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Chapter 51 - Driving and the older adult

from Section IV - Principles of care for the elderly

Published online by Cambridge University Press:  05 June 2016

By
David B. Carr ,
Joanne G. Schwartzberg  and
Alice K. Pomidor
Edited by
Jan Busby-Whitehead ,
Christine Arenson ,
Samuel C. Durso ,
Daniel Swagerty ,
Laura Mosqueda ,
Maria Fiatarone Singh  and
William Reichel
Jan Busby-Whitehead
Affiliation:
University of North Carolina
Christine Arenson
Affiliation:
Thomas Jefferson University, Philadelphia
Samuel C. Durso
Affiliation:
The Johns Hopkins University School of Medicine
Daniel Swagerty
Affiliation:
University of Kansas
Laura Mosqueda
Affiliation:
University of Southern California
Maria Fiatarone Singh
Affiliation:
University of Sydney
William Reichel
Affiliation:
Georgetown University, Washington DC
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Summary

Driving is an essential instrumental activity of daily living but becomes increasingly difficult to maintain with age-related comorbid medical conditions. Age-related physiologic changes can impact driving along with common medical conditions that have a high prevalence in advanced age. Polypharmacy and sedating medications can impair driving. A comprehensive assessment—including taking a driving history and a targeted physical exam, the Assessment of Driving-Related Skills (ADReS)—is recommended to identify older drivers at risk. Referrals to other health professionals (e.g., occupational therapists, physical therapists, social workers, neuropsychologists, etc.) may be quite helpful in determining driving risk and/or assisting with driving retirement and maintaining key driving destinations. Driving rehabilitation specialists (typically occupational therapists) can assist clinicans with comprehensive evaluations and performance-based road tests. Legal and ethical issues are related to reporting unsafe drivers, and clinicians are advised to seek local counsel in these matters and know their state laws.
Type
Chapter
Information
Reichel's Care of the Elderly
Clinical Aspects of Aging
 , pp. 691 - 701
Publisher: Cambridge University Press
Print publication year: 2016

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