Psychiatrymiddle twist
A 74-year-old man is reviewed in a memory clinic. Over the past year he has twice been brought home by police after becoming lost while driving to familiar places, and his wife describes two collisions while reversing out of the driveway. Cognitive testing shows moderate impairment of memory and visuospatial function, and he has stopped managing the household accounts. You explain that he must stop driving. He says he will keep driving his grandchildren to school and forbids you to discuss the matter with anyone. Which one of the following is it most appropriate to inform?