2010 BC Guide in Determining Fitness to Drive

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14.7 Private and commercial drivers with stage 3 or 4 renal disease .......................... 13414.8 Private drivers with end-stage renal disease ........................................................... 13514.9 Commercial drivers with end-stage renal disease .................................................. 13614.10 Private and commercial drivers who have had a renal transplant ...................... 137Chapter 15: Respiratory Diseases ............................................................................................ 138BACKGROUND ......................................................................................................................... 13815.1 About respiratory diseases ......................................................................................... 13815.2 Prevalence and incidence of chronic obstructive pulmonary disease .................. 13915.3 Chronic obstructive pulmonary disease and adverse driving outcomes ............. 13915.4 Effect of chronic obstructive pulmonary disease on functional ability to drive 14015.5 Compensation ............................................................................................................... 140GUIDELINES ............................................................................................................................. 14115.6 Private and commercial drivers with mild impairment ........................................ 14115.7 Private drivers with moderate impairment ............................................................. 14215.8 Commercial drivers with moderate impairment .................................................... 14315.9 Private drivers with severe impairment ................................................................... 14415.10 Commercial drivers with severe impairment or requiring supplemental oxygen......................................................................................................................................... 14515.11 Private drivers requiring supplemental oxygen ...................................................... 14615.12 Private and commercial drivers who have had a permanent tracheostomy ...... 148Chapter 16: Vestibular Disorders ............................................................................................ 149BACKGROUND ......................................................................................................................... 14916.1 About vestibular disorders ......................................................................................... 14916.2 Prevalence and incidence of vestibular disorders ................................................... 15016.3 Vestibular disorders and adverse driving outcomes .............................................. 15116.4 Effect of vestibular disorders on functional ability to drive ................................. 15116.5 Compensation ............................................................................................................... 153GUIDELINES ............................................................................................................................. 15416.6 Private and commercial drivers with recurrent episodes that occur with warningsymptoms ....................................................................................................................... 15416.7 Private and commercial drivers with recurrent episodes that occur withoutwarning symptoms ....................................................................................................... 15616.8 Private and commercial drivers with drop attacks ................................................ 15716.9 Private and commercial drivers who experience a single episode of vestibulardysfunction .................................................................................................................... 15816.10 Private and commercial drivers with vestibular disorders resulting in persistentimpairment .................................................................................................................... 159Chapter 17: Cardiovascular Disease and Disorders ............................................................. 160BACKGROUND ......................................................................................................................... 16017.1 About cardiovascular disease ..................................................................................... 16017.2 Prevalence and incidence of cardiovascular disease .............................................. 16217.3 Cardiovascular disease and adverse driving outcomes.......................................... 16217.4 Effect of cardiovascular disease on functional ability to drive ............................. 16217.5 Compensation ............................................................................................................... 164GUIDELINES ............................................................................................................................. 16517.6 Policy rationale ............................................................................................................. 165vii
17.7 Private and commercial drivers with congenital heart defects ............................ 16517.8 Private drivers with coronary artery disease .......................................................... 16617.9 Commercial drivers with coronary artery disease ................................................. 16717.10 Private and commercial drivers with asymptomatic coronary artery disease orstable angina ................................................................................................................. 16817.11 Private drivers who have had CABG surgery ......................................................... 16917.12 Commercial drivers who have had CABG surgery ................................................ 17017.13 Private and commercial drivers who have experienced cardiac arrest .............. 17117.14 Private and commercial drivers who have premature atrial or ventricularcontractions ................................................................................................................... 17217.15 Private drivers who have ventricular fibrillation with no reversible cause ....... 17317.16 Commercial drivers who have ventricular fibrillation with no reversible cause......................................................................................................................................... 17417.17 Private and commercial drivers who have hemodynamically unstable VT ....... 17517.18 Private drivers who have sustained VT and an LVEF of 30% ......................... 17717.20 Commercial drivers who have sustained VT and an LVEF of 30% ................ 17917.22 Private and commercial drivers who have non-sustained VT .............................. 18017.23 Private and commercial drivers who have had paroxysmal SVT, AF or AFL .. 18117.24 Private and commercial drivers who have had paroxysmal SVT, AF or AFLwith impaired consciousness ...................................................................................... 18217.25 Private and commercial drivers who have persistent or permanent paroxysmalSVT, AF or AFL ........................................................................................................... 18317.26 Private and commercial drivers who have sinus node dysfunction ..................... 18417.27 Private drivers with atrioventricular (AV) or intraventricular block ................ 18517.28 Commercial drivers with atrioventricular (AV) or intraventricular block ....... 18717.29 Private drivers with permanent pacemakers .......................................................... 18917.30 Commercial drivers with permanent pacemakers ................................................. 19017.31 Private drivers who have declined an ICD or have an ICD implanted as primaryprophylaxis .................................................................................................................... 19117.32 Private drivers who have an ICD implanted as secondary prophylaxis forsustained VT ................................................................................................................. 19217.33 Private drivers where ICD therapy (shock or ATP) has been delivered ............ 19317.34 Private drivers who have an ICD implanted as secondary prophylaxis for VF orVT ................................................................................................................................... 19417.35 Commercial drivers who have declined an ICD or have an ICD implanted asprimary or secondary prophylaxis ............................................................................ 19517.36 Private drivers with inherited heart disease ............................................................ 19617.37 Commercial drivers with inherited heart disease ................................................... 19717.38 Private drivers with medically treated valvular heart disease ............................. 19817.39 Commercial drivers with medically treated aortic stenosis or sclerosis ............. 19917.40 Commercial drivers with medically treated aortic or mitral regurgitation ormitral stenosis ............................................................................................................... 20017.41 Private drivers with surgically treated valvular heart disease ............................. 20117.42 Commercial drivers with surgically treated valvular heart disease .................... 202viii
Page 1 and 2: Ministry of Public Safety and Solic
Page 3 and 4: AcknowledgmentsResearcherBonnie M.
Page 5 and 6: Table of Contents (click on any ite
Page 7: 11.7 Private and commercial drivers
Page 11 and 12: 20.8 Private and commercial drivers
Page 13 and 14: BACKGROUND ........................
Page 15 and 16: PART 1:BACKGROUND1
Page 17 and 18: Appendix 2: Excerpts from the MVA t
Page 19 and 20: Chapter 2: The Driver Fitness Progr
Page 21 and 22: for the exercise of discretion by O
Page 23 and 24: 1. SCREENINGA driver disclosesa med
Page 25 and 26: 2.3 Roles and responsibilitiesOSMV
Page 27 and 28: Medical practitionersMedical practi
Page 29 and 30: Chapter 3:Driver Fitness Program Pr
Page 31 and 32: Because of these limitations, OSMV
Page 33 and 34: Example: the temporary storage of i
Page 35 and 36: Motor functions (including sensorim
Page 37 and 38: an individual with poor contrast se
Page 39 and 40: 3.5 Best informationDriver fitness
Page 41 and 42: Chapter 4: Introduction to the Poli
Page 43 and 44: 3. DETERMINATIONFrom2. AssessmentAn
Page 45 and 46: Once identified, a DMER is mailed t
Page 47 and 48: 5.3 Screening aging driversDefiniti
Page 49 and 50: 5.5 Transient impairmentsDefinition
Page 51 and 52: Chapter 6: Assessment Policies and
Page 53 and 54: 6.2 Assessments will only be reques
Page 55 and 56: 6.4 Requesting specialist assessmen
Page 57 and 58: Policy6.5.1 If a case manager or ad
Page 59 and 60:
Persistent and episodic impairments
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further assessment. Drivers who sco
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6.9.4 A case manager or adjudicator
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ASSESSMENT PROCEDURESCase manager o
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A driver fitness determination is a
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Policy rationaleBecause individuals
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7.5.3 Generally, an individual whos
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7.6.2 In particular, the case manag
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7.8.3 Whether an individual can com
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in order to be fit to drive, the ca
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has the judgment and willingness to
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Policy7.11.1 If a case manager or a
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(e) the medical condition results i
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7.12 Communicating a decisionPolicy
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7.13 Determination proceduresThe fo
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During the reconsideration, the adj
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8.3 Reconsideration proceduresThe f
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Chapter 9:Introduction to the Medic
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9.4 Medical condition chapter templ
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Private and commercial drivers who
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Chapter 11: Diabetes - Hypoglycemia
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PercentFigure 1 - Prevalence of Dia
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neuropathy, nephropathy, cardiovasc
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11.7 Private and commercial drivers
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11.8 Private drivers with diabetes
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11.9 Commercial drivers with diabet
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RestrictionsRe-assessmentguidelines
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Policy rationaleSevere hypoglycemia
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11.12 Private drivers who have pers
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11.13 Commercial drivers who have a
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11.14 Commercial drivers who have a
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11.15 Commercial drivers who have p
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PART B - HYPOGLYCEMIA11a. Has the p
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Produce my glycemic log for my doct
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Deep-vein thrombosisDeep-vein throm
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Aneurysms less than 5 cm in diamete
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GUIDELINES12.6 Private and commerci
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12.7 Private drivers who have an an
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12.9 Commercial drivers who have an
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Chapter 13: Musculoskeletal Conditi
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ConditionType of drivingimpairment
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ConditionsRestrictionsRe-assessment
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14.3 Chronic renal disease and adve
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Page 149 and 150:
14.8 Private drivers with end-stage
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14.10 Private and commercial driver
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Level ofImpairmentMildlyImpairedMod
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15.8 Commercial drivers with modera
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15.10 Commercial drivers with sever
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Policy rationaleDrivers who require
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Chapter 16: Vestibular DisordersBAC
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One study identified that 32.5% of
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ConditionType ofdrivingimpairmentan
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Re-assessmentguidelinesPolicy ratio
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Page 173 and 174:
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Individuals who have undergone valv
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Episodic impairmentThe potential ep
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GUIDELINES17.6 Policy rationaleThes
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17.9 Commercial drivers with corona
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17.11 Private drivers who have had
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Page 187 and 188:
17.15 Private drivers who have vent
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17.19 Private drivers who have sust
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17.21 Commercial drivers who have s
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17.27 Private drivers with atrioven
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17.28 Commercial drivers with atrio
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17.29 Private drivers with permanen
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17.31 Private drivers who have decl
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17.33 Private drivers where ICD the
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17.35 Commercial drivers who have d
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17.37 Commercial drivers with inher
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17.39 Commercial drivers with medic
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17.41 Private drivers with surgical
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17.43 Private drivers with mitral v
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17.45 Private drivers with congesti
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17.46 Commercial drivers with conge
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17.47 Private drivers with left ven
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17.49 Private drivers with a heart
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17.51 Private drivers with hypertro
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17.53 SyncopeSee the guidelines in
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Stable coronary syndromes - waiting
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Chapter 18: Hearing LossBACKGROUND1
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GUIDELINES18.6 Private drivers with
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equirement for commercial drivers i
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PLEASE COMPLETE THE FOLLOWING: YES
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this manual. Axis IV addresses exte
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Negative symptoms are characterized
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Schizophrenia (Axis I)Schizophrenia
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19.4 Effect of psychiatric disorder
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Suicidal ideationSuicidal ideation
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Chapter 20: Cerebrovascular Disease
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Cerebrovascular accidentCVAs are th
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Page 259 and 260:
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Page 263 and 264:
20.9 Private drivers who have had s
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20.10 Commercial drivers who have h
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Visual field impairment refers to a
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Right homonymous hemianopiaBinasal
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An example of the effects of diabet
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Retinitis pigmentosaRetinitis pigme
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GlaucomaApproximately 67 million pe
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indicates that wait times of 6 mont
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Although telescopic spectacles, hem
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Policy rationaleretinopathy dependi
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Policy rationaleIndividuals with be
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Re-assessmentguidelines cont’dPol
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Re-assessmentguidelines cont’dPol
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21.13 Commercial drivers with a los
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21.17 Visual field impairmentsTypes
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21.18 Examination of visual functio
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VISUAL FIELD TEST (VFT)For drivers
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To the Driver:Under section 29 of t
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Please note:Goldman, Esterman and H
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Cardiac syncopeCardiac syncope refe
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22.7 Private drivers who have had a
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22.9 Private drivers with recurrent
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22.11 Commercial drivers who have h
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22.13 Commercial drivers with recur
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Chapter 23: Seizures and EpilepsyBA
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abnormal numbnesstingling and a cra
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23.10 Private drivers with single u
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23.12 Private drivers with epilepsy
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23.18 Commercial drivers with epile
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Level of disabilityor worsening of
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Parkinson’s diseaseThere is a sma
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25.2 Prevalence and incidence of tr
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Chapter 26: Intracranial TumoursBAC
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Some examples of compensatory mecha
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i. aphasia (language disturbance)ii
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27.2 Prevalence and incidence of co
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27.4 Effect of cognitive impairment
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Chapter 28: Sleep DisordersBACKGROU
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An immediate reduction in daytime s
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28.5 CompensationIndividuals with s
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OSMV determinationguidelines cont
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Policy rationaleThe general approac
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Chapter 29: Prescription and Over-T
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Examples of newer antihistamines in
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Stimulants (for ADHD)Examples of st
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AntiepilepticsIn general, individua
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Sedating EffectLowModerateHighTCAsd
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dizziness, andblurred or double vis
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30.2 Effect of general debility and
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Appendix 1: Glossary of TermsCommer
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Medical assessmentis any kind of as
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Transient impairmentmeans a tempora
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must cause to be issued to the appl
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(ii) cancel the person's driver's l
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Appendix 3: Aging DriversAbout agin
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Percentadults. The survey also foun
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Appendix 4: Licence ClassesThe tabl
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Appendix 5: Drafting and Approval P
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drivers, this means that BC commerc
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2010 BC Guide in Determining Fitness to Drive

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