Posted .December 28, 2015
Safe elderly drivers require the complex coordination of many different skills. The physical and mental changes that accompany aging can diminish the abilities of elderly drivers. These include:
- A slowdown in response time
- A loss of clarity in vision and hearing
- A loss of muscle strength and flexibility
- Drowsiness due to medications
- A reduction in the ability to focus or concentrate
- Lower tolerance for alcohol
Taken separately, none of these changes automatically means that elderly drivers should stop. But caregivers need to regularly evaluate the elderly person's driving skills to determine if they need to alter driving habits or stop driving altogether.
A checklist on safe elderly driving
Watch for telltale signs of decline in the elderly person's driving abilities. Do they:
- Drive at inappropriate speeds, either too fast or too slow?
- Ask passengers to help check if it is clear to pass or turn?
- Respond slowly to or not notice pedestrians, bicyclists and other drivers?
- Ignore, disobey or misinterpret street signs and traffic lights?
- Fail to yield to other cars or pedestrians who have the right-of-way?
- Fail to judge distances between cars correctly?
- Become easily frustrated and angry?
- Appear drowsy, confused or frightened?
- Have one or more near accidents or near misses?
- Drift across lane markings or bump into curbs?
- Forget to turn on headlights after dusk?
- Have difficulty with glare from oncoming headlights, streetlights, or other bright or shiny objects, especially at dawn, dusk and at night?
- Have difficulty turning their head, neck, shoulders or body while driving or parking?
- Ignore signs of mechanical problems, including underinflated tires? (one in 4 cars has at least one tire that is underinflated by 8 pounds or more; low tire pressure is a major cause of accidents.)
- Have too little strength to turn the wheel quickly in an emergency such as a tire failure, a child darting into traffic, etc.?
- Get lost repeatedly, even in familiar areas?
If the answer to one or more of these questions is "yes," you should explore whether medical issues are affecting their driving skills.
Medical issues to consider
Caregivers need to know if the elderly person:
- Has had their vision and hearing tested recently?
- Has had a physical examination within the past year to test reflexes and make sure they don't have illnesses that would impact their driving?
- Is taking medications or combinations of medications that might make them drowsy or confused while driving?
- Has reduced or eliminated their intake of alcohol to compensate for lower tolerance?
- Has difficulty climbing a flight of stairs or walking more than one block?
- Has fallen - not counting a trip or stumble - once or more in the last year?
- Has had a physician told them that they should stop driving?