Occupational Therapy in Community-Based Practice Settings 2nd Edition by Marjorie Scaffa, Maggie Reitz

Exercise 3

Mr. Martin
Mr. Martin is a 78-year-old gentleman who sustained a left cerebral vascular accident and subsequent right ankle fracture 3 months ago. He was referred to a driving rehabilitation program after he expressed a desire to return to driving. An occupational profile reveals that Mr. Martin is martial with three adult children and five grandchildren. He was active in his grandchildren's lives through attendance at their sporting events and after-school activities, and through the responsibility of picking them up after school three days per week. The family car was driven primarily by Mr. Martin to travel to medical appointments for him and his wife, grocery shopping, and other outings. Mrs. Martin had limited her driving in recent years because she felt her skills were slipping and had come to rely heavily on her husband for community mobility. Mr. Martin also enjoyed an active golf hobby with friends every Sunday afternoon, weather permitting. The primary stated client goal is to "return to driving so I can be myself again." Assessments revealed intact cognition; adequate vision within the state guidelines but a mild left visual field cut; right upper extremity use within functional limits; and mildly impaired right lower extremity function due to sensory impairment, mildly increased extensor tone, and decreased range of motion due to the fracture. A behind-the-wheel assessment revealed that Mr. Martin has a strong foundation in driver safety, is aware of his limitations, but is not able to safely operate automobile with the manufacturer's equipment. Driving rehabilitation services are recommended for intervention to return Mr. Martin to driving.
What strategies could be used to facilitate Mrs. Martin's community mobility?