This can be problematic for seniors specifically as they develop cognitive and physical decline. Aside of the physical threat of falls in the transportation process, conditions such as Alzheimer’s Disease and
Dementia create emotional stress when a patient is in an unfamiliar environment. Those patients who do not suffer cognitive decline may not be safe driving to therapy frequently enough for the care to be
effective. This circumstance results in family members becoming their transportation or the inconvenience of arranging and paying for travel. The middle generation, known in the senior industry as the sandwich generation adopts the duty of transporting the patient to therapy as needed in addition to their own responsibilities at home and at work. Compliance of care becomes challenging to these families, as a therapy plan of care can be 2-3 times per week for up to 60 minutes per session.