If the dementia is advanced at the time of diagnosis, disclosure to the individual is no longer meaningful or warranted. Why it's Important for Patients and Families to Know The physician should advise the affected individual and family to discuss and agree upon a care plan, including discussion of personal values and use of life-prolonging technologies. Disclosing the diagnosis to mildly affected individuals allows them to plan how most to enjoy their remaining years of relatively unimpaired mental functioning. Disclosure enables the person with dementia to participate in counseling and support groups, which help to alleviate anger, self-blame, fear and depression. Disclosure also permits family caregivers to participate in support groups.
Some studies indicate that support groups can improve caregiver functioning.
Driving Privileges Diagnosis of AD is never itself sufficient reason for loss of driving privileges. During the first 3 years after early diagnosis of AD, the risk of automobile crashes is well within the accepted range. Mandating physicians to report people with AD to motor vehicle departments compromises confidentiality, and may cause individuals to delay seeking medical care. Negotiation involving the individual, family members and health care professionals may be a preferable approach. To encourage acceptance, the individual who agrees to limits should be assured that others will assist in providing transportation.