Stroke Patients: Safe To Travel By Car?

Travelling by car after a stroke is a complex issue that requires careful consideration and consultation with medical professionals. The ability to resume driving depends on various factors, including the severity of the stroke, the patient's recovery, and any lasting impairments. While some stroke patients may be able to drive again with modifications to their vehicle and rehabilitation, others may need to explore alternative transportation options. It is essential to prioritize safety and follow the recommendations of healthcare providers and driving specialists.

Get medical clearance before travelling

Before travelling by car, it is important to get medical clearance from your doctor. They will be able to determine if you are medically stable enough to travel and advise on any necessary modifications or precautions.

Firstly, it is recommended that stroke patients wait at least two weeks before flying, as there is an increased risk of a second stroke after the first. This is because a person is at an increased risk of a second stroke after suffering a TIA (transient ischemic attack) or stroke. In the event of a second stroke, it is important to be close to emergency medical interventions that can reverse the stroke effects, such as the administration of medications like TPA. Additionally, new post-stroke medical conditions may arise within a few months of the initial stroke, so it is best to remain near your medical providers.

Every stroke is different and has unique secondary effects, so it is crucial to consult with your medical team to determine when it is safe to travel. If your travel plans are flexible, waiting 1-3 months is advisable. During this time, your doctor can assess any lingering physical, visual, or cognitive problems that may impair your ability to travel. They can also advise on any necessary treatments or rehabilitation to improve your condition before travelling.

In addition to your doctor's advice, it is important to be aware of any requirements or restrictions from your state's department of motor vehicles regarding post-stroke travel. These may include specific physical, sensory, and cognitive requirements that must be met before travelling.

Overall, getting medical clearance before travelling by car is essential to ensure your safety and well-being. By working closely with your medical team and following their recommendations, you can increase your chances of a safe and enjoyable journey.

Be mindful of the risks of blood clotting

Travelling by car can pose certain risks for stroke patients, especially when it comes to blood clotting. Here are some important considerations to be mindful of:

Firstly, understand the link between blood clots and strokes. Blood clots are a leading cause of strokes, with around 87% of strokes being ischemic strokes caused by blood clots blocking blood vessels that transport blood to the brain. Therefore, it is crucial to be vigilant about preventing blood clots, especially during travel.

Secondly, recognise the risk factors for blood clots. These include a family history of blood clots, previous personal history, certain medications like birth control pills, pregnancy, serious medical conditions, recent surgery, and immobilization or remaining in one position for a prolonged period. If any of these risk factors apply to you, consult your doctor for personalised advice.

Thirdly, take preventative measures to reduce the risk of blood clots during car travel. This includes staying hydrated with non-alcoholic fluids, regularly moving your ankles and massaging your calves, and taking breaks during long car trips to stretch your legs and walk around. Compression stockings can also help reduce swelling in the legs and lower the risk of blood clots.

Lastly, be vigilant for any symptoms of blood clots, such as swelling, pain, or tenderness in the legs, as well as unusual shortness of breath or chest pain. If you experience any of these symptoms, seek medical attention immediately. Remember that blood clots can develop even after returning home from travel, so continue to monitor your health for a few weeks post-travel.

Consider travel insurance

The Foreign and Commonwealth Office recommend that you have travel insurance in place every time you travel abroad. It is important to have travel insurance, especially if you are going abroad. Make sure that your insurers are aware that you have had a stroke and ensure that your travel insurance covers this, as well as any other medical conditions you may have.

When you run a travel insurance quote, you will be asked to provide details of any pre-existing medical conditions, including whether you have ever suffered a stroke. You will have to let your provider know how many strokes you have had and how long ago they were. You will also be expected to say whether you are awaiting any surgeries or scans relating to your condition and if you have had any transient ischaemic attacks (TIA), also known as a mini-stroke.

If you take any medication to thin the blood, you will have to declare how much you take and how often. If you have had a stroke, you might be quoted a higher premium than usual. Depending on the severity of your condition, you might only be able to find cover with a travel insurance provider that specialises in pre-existing medical conditions.

There are specialist travel insurers that provide cover for pre-existing conditions. The Stroke Association, for example, has a partnership with specialist medical travel insurer AllClear Travel, which provides comprehensive cover to stroke survivors.

Plan for breaks when travelling by car

Planning breaks when travelling by car is essential for stroke patients to ensure their comfort and safety. Here are some detailed instructions to follow when planning a car journey for a stroke patient:

Plan Regular Breaks

It is important to plan for frequent breaks during the journey, especially if travelling long distances. Aim to take a break at least every two hours. Look for routes with rest stops, such as major highways, and plan your journey to include these stops. This will allow the patient to stretch their legs, use the bathroom, and rest, which is crucial for their comfort and well-being.

Be Prepared for Delays

When planning the journey, be mindful of potential delays and allow for extra time. Consider travelling during off-peak hours or avoiding busy travel periods to minimise the risk of heavy traffic. By giving yourself ample time, you reduce the stress of potential delays and ensure the patient's comfort.

Choose Comfortable Transport

If possible, opt for a comfortable vehicle with ample legroom and space to move around. This can help the patient feel more relaxed and reduce the need for frequent stops. Additionally, consider bringing extra cushions or blankets to enhance the patient's comfort during the journey.

Pack Essential Items

Make sure to pack all the necessary items for the patient's needs. This includes any medications, mobility aids, and snacks or drinks to maintain their energy levels. It is also a good idea to pack entertainment, such as books or portable electronic devices, to help pass the time during the journey and provide a pleasant distraction.

Accommodate Special Requirements

If the patient has any special requirements, such as dietary needs or specific mobility aids, ensure these are accommodated. For example, if they require a special diet, pack appropriate snacks and meals, and if they need a particular type of cushion or support, make sure it is available in the vehicle.

Seek Medical Advice

Before embarking on the journey, consult with the patient's doctor or healthcare provider. They can advise on any specific considerations, such as the need for extra breaks or medical precautions. Follow their recommendations to ensure the patient's safety and well-being during the car trip.

Make use of mobility aids

Mobility aids are essential for stroke survivors to maintain an active and independent lifestyle. Here are some ways to make use of mobility aids to facilitate recovery and improve quality of life:

Utilise Assistive Devices:

Stroke survivors often experience physical limitations that affect their mobility. Various assistive devices can help with daily living activities such as dressing, bathing, grooming, cooking, and feeding. These include:

• Rolling Walkers: For individuals with balance problems or slight weakness, a rolling walker provides support and stability.
• Hemi-Walkers and Quad Canes: For individuals with paralysis or limited use of one side, these devices provide a wider base of support and can be operated without using both hands.
• Single Tip Canes: For those who only need minimal support for balance.
• Wheelchairs and Scooters: Many stroke survivors require wheelchairs due to limited mobility. Hemi wheelchairs are adjustable and can be operated with one or both feet. Electric wheelchairs and scooters are also available.
• Lift Chairs and Portable Lifts: Built-in lift chairs help individuals rise from a sitting to a standing position. Portable lifts can be carried and used in different locations.

Modify Your Vehicle:

If you are a stroke survivor who wishes to drive or travel by car, modifications can be made to your vehicle for improved accessibility and safety:

• Spinner Wheels: These attach to the steering wheel, enabling one-handed steering.
• Left-Foot Accelerators: For individuals with right-side impairments, this modification allows them to accelerate using their left foot.
• Swivel Seats: Swivel seats assist individuals in getting into and out of the car more easily.

Adapt Your Home:

Making adaptations to your home environment can greatly enhance your mobility and independence:

• Transfer Belts, Boards, and Slides: These aids help stroke survivors safely stand or sit, facilitating transfers in and out of automobiles.
• Handrails and Grab Bars: Installing handrails or grab bars in entryways, hallways, and bathrooms provides support and helps prevent falls.
• Stair Glides or Stair Lifts: These transport individuals up and down stairs while they remain seated, ensuring safety and comfort.
• Platform Lifts: Similar to a small elevator, platform lifts can transport individuals up and down stairs, accommodating both wheelchairs and individuals who can step onto the platform.

Seek Rehabilitation:

Working with rehabilitation specialists is crucial for stroke survivors to regain strength, mobility, and independence. Enrolling in adaptive driving courses or seeking assistance from driver rehabilitation specialists can help you understand any necessary modifications and improve your driving skills. Additionally, vision therapy, cognitive exercises, and foot drop exercises can address specific impairments that may impact your ability to drive safely.

Remember, each stroke survivor's experience is unique, so it is essential to consult with your healthcare team to determine the most appropriate mobility aids and adaptations for your specific needs.

Frequently asked questions