driving

The main goal of the Clinician’s Guide
remains helping healthcare practitioners
prevent motor vehicle crashes and injury to
older adults. Motor vehicle injuries persist
as the leading cause of injury-related deaths
among 65- to 74-year-olds and are the
second leading cause (after falls) among 75-
to 84-year-olds. While traffic safety programs
have had partial success in reducing crash
rates for all drivers, the fatality rate for drivers
over age 65 has consistently remained high.
Increased comorbidities and frailty associated
with aging make it far more difficult to survive
a crash, and the expected massive increase
in the number of older adults on the road
is certain to lead to increased injuries and
deaths unless we can successfully intervene
to prevent harm

Clinician's Guide to Assessing and Counseling Older Drivers, 4th Edition

Erin Blanchette — Mon, 09 Dec 2024 15:14:17 +0000

Date Added:

December 9, 2024

Publisher:

American Geriatrics Society

Pages:

1-282

URL:

Clinician's Guide to Assessing and Counseling Older Drivers, 4th Edition

Type:

Clinical Decision Aids

Format:

Web Page

Keywords

MeSH

Guidance for how to assess a person's capacity to drive safely. James W. Mold, MD, MPH

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The Clinician’s Guide to Assessing and Counseling Older Drivers, 4th Edition is published by the American Geriatrics Society (AGS) as a service to healthcare providers involved in the care of older adults. This 4th edition is an update of the 3rd edition to the current state of the literature, with a continued focus on the interprofessional nature of the team caring for an older adult driver. This edition is the result of a cooperative agreement between AGS and the U.S. Department of Transportation’s National Highway Traffic Safety Administration (NHTSA).

The Clinician’s Guide is available in two formats, a digital text accessed through your browser and a downloadable PDF.

Driving Impairment Among Older Adults

Erin Blanchette — Tue, 02 Jan 2024 16:32:24 +0000

Date Added:

January 2, 2024

Journal/Publication:

JAMA

Publisher:

American Medical Association

Publication Date:

December 18, 2023

URL:

Driving Impairment Among Older Adults

Type:

Patient Education Materials

Format:

Article

DOI (1):

10.1001/jama.2023.20347

Keywords

PMID (1):

38109079

MeSH

Distracted Driving

automobile driving

continuous positive airway pressure

Patient and family information on driving safety and older adults. James W. Mold, MD, MPH

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Older drivers may have age-related and medical conditions that affect their driving performance.

More than 90% of car crashes are caused by human error. In older adults, age-related changes of decreased vision, cognitive decline, slowed reaction time, and decreased grip strength increase the risk of common driving errors, including straying from driving lanes, failing to observe speed limits, and overlooking traffic signs.

The risk of dying in a car crash is 2.5 times higher for drivers aged 75 to 79 years and 5 times higher for those aged 80 years or older compared with younger drivers.

Author/s:

Rebecca A Voelker

Assessing and Counseling the Older Driver: A Concise Review for the Generalist Clinician

John Bayhi — Fri, 02 Aug 2019 18:51:18 +0000

Date Added:

August 9, 2019

Journal/Publication:

Mayo Clinic Proceedings

Publisher:

Mayo Foundation for Medical Education and Research

Publication Date:

August 1, 2019

Issue:

Volume:

Pages:

1582–1588

URL:

Assessing and Counseling the Older Driver: A Concise Review for the Generalist Clinician

Type:

Meta-analyses, Reviews, and Guidelines

Format:

Article

DOI (1):

10.1016/j.mayocp.2019.03.023

Keywords

MeSH

referral and consultation

A concise review of issues and counseling strategies relevant to older drivers. James W. Mold, MD, MPH

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Older drivers are putting more miles on the road during their “golden years” than generations prior. Many older adults have safe driving habits, but unique age-related changes increase the risk for crash-related morbidity and mortality. Generalists are poised to assess and guide older adults' driving fitness. Although there is no uniformly accepted tool for driving fitness, assessment of 5 key domains (cognition, vision, physical function, medical comorbidities, and medications) using valid tools can help clinicians stratify older drivers into low, intermediate, and high risk for unsafe driving. Clinicians can then make recommendations about fitness to drive and appropriate referrals for rehabilitation or alternative transportation resources to optimize mobility, independence, and quality of life for older adults.

Author/s:

Hill, Larisa J.N., Pignolo, Robert J., Tung, Ericka E.