way to pull this off, and she will most likely attempt to drive if she has access to the car. In our most recent situation, my LO did stop driving because of bad weather conditions for a couple months before she entered MC.
As long as your mother is still caring for her needs and socially active, she may relax a little when she realizes that she is amply provided with rides. To completely remove the risk of her driving, a LONG TERM repair, or repainting the car, could help you get the car away from her.
SAFETY. ALWAYS.
So, how do you do it? You just do it. You take the keys and if you feel you need to, disable the car and move it to be "repaired. Too bad if they yell. You are not a 6 year old facing an angry parent because you drew on the living room wall. We have a responsibility to keep them from killing people with their cars. So if family doctor will help, that is great. But if not, you need to take action. Think about it. If you get lost, you get distracted while driving trying to figure out where you are. Being lost for 6 hours has to be incredibly stressful and is certainly a sign something is wrong. Just not safe for her to be driving. Driving is not a right, it is a privilege. I don't know why they don't use driving simulators to test the elderly. Maybe it is discriminatory but there should be a way; because in people in their 80's and 90's, you need to test more than muscle memory.
My FIL drove when he should not have. I had a private driving evaluation him and he passed because the muscle memory part of his brain enabled him to drive but he got lost in areas he knew well and I knew his brain would not process anything unexpected fast enough. With that driving eval, I could not get my husband and his siblings on board with taking the keys. Finally he failed eye test due to cataracts he never mentioned he had. Once he stopped driving, he told me that I was right and that when he thought back to some of the things he had done while driving, he knew he should not have been driving. But was 93 at the time.
I should add it won't be enough to take keys away. If she sees her car there she'll want to drive it. Also, you'd be amazed at the lengths someone with dementia or sight issues will go to to get back in the driver's seat. I've read stories here where elders sweet-talked their way into their neighbor helping them start the car.
Even more scary is an incident in my city where a man with Alzheimer's drove the wrong way on the interstate at night, hit a car head-on and killed the family of four inside. His family had taken the ignition case out of his car, thinking that would be enough. The man was able to re-install it in a moment of clarity and went driving.
This was about 10 years ago. She had been to the ER 10 to 15 times for stroke like symptoms which were finally diagnosed as simple complex seizures. I asked the Drs to report this to the state, but they would not do it.
I finally wrote a letter to the state DOT DDL and told the story and asked that they examine her for her ability to drive. I asked them to keep my name out of this or drop it.They kept my confidentiality although I imagian this could vary from examiner to examiner.
She had a hearing and they gave her 30 days to get an exam and a letter from a neurologist stating that it was safe for her to drive. She knew that she could not pass any neuro test that the Dr would give her so she just let the deadline come and go and let her license to drive be revoked until her health improved.
I felt a little bad for doing this but felt much better than if she caused a deadly or serious bodily injury crash.
My wife is now 60 Y/O and either bed or wheelchair restricted. My son is now 17 and happy that he never had to ride with her again.
That really didn’t work so eventually we just took it away.
She threatened to call the police and then I threatened to send the letter to the police which seemed to calm things down.
We now have aids to take her out.
Two tricks I used for my dad as his memory was starting to get bad....
I found a GPS tracing device online from LAND AIR SEA I think is the name. Very small, plugs into the cars diagnostic port under the dash, no battery, works off car battery, easy to program so you can see elders driving in real time on your phone or any device, and a record of their trips. I monitored my dad for 2 years and finally had to end the driving as he started wandering. Dad never knew it was there. You can give the password to other family members to help you keep track
Easiest way to disable a car is to pull out the starter relay. It’s usually under the hood in the fusebox, just plugs in. Put it away for later and plug back in to move the car away. No need to flatten tires, pull plug wires or disconnect battery. Elder tries to start the car won’t even get a click. With my dad.........MUST BE THE COMPUTER. ILL CALL THE DEALER. THEYLL TOW IT IN. OH NO PARTS WONT BE IN TILL NEXT WEEK. And repeat as needed.
Sometimes it's that easy. Sometimes not so much. It depends on so many factors. But once you make things safe, you feel so much better.
They took out several important pieces from the car so it absolutely wouldn't run. They told FIL that the car was not running, and they were waiting for parts to come in, it was going to get fixed. That was that. They just kept that story up. FIL had no sense of time, so he didn't get suspicious.
Haven't you ever gotten lost before?
You might speak to her about it and ask her to keep her driving withing 5 or 10 miles to the house.
Also show her how to use her phone gps to tell her how to get home.