Is it time to stop driving?
Normal age changes in vision, working memory, hearing, reaction time, and body strength naturally decreases driving abilities in most older adults. Older adults have per mile crash rates that are three times those of middle aged drivers.
Knapp and VandCreek (2005) describe three "triggers indicating a potential driving problem:" (1) comments by the elder or their family that the elder's driving has become worrisome, (2) a mental or physical disorder that is causing substantial functiona impairment, and (3) dementia.
A large percentage of drivers use compensatory strategies (such as eyeglasses) to overcome potential driving problems (such as vision limitations). Compensatory strategies are often adequate to address common late adulthood issues, as well. These include:
- Avoiding driving in rush hour, in bad weather, in unfamiliar locations, and when upset.
- Paying special attention to good driving habits such as driving near the speed limit, keeping appropriate distance between cars, and communicating with other drivers by signals, headlights, and horn.
Driving evaluations have some value. These may involve tests of vision, reaction time, muscle strength, and mental acuity, and may include simulated driving tasks or on the road evaluation.
If compensatory strategies have been tried but problems persist, the elder and their family should begin preparation for driving cessation. This is a time for loving and honest communication about the pros and cons of driving, and making a plan for lifestyle preservation without self-driving. Dr. Chafetz has helped many families in this stage.
Knapp and VandCreek (2005) describe three "triggers indicating a potential driving problem:" (1) comments by the elder or their family that the elder's driving has become worrisome, (2) a mental or physical disorder that is causing substantial functiona impairment, and (3) dementia.
A large percentage of drivers use compensatory strategies (such as eyeglasses) to overcome potential driving problems (such as vision limitations). Compensatory strategies are often adequate to address common late adulthood issues, as well. These include:
- Avoiding driving in rush hour, in bad weather, in unfamiliar locations, and when upset.
- Paying special attention to good driving habits such as driving near the speed limit, keeping appropriate distance between cars, and communicating with other drivers by signals, headlights, and horn.
Driving evaluations have some value. These may involve tests of vision, reaction time, muscle strength, and mental acuity, and may include simulated driving tasks or on the road evaluation.
If compensatory strategies have been tried but problems persist, the elder and their family should begin preparation for driving cessation. This is a time for loving and honest communication about the pros and cons of driving, and making a plan for lifestyle preservation without self-driving. Dr. Chafetz has helped many families in this stage.
